This document discusses the role hospitals and coroners play in tissue donation from deceased patients. It outlines the basic screening process for determining donor eligibility and coordinating tissue recovery. Recovered tissues include eyes, bone, tendons, vessels, and skin. These tissues are used by orthopedic surgeons, dentists, ophthalmologists, cardiothoracic surgeons, plastic surgeons, and others to help patients through reconstruction procedures and treatments. The partnership between hospitals, coroners, and tissue banks helps generate more donors and ensures patients continue benefiting from life-changing tissue donations.
This document contains the roster and technical staff for Al Wahda FC's futsal team in Abu Dhabi, UAE. The roster lists 18 players by number, full name, and playing position. The technical staff section lists the head coach, second coach, physical coach, goalkeeper coach, helper, physiotherapist, sports director, and team manager. The document concludes with contact information for Al Wahda Club Company for Sports Games L.L.C.
The document lists various foods in Catalan, Spanish and English. It includes common fruits like apple, banana, pear, cherry, strawberry, kiwi, grapes and mango. Meats listed are ham, tuna and chicken. The only vegetable included is potato. The foods are grouped by category of fruit, meat and vegetable and translated to the three languages on each line.
This document discusses ways that companies can differentiate themselves in the marketplace through their marketing channels and image. It provides examples of channel differentiation including direct marketing, indirect marketing, coverage, expertise of channel members, and performance. Image differentiation is also discussed, focusing on a company's symbols and logos, use of media like print, electronic and social media, advertising, and hosting events. The dairy company Amul is used as a case study and highlighted for its widespread coverage of over 10,000 villages in India, training of channel members, export performance and use of its logo to create brand recognition.
A five-minute description of the forward path for documentation for Evergreen open source library software. (There is a much longer version of this talk that will also be uploaded.)
Martha Anderson - USA - Monday 28 - Strategies to improve Tissue Donorsincucai_isodp
- Martha Anderson presented at the Congress in Buenos Aires on organ and tissue donation recovery rates and demand. An estimated 25,000 to 30,000 tissue donors provide over 1.7 million tissue transplants per year.
- There is an unmet demand for transplantable tissue. Demand is increasing for sports medicine tissues but decreasing for some other tissues.
- Most organ procurement organizations (OPOs) are directly involved in tissue recovery and referrals. OPOs are better positioned than independent tissue banks due to their resources and experience with the donation process.
- The tissue donation process involves hospital referral, donor screening, consent, recovery, processing, and distribution. OPOs treat all donors, whether
2013 saving lives presentation online versionColin Hall
DKMS is the world's largest bone marrow donor center with over 3 million registered donors. It was founded in Germany in 1991 by Peter Harf after he lost his wife to blood cancer. DKMS has registered over 280,000 donors in the U.S., allowing over 650 patients to receive life-saving transplants. Bone marrow contains stem cells that can be transplanted to restore stem cells destroyed by chemotherapy and radiation therapy. Potential donors must be between 18-55, in good health, and pass a medical screening. If a match is found, the donor will provide stem cells through a peripheral blood donation or bone marrow surgery.
DKMS Saving Lives - Colin's Online VersionColin Hall
DKMS is the world's largest bone marrow donor center with over 3 million registered donors. It was founded in Germany in 1991 by Peter Harf, who lost his wife to blood cancer, to help patients find bone marrow donors. DKMS guides patients and families on bone marrow donation processes, helps organize donor drives, and registers donors at no cost to increase chances of finding matches for blood cancer patients in need of transplants. The document provides information on bone marrow and stem cell donations, the donation process, donor eligibility, common myths and facts, cancer statistics, and stories of cancer warriors and celebrity supporters of bone marrow donation.
This document contains the roster and technical staff for Al Wahda FC's futsal team in Abu Dhabi, UAE. The roster lists 18 players by number, full name, and playing position. The technical staff section lists the head coach, second coach, physical coach, goalkeeper coach, helper, physiotherapist, sports director, and team manager. The document concludes with contact information for Al Wahda Club Company for Sports Games L.L.C.
