Evaluating a successful coroner protocol

Jaynes, Christopher L.; Springer, James W.

doi:10.7182/prtr.1.6.1.r657v83338l16957

Cited by 8 publications

(14 citation statements)

References 1 publication

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“…In countries that have amended their legislation in line with the achievement of procurements, despite forensic deaths, the number of refusals decreased drastically. [14][15][16] However, these legislative amendments require establishing protocols between forensic pathologists, transplant coordination teams, and prosecutors for optimal functioning. These protocols come in different forms: general protocol form to be completed by transplant coordination teams 14,17 ; organ-by-organ protocols 18 ; and specific protocols concerning precise situations.…”

Section: Maastricht Classes III and Ivmentioning

confidence: 99%

Organ Procurement in Forensic Deaths

Delannoy

Jousset

Averland³

et al. 2016

Prog Transpl

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The need for organs has increased in the recent years, and this shortage will only worsen. In addition to the organs procured from brain-dead donors, a procedure for non-heart-beating donors was therefore developed. When deaths involve legal proceedings, the medical examiner makes the decision of whether or not to remove organs. To assist medical examiner in their decision-making, a number of forensic scientific societies aimed to develop recommendations, and legal adjustments were adopted. Nevertheless, these do present certain limits in special cases of procurement: Maastricht class I and II non-heart-beating donors. The peculiarity of this procedure stems from the urgency of the process. Compliance with temporal criteria would require that the deceased subject be removed from the crime scene even before the arrival of the authorities. This is extremely problematic legally and technically because forensic teams must collect evidence at crime scenes. Developments will have to be made to further minimize the restrictions on donations in forensic deaths.

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Section: Maastricht Classes III and Ivmentioning

confidence: 99%

Organ Procurement in Forensic Deaths

Delannoy

Jousset

Averland³

et al. 2016

Prog Transpl

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“…When death investigation and organ donation cannot be accomplished simultaneously, the consequences are serious, as one organ procurement organization (OPO) reported that greater than 40% of potential organ donors were lost in 1 year because of ME/C denials (16)(17)(18)(19).…”

Section: Introductionmentioning

confidence: 99%

Vital Role of Medical Examiners and Coroners in Organ Transplantation

Shafer¹,

Schkade

Evans

et al. 2004

American Journal of Transplantation

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Many people die owing to the shortage of donor organs. Medical examiners and coroners (MEs/Cs) play a vital role in making organs available for potential recipients. Medical examiners'/coroners' case data were collected using a structured confirmatory-recorded methodology for calendar years 2000-01 and were linked and analyzed with donor and transplant data from the United Network for Organ Sharing, predicting the nature and extent of the loss of donor organs. Nearly seven percent of ME/C cases were denied recovery during 2000-01. Because 353 and likely, 411 potential organ donors (PODs) were denied, as many as 1400 persons on transplant waiting lists did not receive organs because of ME/C denials. Problematically for pediatric patients awaiting transplantation, nearly half of all ME/C denials occurred in pediatric patients. Eighteen percent of PODs aged five or less and 44.2% of child abuse PODs were denied recovery by the ME/C. There were no (zero) denials in three of the five largest U.S. cities and in four states. Since 1994, two states have enacted legislation restricting the circumstances of ME/C denials, resulting in an 83% decrease in ME/C denials. Release of all organs from ME/C cases is needed urgently to protect the lives of those persons awaiting transplantation. Medical examiners and coroners deserve recognition for their efforts in advocating methods and/or regulation/legislation designed to achieve 100% release of life-saving organs for transplantation.

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“…1995, Zugibe et al 1999). And/or providing blood and urine samples in special evidence kits (Jaynes and Springer 1996, Sheridan 1993). Check‐off protocols and information sheets filled in by transplant surgeons, aimed at fulfilling the basic medical‐legal needs of the medical examiner (Sheridan 1993, Zugibe et al .…”

Section: Standardised Jurisdictional Relationshipmentioning

confidence: 99%

“…1999). Making transplant surgeons available to testify in court (Jaynes and Springer 1996). Videotaping the transplant procedure for medical examiners.…”

Section: Standardised Jurisdictional Relationshipmentioning

confidence: 99%

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The cause of death vs. the gift of life: boundary maintenance and the politics of expertise in death investigation

Timmermans

2002

Sociology Health & Illness

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Professions (1988), this article investigates jurisdictional relationships between professions when an emerging profession makes inroads on the jurisdiction of an established profession. Taking the vantage point of the established profession, I have distinguished three different conflictual jurisdictional relationships: a subordinated, a standardised and a commodified jurisdictional relationship. These relationships will be evaluated for the extent that they are able to preserve the mission of death investigators.

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Evaluating a successful coroner protocol

Cited by 8 publications

References 1 publication

Organ Procurement in Forensic Deaths

Organ Procurement in Forensic Deaths

Vital Role of Medical Examiners and Coroners in Organ Transplantation

The cause of death vs. the gift of life: boundary maintenance and the politics of expertise in death investigation

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