Date Published

April 14, 2025

Updated For

ALS PCS Version ALS PCS Version 5.3

Question:

The question I have is about organ donation/transplant. Just had a young person traumatic VSA in which his core body was still intact I just got thinking afterwards that I should I have called base hospital to see if the family would like to donate his organs. Just thought that pt had been young and healthy. Was wondering the proper way to go about it? How long the organs can be without blood flow. How far from London or where do we take the body? Who do you contact. I know the scene is overwhelming and was one of the last things thinking about. 

Answer:

Organ donation is only considered if the patient is in hospital and only if the patient is still living (most times supported on intensive life support and determined to have a non-recoverable injury). The Gift of Life Act outlines the processes and policies involved in organ and tissue donation in Ontario. Of note, the Base Hospital Physician cannot direct care for organ donation. Please see the link below to Trillium Gift of Life Network to learn more. If the patient has sustained an arrest, they are not a candidate for organ donation. Tissue donation (eye, bone, heart valves, skin) may be considered following death, but only in-hospital.  

As you have alluded to, management of a patient in cardiac arrest is all-consuming and should be your focus. Follow your Medical Directive management. Organ and tissue donation may occur following the Gift of Life Act depending on the outcome of care and patient status in hospital. 

Categories

Keywords

OOHCA, Organ donation, Out of Hospital Cardiac Arrest, Trillium gift of life

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