The document lists various foods in Catalan, Spanish and English. It includes common fruits like apple, banana, pear, cherry, strawberry, kiwi, grapes and mango. Meats listed are ham, tuna and chicken. The only vegetable included is potato. The foods are grouped by category of fruit, meat and vegetable and translated to the three languages on each line.
This document discusses ways that companies can differentiate themselves in the marketplace through their marketing channels and image. It provides examples of channel differentiation including direct marketing, indirect marketing, coverage, expertise of channel members, and performance. Image differentiation is also discussed, focusing on a company's symbols and logos, use of media like print, electronic and social media, advertising, and hosting events. The dairy company Amul is used as a case study and highlighted for its widespread coverage of over 10,000 villages in India, training of channel members, export performance and use of its logo to create brand recognition.
A five-minute description of the forward path for documentation for Evergreen open source library software. (There is a much longer version of this talk that will also be uploaded.)
Martha Anderson - USA - Monday 28 - Strategies to improve Tissue Donorsincucai_isodp
- Martha Anderson presented at the Congress in Buenos Aires on organ and tissue donation recovery rates and demand. An estimated 25,000 to 30,000 tissue donors provide over 1.7 million tissue transplants per year.
- There is an unmet demand for transplantable tissue. Demand is increasing for sports medicine tissues but decreasing for some other tissues.
- Most organ procurement organizations (OPOs) are directly involved in tissue recovery and referrals. OPOs are better positioned than independent tissue banks due to their resources and experience with the donation process.
- The tissue donation process involves hospital referral, donor screening, consent, recovery, processing, and distribution. OPOs treat all donors, whether
2013 saving lives presentation online versionColin Hall
DKMS is the world's largest bone marrow donor center with over 3 million registered donors. It was founded in Germany in 1991 by Peter Harf after he lost his wife to blood cancer. DKMS has registered over 280,000 donors in the U.S., allowing over 650 patients to receive life-saving transplants. Bone marrow contains stem cells that can be transplanted to restore stem cells destroyed by chemotherapy and radiation therapy. Potential donors must be between 18-55, in good health, and pass a medical screening. If a match is found, the donor will provide stem cells through a peripheral blood donation or bone marrow surgery.
DKMS Saving Lives - Colin's Online VersionColin Hall
DKMS is the world's largest bone marrow donor center with over 3 million registered donors. It was founded in Germany in 1991 by Peter Harf, who lost his wife to blood cancer, to help patients find bone marrow donors. DKMS guides patients and families on bone marrow donation processes, helps organize donor drives, and registers donors at no cost to increase chances of finding matches for blood cancer patients in need of transplants. The document provides information on bone marrow and stem cell donations, the donation process, donor eligibility, common myths and facts, cancer statistics, and stories of cancer warriors and celebrity supporters of bone marrow donation.
DKMS is the world's largest bone marrow donor center with over 3 million registered donors. It was founded in Germany in 1991 by Peter Harf, who lost his wife to blood cancer, to help patients find matching bone marrow donors. DKMS works to register potential donors and match them with patients in need of bone marrow transplants. The organization helps organize donor drives and uses high-resolution typing to minimize search times for patients. DKMS does not charge new donors the $65 registration fee.
The Transplant Services Center at UT Southwestern Medical Center in Dallas is Texas' longest continually accredited tissue and eye bank. In 2005, they distributed over 7,000 grafts including bones, corneas, sclera, and skin. When a 13-year-old girl named Danni died from a car accident, her family donated her organs and tissues, allowing two people to receive corneas and many more to receive bone grafts. The Center provides tissues and organs including hearts, lungs, skin, bones, corneas, and more to help improve and save lives.
The Transplant Services Center at UT Southwestern Medical Center in Dallas is Texas' longest continually accredited tissue and eye bank. In 2005, they distributed over 7,000 grafts including bones, corneas, sclera, and skin. When a 13-year-old girl named Danni died from a car accident, her family donated her organs and tissues, allowing two people to receive corneas and many more to receive bone grafts. The Center provides tissues and organs including hearts, lungs, skin, bones, corneas, and more to improve and save lives across the United States and worldwide.
