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Futility and End-of-Life Organ Donation After Traumatic Injuries: Caring for Organs or Patients
Alyssa B. Chapital, MD, PhD;
Mohamed Y. Rady, MD, PhD, FRCS, FRCP;
Daniel J. Johnson, MD;
Joseph L. Verheijde, MBA, PhD
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Prehospital organ recovery programs are implemented to supply transplantable organs. Rapid organ recovery ambulances are dispatched1 to trauma scenes to resuscitate and transport potential donors to hospital-independent procurement facilities.2 Jacobs et al3 may alternatively refer to such a procurement facility as a new facility. To facilitate organ recovery after trauma, it is essential to address (1) public concerns about accuracy of determining futility in prehospital or emergency department settings and (2) diverse cultural and religious values and beliefs about end-of-life care.
The accuracy of determining futility after traumatic injury has been questioned. Do-not-resuscitate orders are implemented as a prelude to organ donation after an individual suffers unrecoverable injuries. In 1 study, substantial variations in do-not-resuscitate orders across hospitals in the national trauma registry were unexplained by patient characteristics . . . [Full Text of this Article] AUTHOR INFORMATION
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Futility and End-of-Life Organ Donation After Traumatic Injuries: Caring for Organs or Patients—Reply
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RELATED ARTICLE
Trauma Death: Views of the Public and Trauma Professionals on Death and Dying From Injuries
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Arch Surg. 2008;143(8):730-735.
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