Formation of the sanitary emergency need to optimize organ donation.

-Toranzo: improve the detection of donors and decrease the negative family ”

Mérida, March 2012.- La I update day donation of organs and tissues, addressed to medical and nursing services of urgencies and emergencies, recently held in Mérida, emphasized the importance of the involvement ” of the detection emergency physiciansn of the possible donor, giving them written procedures and protocols for action, for the detection for both the management of the patient.

Organized by SEMES (Spanish society of emergency medicine) of Extremadura, in collaboration with the national transplant organisation, this day has been the first in a programme of five formative meetings, carried out in different venues of Extremadura, with the objective of facilitating professionals access to the training and update of donation.

With the progressive introduction of extra hospital by nationwide emergency systems and the effectiveness of the latest traffic campaigns, the demographic characteristics of the patients potential donors have varied much in recent years, decreasing traffic accidents from young patientsat the same time that have increased the older patients with cerebral vascular pathology.

According to the Coordinator of the first edition, Dr. Álvaro Valverde Grimaldi, Vocal doctor SEMES Extremadura, in this scenario, today, is necessary to optimize the integration of hospital emergency services in the chain of detection of potential donors, emergencies, the essential gateway to the healthcare of patients such as ”.

To promote the recruitment of potential donors in these services, doctor Valverde is essential to establish a programme of continuing education to maintain an adequate level of training of professionals of the emergency services, both in detection of patients neurocríticos, in development of communication skills ”.

SEMES President calls for the creation of the transplant responsible

One of the most outstanding presentations of the meeting, was that of doctor Thomas Toranzo Cepeda, President national SEMES, who advocated the creation of the figure of the transplant responsible for ”, whose key tasks must be promotion of donation, detection of leaks, the analysis of the factors with impact on donation and follow-up proceduresto not generate additional charges to the service ”.

To improve the detection of donors and decrease the negative family ” SEMES President indicated that an organizational change of standards is necessary – templates, space, time …- and also give motivated professionals recognized and the possibility of their professional development, recalling that these services are complex and that there is currently a demotivationfor its shortcomings: overload care, lack of specific regulated training, few templates, lack of beds, lack of time.

To conclude, that without prejudice to health care to the neurological patient, need to be considered that patients without therapeutic possibility, or with poor vital prognosis, due to their neurological, fundamentally hemorrhagic pathology must be evaluated as potential donors ”, is recommended the development of proactive detection programs ”, implying by the transplant coordination unit to the emergency service, as well as have prognostic indicators in patients with hemorrhagic cerebrovascular disease ”, to facilitate the decision-making process when it comes to raise the level of care and time to detect potential donors.