The document discusses organ and tissue donation in Illinois. It explains that over 4,800 people in Illinois are on transplant waiting lists and 18 people die daily waiting. A single donor can save or help over 25 people through organ and tissue donation of the heart, lungs, liver, kidneys, pancreas, intestines, corneas, heart valves, bone, skin and other tissues. It provides information on how to register as an organ donor and the donation and transplantation process.
This document summarizes the annual report of East Tennessee Children's Hospital for the 2017 fiscal year. It discusses how the hospital treated over 167,000 outpatient visits and provided specialized care through 35 subspecialties. It highlights new facilities and equipment upgrades, including a new surgery center and endocrinology center. It also describes the hospital's focus on family-centered care, safety, and creating a comfortable experience for patients through services like child life, interpreters, therapy dogs and volunteers.
This document discusses barriers to healthcare access including language, ethnicity, gender, religion, and readmission barriers. It also discusses differences in health insurance plans regarding costs of office vs specialist visits and urgent care copays. Common patient questions about insurance like choice of doctors and hospitals or high premiums are addressed. Improving access requires culturally competent providers, use of interpreters, and educating patients about primary care physicians. Career opportunities in healthcare administration, coding, auditing, navigation, and compliance are detailed. The author is pursuing certification as a Compliance Officer and in medical auditing.
Synapse Medical Magazine Saint Lucia EMT Program Featured InsideCaribmedic
Chester County Hospital now has board-certified pediatricians from Children's Hospital of Philadelphia (CHOP) physically located in its Emergency Department during peak evening and weekend hours. This provides specialized pediatric care for children under age 6 when their regular pediatrician's office is closed. The CHOP pediatricians treat illnesses and injuries that require immediate attention, working with the emergency physicians to quickly diagnose and treat issues like ear infections and fractures. Having pediatric specialists on-site provides a higher level of care for children and peace of mind for parents during times when the child's doctor is unavailable.
Synapse Medical Magazine Saint Lucia EMT Program Featured InsideCaribmedic
The document summarizes various programs, events, and fundraising opportunities taking place at Chester County Hospital in the upcoming months. It includes childbirth education classes, a stop smoking program, various health-related events and fundraisers in June through October, and information on how to register or get more details. It also provides a brief description of articles in the latest issue of the Chester County Hospital magazine including new pediatricians in the emergency department, benefits of the hospital's integration with Penn Medicine for lung cancer patients, and the continued need for philanthropic support.
Hs education presentation ga 2013 14 approvedTracy Ide
This document provides information about organ and tissue donation through LifeLink Foundation. It discusses LifeLink's divisions, the role of Organ Procurement Organizations, careers in donation and transplantation. It also provides statistics on donation needs in Georgia and the US, types of organs and tissues that can be donated, types of donors, the donation process, and addresses some common myths about donation.
1) A 35-year-old man was in a serious car accident and was taken to the trauma center in critical condition. Scans showed brain injury and herniation.
2) The patient meets criteria for organ donation due to his brain injury and clinical condition. The nurse calls the organ procurement organization.
3) The organ procurement organization evaluates the patient and determines he is medically suitable for organ donation. The nurse continues providing care and supporting the family while donation is considered.
The document discusses Be The Match, an organization that connects patients with blood cancers to donors for life-saving bone marrow or umbilical cord blood transplants. It discusses how Be The Match recruits donors to add to their registry to help patients find matches. Over 70% of patients needing a transplant do not have a matching donor in their family. Be The Match supports the entire transplant process and helps advance transplant science through research. Their goal is to help 10,000 patients receive transplants annually by 2015.
ARAHD recovers organs and tissues from donors for medical research to advance scientific understanding and treatments. Donated tissues can help lead to new transplantation opportunities, breakthrough medical techniques, improved surgical outcomes, reduced recovery times, drug development, and research into currently incurable diseases. Just one donor can enhance the lives of hundreds by contributing to research. ARAHD needs donors with both healthy and diseased tissues. Donating provides hope for future medical advances that may save lives and benefit generations to come.
The document provides information about what to expect when visiting The Scarborough Hospital in Toronto, Canada. It summarizes that The Scarborough Hospital is one of the largest and busiest hospitals in Canada serving a diverse population of almost 1 million people. It has emergency departments that treat over 100,000 patients annually and provides interpretor services, accessibility options, and multi-faith spiritual care for patients.
