Organ procurement in an urban level I emergency department

Annals of Emergency Medicine
S O HendersonW K Mallon

Abstract

To determine whether an intensive educational campaign of emergency department personnel on the organ donor and procurement process would result in both increased organ donor referrals and organs procured. A retrospective review of the performance of an urban teaching ED in identifying and referring potential organ donor candidates was performed. Subsequently an intensive educational campaign of all ED staff, in conjunction with the Regional Organ Procurement Agency of Southern California (ROPA), was initiated. Physicians and nurses were educated about the procurement process, and a ROPA representative was on call 24 hours a day to assist in this process. The need for aggressive resuscitation and vital sign maintenance in potential donors as a strategy to promote organ recovery was emphasized. Reeducation by ROPA occurred every 2 to 3 months. The identification and referral rates were then retrospectively reviewed to evaluate any improvement. In 1994 the initial referral rate of potential organ donors from the ED was 30% (3 of 10) resulting in no organs procured. After the intervention the referral rate increased to 100% (25 of 25) in 1995 (P < .0001). The number of actual donors procured was 0 in 1994, 5 in 1995, and 9 in 1996...Continue Reading

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Citations

Jun 29, 2006·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Nicole A Tenn-LynDan E Cass
May 16, 2002·Transplantation Proceedings·Rogério Carballo AfonsoB Lessa
May 16, 2002·Clinical Transplantation·Kevin H HigashigawaLivingston M Wong
May 6, 2014·American Journal of Surgery·Lisabeth D MillerK Dean Gubler
Jan 8, 2004·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Garrett K Chan
Aug 14, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Glen E Michael, Robert E O'Connor
Nov 22, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Walter E LimehouseArthur Derse
Jun 29, 2010·The Journal of Emergency Medicine·Sangeeta Lamba, Anne C Mosenthal
Jul 27, 2001·The Journal of Trauma·C M JohnsonH Nathan
Apr 5, 2011·Clinical Transplantation·Sanju SobnachDelawir Kahn
Mar 22, 2021·Transplantation Reviews·Manuel Castillo-AngelesJoel T Adler

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