Success of organ donation after out-of-hospital cardiac death and the barriers to its acceptance.
It is well documented that transplants save lives and improve quality of life for patients suffering from kidney, liver, and heart failure. Uncontrolled donation after cardiac death (UDCD) is an effective and ethical alternative to existing efforts towards increasing the available pool of organs. However, people who die from an out-of-hospital cardiac arrest are currently being denied the opportunity to be organ donors except in those few locations where out-of-hospital UDCD programs are active, such as in Paris, Madrid, and Barcelona. Societies have the medical and moral obligation to develop UDCD programs.
Kaufman
Bradley J
BJ
Fire Department of the City of New York, Brooklyn, NY 11201, USA. bkaufman@usa.com
Wall
Stephen P
SP
Gilbert
Alexander J
AJ
Dubler
Nancy N
NN
Goldfrank
Lewis R
LR
D004632:Emergency Medical Services; D006801:Humans; D017202:Myocardial Ischemia / Q000401:mortality*; D015397:Program Evaluation; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000458:organization & administration*; D014481:United States