This document lists various medical professionals and specialties that a staffing agency works with including physicians, physician assistants, nurse practitioners, and registered nurses across many specialties. It also describes partnerships with various healthcare organizations and the agency's mission to provide credentialed, high quality candidates through their recruitment experts and long-term relationships.
Elbow Replacement surgery & Treatment || Medicyatra Surgerica
MedicYatra provides the safe & best Elbow Replacement Surgery @ $4,356, at its affiliate & trusted Orthopedic hospitals & clinics in various metro cities of India, like Mumbai, Delhi, Bangalore, Chennai, Pune etc.Our Associate Board certified Orthopedic surgeons are extensively trained and vastly experienced and have performed hundreds of such surgeries at our state of the art JCI accredited hospitals & Clinics. Our aim is to provide you the best of the services at the most affordable costs. Don't forget to say hi at info@medicyatra.com
Recruitment brochure 2016 v3_AN PC - EMAIL VERSIONAlex Norman
This document is a recruitment brochure for Southend Hospital that highlights the hospital's history of excellence in patient care, commitment to innovation, and benefits for staff. It summarizes positive patient feedback, awards won by staff, and new services and facilities introduced. The brochure aims to attract new staff by emphasizing the hospital's dedication to high-quality care, teamwork, staff development, and work-life balance support for employees.
6 Pages references not includedTOPIC How Culture plays a role imilissaccm
This study evaluated the impact of language on the outcomes of functional analyses for 9 children with autism who lived in Spanish-speaking homes. Functional analyses were conducted in both Spanish and English to determine if language affected the identified function of problem behaviors or the patterns of behaviors observed. The results found correspondence between the functions identified in Spanish and English for 8 of the 10 cases. This suggests that language of assessment did not significantly impact outcomes for most participants. However, the study highlights the importance of considering linguistic factors when conducting functional analyses.
This document summarizes eldercare services at The Scarborough Hospital. It discusses (1) who they are and key figures, (2) programs to help elderly patients including geriatric emergency management, a geriatric clinic, acute care for the elderly units, and supporting teams to prevent transfers to hospitals, and (3) their goals to become a more senior friendly hospital and better serve the elderly.
DKMS is the world's largest bone marrow donor center with over 3 million registered donors. It was founded in Germany in 1991 by Peter Harf, who lost his wife to blood cancer, to help patients find matching bone marrow donors. DKMS works to register potential donors and match them with patients in need of bone marrow transplants. The organization helps organize donor drives and uses high-resolution typing to minimize search times for patients. DKMS does not charge new donors the $65 registration fee.
The Transplant Services Center at UT Southwestern Medical Center in Dallas is Texas' longest continually accredited tissue and eye bank. In 2005, they distributed over 7,000 grafts including bones, corneas, sclera, and skin. When a 13-year-old girl named Danni died from a car accident, her family donated her organs and tissues, allowing two people to receive corneas and many more to receive bone grafts. The Center provides tissues and organs including hearts, lungs, skin, bones, corneas, and more to help improve and save lives.
The Transplant Services Center at UT Southwestern Medical Center in Dallas is Texas' longest continually accredited tissue and eye bank. In 2005, they distributed over 7,000 grafts including bones, corneas, sclera, and skin. When a 13-year-old girl named Danni died from a car accident, her family donated her organs and tissues, allowing two people to receive corneas and many more to receive bone grafts. The Center provides tissues and organs including hearts, lungs, skin, bones, corneas, and more to improve and save lives across the United States and worldwide.
The document discusses organ and tissue donation in Illinois. It explains that over 4,800 people in Illinois are on transplant waiting lists and 18 people die daily waiting. A single donor can save or help over 25 people through organ and tissue donation of the heart, lungs, liver, kidneys, pancreas, intestines, corneas, heart valves, bone, skin and other tissues. It provides information on how to register as an organ donor and the donation and transplantation process.
