Caring for Patients or Organs: New Therapies Raise New Dilemmas in the Emergency Department

American Journal of Bioethics 17 (5):6-16 (2017)
  Copy   BIBTEX


Two potentially lifesaving protocols, emergency preservation and resuscitation and uncontrolled donation after circulatory determination of death, currently implemented in some U.S. emergency departments, have similar eligibility criteria and initial technical procedures, but critically different goals. Both follow unsuccessful cardiopulmonary resuscitation and induce hypothermia to “buy time”: one in trauma patients suffering cardiac arrest, to enable surgical repair, and the other in patients who unexpectedly die in the ED, to enable organ donation. This article argues that to fulfill patient-focused fiduciary obligations and maintain community trust, institutions implementing both protocols should adopt and publicize policies to guide ED physicians to utilize either protocol for particular patients, in order to address the appearance of conflict of interest arising from the protocols' similarities. It concludes by analyzing ethical implications of incentives that may influence institutions to develop the expertise required for uDCDD but not EPR.



    Upload a copy of this work     Papers currently archived: 92,100

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

From Trees to Rhizomes.Noah Rosenberg - 2016 - Perspectives in Biology and Medicine 59 (2):246-252.


Added to PP

33 (#485,976)

6 months
11 (#241,037)

Historical graph of downloads
How can I increase my downloads?