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Emergency department staff and the organ donation process: recommendations from the joint working group of the National Transplant Organization and the Spanish Society of Emergency Medicine (ONT-SEMES)



Emergency department staff and the organ donation process: recommendations from the joint working group of the National Transplant Organization and the Spanish Society of Emergency Medicine (ONT-SEMES)



Emergencias 28(3): 193-200



Although 4769 transplants were performed in Spain in 2015 and the organ donor rate reached 39.7 per million population, thousands of patients remain on wait lists. Currently 65% of donors die from strokes and the mean donor age is 64 years. This profile calls for strategies to detect candidates outside the intensive care unit (ICU) and it justifies an ever stronger role for the participation of emergency services in the procurement process. Spain's National Transplant Organization (ONT) and the Spanish Society of Emergency Medicine (SEMES) have drafted recommendations whose purposes are to define the responsibilities of emergency staff in this process, to establish protocols for multidisciplinary cooperation that facilitate the identification of candidate donors, and to consolidate a new approach to patient care that will facilitate optimal management of the donor prior to ICU admission. Aunque en 2015 se realizaron en España 4.769 trasplantes y la tasa de donación alcanzó los 39,7 donantes por millón de población, miles de pacientes siguen a la espera de un trasplante. El perfil actual de los donantes en muerte encefálica (el 65% fallece por accidente vascular cerebral y su edad media es de 64 años) justifica las estrategias para su detección fuera de las unidades de cuidados intensivos y la creciente participación de los servicios de urgencias y emergencias en el proceso de donación. La Organización Nacional de Trasplantes (ONT) y la Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) han redactado estas recomendaciones con el objetivo de definir la responsabilidad de los profesionales de urgencias y emergencias en el proceso de donación, establecer unas pautas de trabajo multidisciplinar que favorezcan la detección de posibles donantes y consolidar un nuevo concepto asistencial que permita el manejo óptimo del posible donante hasta su ingreso en la unidad de cuidados intensivos.

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Accession: 059675823

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PMID: 29105454


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