This document summarizes the annual report of East Tennessee Children's Hospital for the 2017 fiscal year. It discusses how the hospital treated over 167,000 outpatient visits and provided specialized care through 35 subspecialties. It highlights new facilities and equipment upgrades, including a new surgery center and endocrinology center. It also describes the hospital's focus on family-centered care, safety, and creating a comfortable experience for patients through services like child life, interpreters, therapy dogs and volunteers.
This document discusses barriers to healthcare access including language, ethnicity, gender, religion, and readmission barriers. It also discusses differences in health insurance plans regarding costs of office vs specialist visits and urgent care copays. Common patient questions about insurance like choice of doctors and hospitals or high premiums are addressed. Improving access requires culturally competent providers, use of interpreters, and educating patients about primary care physicians. Career opportunities in healthcare administration, coding, auditing, navigation, and compliance are detailed. The author is pursuing certification as a Compliance Officer and in medical auditing.
Synapse Medical Magazine Saint Lucia EMT Program Featured InsideCaribmedic
Chester County Hospital now has board-certified pediatricians from Children's Hospital of Philadelphia (CHOP) physically located in its Emergency Department during peak evening and weekend hours. This provides specialized pediatric care for children under age 6 when their regular pediatrician's office is closed. The CHOP pediatricians treat illnesses and injuries that require immediate attention, working with the emergency physicians to quickly diagnose and treat issues like ear infections and fractures. Having pediatric specialists on-site provides a higher level of care for children and peace of mind for parents during times when the child's doctor is unavailable.
Synapse Medical Magazine Saint Lucia EMT Program Featured InsideCaribmedic
The document summarizes various programs, events, and fundraising opportunities taking place at Chester County Hospital in the upcoming months. It includes childbirth education classes, a stop smoking program, various health-related events and fundraisers in June through October, and information on how to register or get more details. It also provides a brief description of articles in the latest issue of the Chester County Hospital magazine including new pediatricians in the emergency department, benefits of the hospital's integration with Penn Medicine for lung cancer patients, and the continued need for philanthropic support.
Hs education presentation ga 2013 14 approvedTracy Ide
This document provides information about organ and tissue donation through LifeLink Foundation. It discusses LifeLink's divisions, the role of Organ Procurement Organizations, careers in donation and transplantation. It also provides statistics on donation needs in Georgia and the US, types of organs and tissues that can be donated, types of donors, the donation process, and addresses some common myths about donation.
1) A 35-year-old man was in a serious car accident and was taken to the trauma center in critical condition. Scans showed brain injury and herniation.
2) The patient meets criteria for organ donation due to his brain injury and clinical condition. The nurse calls the organ procurement organization.
3) The organ procurement organization evaluates the patient and determines he is medically suitable for organ donation. The nurse continues providing care and supporting the family while donation is considered.
The document discusses Be The Match, an organization that connects patients with blood cancers to donors for life-saving bone marrow or umbilical cord blood transplants. It discusses how Be The Match recruits donors to add to their registry to help patients find matches. Over 70% of patients needing a transplant do not have a matching donor in their family. Be The Match supports the entire transplant process and helps advance transplant science through research. Their goal is to help 10,000 patients receive transplants annually by 2015.
ARAHD recovers organs and tissues from donors for medical research to advance scientific understanding and treatments. Donated tissues can help lead to new transplantation opportunities, breakthrough medical techniques, improved surgical outcomes, reduced recovery times, drug development, and research into currently incurable diseases. Just one donor can enhance the lives of hundreds by contributing to research. ARAHD needs donors with both healthy and diseased tissues. Donating provides hope for future medical advances that may save lives and benefit generations to come.
The document provides information about what to expect when visiting The Scarborough Hospital in Toronto, Canada. It summarizes that The Scarborough Hospital is one of the largest and busiest hospitals in Canada serving a diverse population of almost 1 million people. It has emergency departments that treat over 100,000 patients annually and provides interpretor services, accessibility options, and multi-faith spiritual care for patients.
This document lists various medical professionals and specialties that a staffing agency works with including physicians, physician assistants, nurse practitioners, and registered nurses across many specialties. It also describes partnerships with various healthcare organizations and the agency's mission to provide credentialed, high quality candidates through their recruitment experts and long-term relationships.
