title: Critical care in the Emergency Department: organ donation.
abstract: Organ transplantation is associated with improved outcomes for some patients with end-stage organ failure; however, the number of patients awaiting a transplant exceeds the available organs. Recently, an extended role has been proposed for EDs in the recognition and management of potential donors. The present review presents an illustrative case report and considers current transplantation practice in the UK. Ethical and legal considerations, the classification of deceased donors and future developments promising greater numbers of organs are discussed.
authors.affiliation: Deputy National Clinical Lead for NHS Blood and Transplant, Intensive Care Unit, Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: Dale C
authors.initials: DC
authors.lastname: Gardiner
authors.affiliation: Faculty of Medical and Human Sciences, University of Manchester, Manchester, UK.
authors.forename: Matthew S
authors.initials: MS
authors.lastname: Nee
authors.affiliation: Emergency Department, Wirral University Hospital, Merseyside, UK.
authors.forename: Andrea E
authors.initials: AE
authors.lastname: Wootten
authors.affiliation: Intensive Care Unit, St Helens and Knowsley Teaching Hospitals NHS Trust, Merseyside, UK.
authors.forename: Francis J
authors.initials: FJ
authors.lastname: Andrews
authors.affiliation: Department of Blood Sciences, St Helens and Knowsley Teaching Hospitals NHS Trust, Merseyside, UK.
authors.forename: Samantha C
authors.initials: SC
authors.lastname: Bonney
authors.affiliation: Faculty of Education, Health and Community, Liverpool John Moores University, Liverpool, UK.
authors.forename: Patrick A
authors.initials: PA
authors.lastname: Nee
mesh_terms: D004636:Emergency Service, Hospital / Q000458:organization & administration / Q000706:statistics & numerical data / Q000639:trends*; D006801:Humans; D014019:Tissue Donors / Q000523:psychology* / Q000706:statistics & numerical data / Q000600:supply & distribution; D009927:Tissue and Organ Procurement / Q000379:methods* / Q000706:statistics & numerical data; D006113:United Kingdom; D000078329:Workforce
keywords: clincial management; emergency department; forensic/legal medicine; intensive care