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OSCE stations › Explaining donation after circulatory death to a patient's wife
Full access · Communication · Ethical issues: DNR, capacity, surrogates, refusal · 12 min

Explaining donation after circulatory death to a patient's wife

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Mr. Samuel Okafor, 57, had a cardiac arrest at home six days ago and has a devastating anoxic brain injury. He does not meet criteria for death by neurologic criteria. His wife, Grace, his health care agent, has agreed with the ICU team to withdraw life support. He was a registered organ donor, and the organ procurement coordinator has already met the family and obtained authorization. Withdrawal is planned this evening in a room next to the operating rooms, so organs can be recovered after death. You are the anesthesiologist on call for the operating rooms tonight. Mrs. Okafor has asked to talk with someone from the OR team.

Your task: answer Mrs. Okafor's questions about what will happen. Do not seek or re-obtain authorization for donation. You have 8 minutes; a warning sounds at 6 minutes.4