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Lenworth M. Jacobs, MD, MPH

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A significant number of trauma patients incur injuries that are severe enough to be fatal before they arrive at a hospital. Professional associations have promulgated the anatomical and physiological determinants that define prehospital futility.¹ In our study, the questions we asked the public and trauma professionals were intended to determine their preferences for a place other than the morgue or resuscitation suite where the physician could inform them what happened to their loved one, where they could have a chance to view the body, and where they could receive religious and counseling services. The question did not have any relation to organ procurement.

Chapital et al have raised important issues about end-of-life organ procurement in trauma patients. Many states have addressed these issues in their statutes and hospital ethics committees and have actively engaged in determining the best practices concerning these issues. Our . . . [Full Text of this Article]

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RELATED LETTER

Futility and End-of-Life Organ Donation After Traumatic Injuries: Caring for Organs or Patients
Alyssa B. Chapital, Mohamed Y. Rady, Daniel J. Johnson, and Joseph L. Verheijde
Arch Surg. 2009;144(1):91-92.
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