Critical care in the Emergency Department: organ donation

Emerg Med J. 2017 Apr;34(4):256-263. doi: 10.1136/emermed-2016-205941. Epub 2016 Aug 18.

Abstract

Organ transplantation is associated with improved outcomes for some patients with end-stage organ failure; however, the number of patients awaiting a transplant exceeds the available organs. Recently, an extended role has been proposed for EDs in the recognition and management of potential donors. The present review presents an illustrative case report and considers current transplantation practice in the UK. Ethical and legal considerations, the classification of deceased donors and future developments promising greater numbers of organs are discussed.

Keywords: clincial management; emergency department; forensic/legal medicine; intensive care.

Publication types

  • Review

MeSH terms

  • Emergency Service, Hospital / organization & administration
  • Emergency Service, Hospital / statistics & numerical data
  • Emergency Service, Hospital / trends*
  • Humans
  • Tissue Donors / psychology*
  • Tissue Donors / statistics & numerical data
  • Tissue Donors / supply & distribution
  • Tissue and Organ Procurement / methods*
  • Tissue and Organ Procurement / statistics & numerical data
  • United Kingdom
  • Workforce