Elbow Replacement surgery & Treatment || Medicyatra Surgerica
MedicYatra provides the safe & best Elbow Replacement Surgery @ $4,356, at its affiliate & trusted Orthopedic hospitals & clinics in various metro cities of India, like Mumbai, Delhi, Bangalore, Chennai, Pune etc.Our Associate Board certified Orthopedic surgeons are extensively trained and vastly experienced and have performed hundreds of such surgeries at our state of the art JCI accredited hospitals & Clinics. Our aim is to provide you the best of the services at the most affordable costs. Don't forget to say hi at info@medicyatra.com
Recruitment brochure 2016 v3_AN PC - EMAIL VERSIONAlex Norman
This document is a recruitment brochure for Southend Hospital that highlights the hospital's history of excellence in patient care, commitment to innovation, and benefits for staff. It summarizes positive patient feedback, awards won by staff, and new services and facilities introduced. The brochure aims to attract new staff by emphasizing the hospital's dedication to high-quality care, teamwork, staff development, and work-life balance support for employees.
6 Pages references not includedTOPIC How Culture plays a role imilissaccm
This study evaluated the impact of language on the outcomes of functional analyses for 9 children with autism who lived in Spanish-speaking homes. Functional analyses were conducted in both Spanish and English to determine if language affected the identified function of problem behaviors or the patterns of behaviors observed. The results found correspondence between the functions identified in Spanish and English for 8 of the 10 cases. This suggests that language of assessment did not significantly impact outcomes for most participants. However, the study highlights the importance of considering linguistic factors when conducting functional analyses.
This document summarizes eldercare services at The Scarborough Hospital. It discusses (1) who they are and key figures, (2) programs to help elderly patients including geriatric emergency management, a geriatric clinic, acute care for the elderly units, and supporting teams to prevent transfers to hospitals, and (3) their goals to become a more senior friendly hospital and better serve the elderly.
Reimagining Your Library Space: How to Increase the Vibes in Your Library No ...Diana Rendina
Librarians are leading the way in creating future-ready citizens – now we need to update our spaces to match. In this session, attendees will get inspiration for transforming their library spaces. You’ll learn how to survey students and patrons, create a focus group, and use design thinking to brainstorm ideas for your space. We’ll discuss budget friendly ways to change your space as well as how to find funding. No matter where you’re at, you’ll find ideas for reimagining your space in this session.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
How to Build a Module in Odoo 17 Using the Scaffold MethodCeline George
Odoo provides an option for creating a module by using a single line command. By using this command the user can make a whole structure of a module. It is very easy for a beginner to make a module. There is no need to make each file manually. This slide will show how to create a module using the scaffold method.
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
Today I hope to explain and or clarify how tissue donation occurs. This will include both the hospital and coroner’s role in the process. From there we will discuss what tissues are recovered… who uses these tissues… and the need for these donated tissues.
For the nurses attending today, you have most likely heard at 1 time or another from the hospital development folks at Lifebanc, ”All deaths need to be called into us within 1 hour of asystole” . Your call could be the difference between a death and a donor. When you call to report the death, our call center will ask some basic demographic questions, and do some initial screening which will discuss whether or not the patient had already made known his or her wishes to be a donor. The call center then will screen the case with our Tissue Administrator on Call and it will be decided whether or not to pursue for donation. If it is going to be a potential case, you will be asked to fax over a portion or possibly the entire chart. We know this is sometimes a grueling process, especially when you may not even have a chart, a run sheet or even a next of kin. This part of the screening is a key factor for us and without it we would not be able to continue. Other important information is whether or not this a coroner’s case and if a funeral home has been selected. We will ask if this is a Coroner’s case and then we will contact the coroner of the county involved. Ultimately the Coroner has the right to allow or refuse a recovery. Currently we are engaged in a partnership with 2 county coroner offices:....Cuyahoga County and Mahoning County. These are 2 pilot programs in the state of Ohio offering auto release on bodies and we in turn provide any needed blood/ urine/ tissue samples as well as pictures if needed and any pertinent post mortem exam findings. The outcome of these two cooperating offices has provided over 40 tissue donors alone last year from CCCO and with MCCO being new this year, they have already referred over 40 cases and we have recovered 4 tissue donors just since April. Once it is determined we are going to pursue for donation, our Donor Referral Coordinators (DRCs) contact the next of kin…if it is a binding donor, they do a disclosure and a medical/ social history with them. If it is not a binding donor, they must obtain a complete informed consent and then a med/soc history. The DRCs spend countless hours on the phones with families doing so much more than “getting information”. They listen to stories about their spouses, their children, their parents or their partners…there are tears, laughter and anger too sometimes. The DRCs also set up the ORs, the transport of the bodies and the recovery teams.
