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[PDF: Members Only] J.Jpn. Surg. Soc.. 121(2): 196-201, 2020
Feature topic
A TRIAL OF ORGAN DONATION IN THE EMERGENCY CARE SETTING
Even though the number of organ donations from brain-dead donors is increasing in Japan, it is still far too low compared with that in other countries. There is a concern that people’s decisions to donate organs are not always complied with in the emergency medicine and intensive care settings. To ensure that decisions on donations are followed, we compiled the Organ Donation Handbook used to educate staff working in the emergency and intensive care fields. We also consolidated a system for providing hospital referrals, created a linkage system among local hospitals, and expanded cooperation with intensive care physicians in order to alleviate the attending physicians’ workloads and thereby increase organ donations. The most important task, however, is sharing patients’ wishes concerning donation through family care outreach. While our main mission continues to be saving patients, it is equally important to remain present with those who are dying. We regard organ donation as one element of the care for dying patients.
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