scholarly journals CAEP, CCCS, and CNSF Position Statement – Management of devastating brain injuries in the emergency department: Enhancing neuroprognostication and maintaining the opportunity for organ and tissue donation

CJEM ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. 658-660 ◽  
Author(s):  
Andrew Healey ◽  
Murdoch Leeies ◽  
Carmen Hrymak ◽  
Alecs Chochinov ◽  
Brian Grunau ◽  
...  
Keyword(s):  
Emergency Department ◽  
Brain Injury ◽  
Brain Injuries ◽  
Position Statement ◽  
Tissue Donation ◽  
Organ And Tissue Donation

The primary purpose of this statement is to improve neuroprognostication after devastating brain injury (DBI), with a secondary benefit of potential organ and tissue donation.

scholarly journals P044: Register to donate while you wait: assessing public acceptability of utilizing the emergency department waiting room for organ and tissue donor registration

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S72-S72
Author(s):  
B. Ellis ◽  
J.J. Perry ◽  
M. Hartwick
Keyword(s):  
Emergency Department ◽  
Religious Affiliation ◽  
Clinical Care ◽  
Tertiary Care ◽  
Organ Donor ◽  
Tissue Donation ◽  
Waiting Room ◽  
Tissue Donor ◽  
Organ And Tissue Donation ◽  
Public Acceptability

Introduction: Our study objectives were to assess the acceptability of using the emergency department (ED) waiting room to provide knowledge on, and offer opportunities for organ and tissue donor registration; and to identify barriers to the donor registration process in Ontario. Methods: We conducted a paper based in-person survey over nine days for eight hour blocks in March and April 2017. The survey instrument was created in English using existing literature and expert opinion, pilot tested and then translated into French. The study collected data from patients and visitors in an urban academic Canadian tertiary care ED waiting room. All adults in the waiting room were approached to participate during the study periods. Individuals waiting in clinical care areas were excluded, as well as those who required immediate treatment. Results: The number of attempted surveys was 324; 67 individuals (20.7%) refused to partake. A total of 257 surveys were distributed and five were returned blank. This gave us a response rate of 77.8% with 252 completed surveys. The median age group was 51-60 years old with 55.9% female. Forty-six percent were Christian (46.0%) and 34.1% did not declare a religious affiliation. Nearly half of participants (44.1%) were registered organ donors. The majority of participants agreed or were neutral (83.3%) that the ED waiting room was an acceptable place to provide information on organ and tissue donation. Further, 82.1% agreed or were neutral that the ED was an acceptable place to register as an organ donor. Nearly half (47.2%) agreed that they would consider registering while in the ED waiting room. A number of barriers to registering as an organ and tissue donor were identified. The most common were: not knowing how to register (22.0%), a lack of time to register (21.1%), and having unanswered questions regarding organ and tissue donation (18.7%). Conclusion: Individuals waiting in the ED are supportive of using the ED waiting room for distributing information regarding organ and tissue donation, and facilitating organ and tissue donation registration. Developing such a practice could help to reduce some of the identified barriers, including a lack of time and having unanswered questions regarding donation.

ORGAN AND TISSUE DONATION FROM THE EMERGENCY DEPARTMENT

1990 ◽  
Vol 18 (Supplement) ◽  
pp. S254
Author(s):  
Richard R. Riker ◽  
Bruce White
Keyword(s):  
Emergency Department ◽  
Tissue Donation ◽  
Organ And Tissue Donation

Resource barriers to the facilitation of organ and tissue donation reported by Australian emergency clinicians

2013 ◽  
Vol 37 (1) ◽  
pp. 60 ◽  
Author(s):  
Claudia H. Marck ◽  
George A. Jelinek ◽  
Sandra L. Neate ◽  
Bernadine M. Dwyer ◽  
Bernadette B. Hickey ◽  
...  
Keyword(s):  
Emergency Department ◽  
Online Survey ◽  
Tissue Donation ◽  
Donor Pool ◽  
Potential Donor ◽  
Cross Sectional ◽  
Work Related ◽  
Organ And Tissue Donation ◽  
Ed Overcrowding ◽  
Related Stress

Objective. To explore emergency department clinicians’ perceived resource barriers to facilitating organ and tissue donation (OTD). Methods. A cross-sectional national online survey of Australian emergency department (ED) clinicians. Results. ED clinicians reported a range of resource barriers that hinder the facilitation of OTD, most notably a lack of time to discuss OTD with a patient’s family (74.6%). Those reporting more resource barriers had been less involved in OTD-related tasks. For example, those reporting a lack of time to assess a patient’s suitability to be a potential donor had less experience with OTD-related tasks in the last calendar year than did those who reported that they often or always have enough time for this (P < 0.01). In addition, ED clinicians working in DonateLife network hospitals were more involved in OTD-related tasks (P < 0.01) and reported fewer resource shortages in the ED and the hospital overall. Conclusions. Resource shortages hinder the facilitation of OTD in the ED and are related to decreased involvement in OTD-related tasks. In addition, ED clinicians working in DonateLife hospitals are more involved in OTD-related tasks and report fewer resource shortages overall. Addressing resource shortages and extending the DonateLife network could benefit OTD rates initiated from the ED. What is known about the topic? Increasing the rate of organ and tissue donation (OTD) has become progressively more urgent as waiting lists for organs and tissues are growing globally. Recently a missed potential donor pool was recognised in emergency departments (EDs) and the Organ and Tissue Authority implemented a ‘clinical trigger’ tool to aid with the identification of potential donors in EDs. However, many Australian studies have reported worsening ED overcrowding and resource shortages in recent years with an adverse effect on patient care and satisfaction as well as on ED clinicians’ work-related stress and satisfaction. International literature has identified that certain resource barriers hinder the facilitation of organ and tissue in EDs. However, there is currently no literature available on how resource barriers in Australian EDs affect the facilitation of OTD. What does this paper add? Our study shows that Australian ED clinicians perceive a range of resource barriers that hinder the facilitation of OTD, most notably a lack of time to discuss OTD with a patient’s family or to identify potential donors. We also found that those reporting more resource barriers had been less involved in OTD-related tasks in the last calendar year. In addition, those that work in hospitals that are part of the DonateLife network, and thus have dedicated staff available for OTD-related tasks, were more involved in OTD-related tasks and reported fewer resource shortages in the ED and the hospital overall. What are the implications for practitioners? To maximize the number of potential donors recognised and referred from the ED, it may be important to decrease the resource barriers identified in this study. Notably, the presence of specialist OTD staff, a function of being part of a DonateLife network hospital, may result in a decreased perception of resource barriers in the ED and more engagement with OTD-related tasks by ED clinicians.

Organ and tissue donation-related attitudes, education and practices of emergency department clinicians in Australia

2012 ◽  
Vol 24 (3) ◽  
pp. 244-250 ◽  
Author(s):  
George A Jelinek ◽  
Claudia H Marck ◽  
Tracey J Weiland ◽  
Sandra L Neate ◽  
Bernadette B Hickey
Keyword(s):  
Emergency Department ◽  
Tissue Donation ◽  
Organ And Tissue Donation

Attitudes of Australian Emergency Department Clinicians toward Organ and Tissue Donation: An Analysis of Cultural and Religious Influences

2013 ◽  
Vol 23 (3) ◽  
pp. 278-289 ◽  
Author(s):  
Tracey J. Weiland ◽  
Claudia H. Marck ◽  
George A. Jelinek ◽  
Sandra L. Neate ◽  
Bernadette B. Hickey
Keyword(s):  
Emergency Department ◽  
Tissue Donation ◽  
Organ And Tissue Donation ◽  
Religious Influences
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