Lifebanc answers for the Cleveland Eye Bank and we frequently share information regarding our donors. Lifebanc has recently began training for eye recovery as well to maximize corneal transplantation.
Currently Lifebanc is recovering long bone from the upper and lower extremities as well as hemipelvis. The first picture you are looking at is a femoral allograft. The second is an xray showing a patient with an osteosarcoma of the distal femor. The the third is the end result of the tumor being exised and an allograft being surgically transplanted. This patient was considered for an above the knee amputation, and she is now walking and has made a complete recovery. After each tissue recovery, the donor is respectfully reconstructed prior to sending to the funeral home or the coroner’s office.
Currently our Tissue Recovery technicians are successfully recovering patellar tendons as well anterior and posterior tibialis tendons. Like any other surgery, these are done by sterile technique. Our techs can recovery at our recovery suite in the Cuyahoga County Coroner’s office or in a partner hospital’s OR. This greatly dependant upon donor activity and last seen alive time.
Our staff recovers saphenous veins (from men only due to diameter) and we will discuss the need for these vessels shortly.
The top left picture is a sample of split thickness skin which has been recovered. This is a very thin layer of tissue recovered with a dermatome, the instrument seen on the right. Lifebanc also recovers full thickness skin and this is done by a free hand method.
Full thickness differs from split thickness in use and method of recovery. This tissue is typically recovered in a free hand method using a scalpal. Our tissue recovery techs have undergone extensive training for this type of recovery.
Orthopaedic surgeons use many forms of donated bone. This include demineralized bone, bone powder, wedges, dowels, pegs and screws. They may also use the cortical segments for structural repairs and these come from the shafts, the pelvis, and long bones. These same surgeons will use soft tissue grafts of pateller ligaments, achilles tendones, fascia lata, and rotator cuff for repair of like tissues. Cartilage is also used especially for meniscus repair which would be an osteoarticular segment. The use of allograft is a matter of huge interest for orthopaedic surgeons, due to the advantages with its use, such as decreased surgical time, larger grafts and no donator site morbidity.
Dentists and oral surgeons may use bone putty and cancellous bone cubes or cancellous bone powder for reconstruction or repair in dental practices.
Corneal transplants are very common in the United States; about 40,000 are performed each year. The chances of success of this operation have risen dramatically because of technological advances, such as less irritating sutures, or threads, which are often finer than a human hair; and the surgical microscope. Corneal transplantation has restored sight to many, who a generation ago would have been blinded permanently by corneal injury, infection, or inherited corneal disease or degeneration.
Remember the slide with the saphenous vein?…this will be a crucial part of a coronary bypass graft. And the heart for valves that was recovered will resolve life threatening valve issues or pulmonary anomalies.
This surgery was done by Dr. Michael Obeng, a reconstruction surgeon in Youngstown. He has taken cases like the one you see above because nobody else would or could. He takes cases regardless of the ability to pay, or the hopelessness of the case. He is what I refer to as a medical missionary and travels the world healing and rebuilding devastating injuries and conditions. He uses a great deal of full thickness skin in his practice, and states these were made possible because someone cared enough to donate.
As we discussed at the beginning, this is truly a partnership and we rely heavily upon the hospital to make the initial referral, to call the death in, to answer our questions, to fax us the chart and to give us the Next of Kin contact information. Your efforts make it possible help save a burn victim in the burn unit. Your work gave the man or woman in your Coronary ICU a second chance because the cardio thoracic surgeon used donated saphenous veins. And your extra time made it possible for the breast cancer survivor to have reconstructive surgery and she is healing on your med/surg floor. This is a genuine continuum of time, health, healing and life… and for this we thank you.