Lessons from a pilot for uncontrolled donation after circulatory death in the ED in the UK

Matthew James Reed; Ian Currie; John Forsythe; Irene Young; John Stirling; Lesley Logan; Gareth R. Clegg; Gabriel C. Oniscu

doi:10.1136/emermed-2019-208650

Lessons from a pilot for uncontrolled donation after circulatory death in the ED in the UK

Matthew James Reed^*, Ian Currie, John Forsythe, Irene Young, John Stirling, Lesley Logan, Gareth R. Clegg, Gabriel C. Oniscu

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract / Description of output

Worldwide there is a shortage of available organs for patients requiring transplants. However, some countries such as France, Italy and Spain have had greater success by allowing donations from patients with unexpected and unrecoverable circulatory arrest who arrive in the ED. Significant advances in the surgical approach to organ recovery from donation after circulatory death (DCD) led to the establishment of a pilot programme for uncontrolled DCD in the ED of the Royal Infirmary of Edinburgh. This paper describes the programme and discusses the lessons learnt.

Original language	English
Article number	208650
Journal	Emergency Medicine Journal
Early online date	22 Nov 2019
DOIs	https://doi.org/10.1136/emermed-2019-208650
Publication status	E-pub ahead of print - 22 Nov 2019

Keywords / Materials (for Non-textual outputs)

cardiac arrest
emergency care systems, emergency departments
resuscitation

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10.1136/emermed-2019-208650

Establishment-of-a-protocol-for-UDCD-in-the-ED-revision-05-08-2019-final accepted manuscriptAccepted author manuscript, 3.14 MB

Cite this

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title = "Lessons from a pilot for uncontrolled donation after circulatory death in the ED in the UK",

abstract = "Worldwide there is a shortage of available organs for patients requiring transplants. However, some countries such as France, Italy and Spain have had greater success by allowing donations from patients with unexpected and unrecoverable circulatory arrest who arrive in the ED. Significant advances in the surgical approach to organ recovery from donation after circulatory death (DCD) led to the establishment of a pilot programme for uncontrolled DCD in the ED of the Royal Infirmary of Edinburgh. This paper describes the programme and discusses the lessons learnt.",

keywords = "cardiac arrest, emergency care systems, emergency departments, resuscitation",

author = "Reed, {Matthew James} and Ian Currie and John Forsythe and Irene Young and John Stirling and Lesley Logan and Clegg, {Gareth R.} and Oniscu, {Gabriel C.}",

note = "{\textcopyright} Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.",

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AU - Reed, Matthew James

AU - Currie, Ian

AU - Forsythe, John

AU - Young, Irene

AU - Stirling, John

AU - Logan, Lesley

AU - Clegg, Gareth R.

AU - Oniscu, Gabriel C.

PY - 2019/11/22

Y1 - 2019/11/22

N2 - Worldwide there is a shortage of available organs for patients requiring transplants. However, some countries such as France, Italy and Spain have had greater success by allowing donations from patients with unexpected and unrecoverable circulatory arrest who arrive in the ED. Significant advances in the surgical approach to organ recovery from donation after circulatory death (DCD) led to the establishment of a pilot programme for uncontrolled DCD in the ED of the Royal Infirmary of Edinburgh. This paper describes the programme and discusses the lessons learnt.

AB - Worldwide there is a shortage of available organs for patients requiring transplants. However, some countries such as France, Italy and Spain have had greater success by allowing donations from patients with unexpected and unrecoverable circulatory arrest who arrive in the ED. Significant advances in the surgical approach to organ recovery from donation after circulatory death (DCD) led to the establishment of a pilot programme for uncontrolled DCD in the ED of the Royal Infirmary of Edinburgh. This paper describes the programme and discusses the lessons learnt.

KW - cardiac arrest

KW - emergency care systems, emergency departments

KW - resuscitation

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U2 - 10.1136/emermed-2019-208650

DO - 10.1136/emermed-2019-208650

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SN - 1472-0205

JO - Emergency Medicine Journal

JF - Emergency Medicine Journal

M1 - 208650

ER -

Lessons from a pilot for uncontrolled donation after circulatory death in the ED in the UK

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Gareth Clegg

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Lessons from a pilot for uncontrolled donation after circulatory death in the ED in the UK

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Gareth Clegg

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