Idaho A Leader in Organ, Eye and Tissue Donation

Idaho A Leader in Organ, Eye and Tissue Donation

Idaho vs National Averages Two Key Measures: Donor Designation Share. This is a cumulative total of all people 18+ vs population. Idaho: 69% National Average: 55% Designated Donor Share. This is people 18+ that say Yes as they get their license. Idaho: 60% National Average: 48%

INTERMOUNTAIN DONOR SERVICES: Population is Approximately 3.5 Million Service Area Covers Utah, Southern Idaho, Western Wyoming, and Elko, Nevada Idaho, Wyoming, Nevada County Coroner System Utah State Medical Examiner 93 Hospitals, 3 Transplant Centers, 10 Tx Programs

Thank You for Your Support! Alex McDonald Director Public Education/Public Relations Intermountain Donor Services alex@idslife.org 801-478-7353

Preservation of Evidence and Organ Donation WOODY MARSHALL DIRECTOR, HOSPITAL SERVICES

Donation Opportunities: 2016 Data 1,250,000 Hospital Deaths reported to OPOs across the country 13,000 Potential Organ Donors (Suitable) 8,596 Organ Donors Recovered in the U.S. 110 Organ Donors at IDS

Case Study Zachary Tendoy Previously Healthy 18 Month-Old Male Referred to IDS on March 23 rd, 2017 Reportedly Fell Out of Crib, Injuries Suspected to be Non-Accidental Trauma CT Scan Reveals Bi-Lateral Skull Fractures and SDH. Also Has Bi-Lateral Retinal Hemorrhages and Abdominal Trauma/Bleeding GCS of 3: Pupils, Cough/Gag, Response to Painful Stimulus, and OBV - All Negative Hospital declares Zachary Brain Dead Boyfriend of Mother Arrested Thanks to Captain Robert Sobieski, Detective Kathy Hall, and Cleve Colson, we were able to proceed with donation!

TENDOY CONTINUED

Tendoy Outcomes: Heart Transplanted 7 Month-Old Who Had Spent Entire Life Awaiting Transplant in a Children s Hospital R Kidney - Transplanted L Kidney - Transplanted Liver Recovered Initial Recipient Became Too Ill to Transplant *Liver Returned to County Coroner, and Accompanied Zachary s Body to Boise for Autopsy Strengthened the Prosecution s Case *Internal Trauma Noted and Documented by Recovering Surgeon

Police Involved Shooting: R Kidney & Pancreas transplanted in Salt Lake L Kidney transplanted in Salt Lake Liver transplanted in California Heart transplanted in Salt Lake Double Lungs transplanted in Salt Lake 5 People are alive today!

Case Study Roger Vulgamore IDS notified by SLMV ED on 8/16/16 of a 24 y.o. SIGSW Fleeing Police SWAT Team Medic (ED Physician) intubates patient to preserve the option of Organ Donation Transported to the hospital, and admitted to the ICU Hands bagged, Officer stationed outside room IDS onsite later that night, patient is declared Brain Dead Patient is located on the Idaho Donor Registry County Coroner Gene Turley Authorizes Donation Patient managed in ICU until 8/19/16 Organs recovered

VULGAMORE OUTCOMES: 4 Transplant Teams from 3 states arrive to recover organs: Right Kidney & Left Kidney/Pancreas to Salt Lake Liver transplanted in California Heart transplanted in Salt Lake Double Lungs transplanted in Washington State This all happened because somebody preserved the option of donation, called IDS, and the Coroner authorized!

Missed Opportunity Roman Carillo 0900 on 5/30/17: IDS Contacted by University Hospital per Standard Notification Protocol (CMS Regulations) Unidentified Patient Police involved shooting, gun shot wounds to head and abdomen 1230 - Patient identified Testing for Brain Death 1626 Patient declared Brain Dead at Hospital SLCPD instructs Attending MD to extubate patient SLCPD claim body as evidence Body sent to Office of the Medical Examiner for autopsy No opportunity given to approach family

Case Study - Skylar Huffield IDS Notified at 0600 on 5/25/16 22 y.o. male, homicide victim beat with a 2X4 Patient is located on the Idaho Donor Registry IDS on-site at 1400 Patient declared Brain Dead at 1422 IDS contacts County Coroner Okay to proceed with vital organs, no authorization for tissue Homicide Detectives meet with IDS Request to be present in OR to photograph condition of organs Patient managed at Portneuf Medical Center until OR set for 0230 on 5/28/16

Huffield Donation Outcomes: Liver transplanted in Arizona Heart transplanted in Salt Lake Double Lungs transplanted in California Detectives present in OR to photograph organs

What IDS Provides: Coroner Evidence Workbook Additional Paperwork & Samples (per Coroner request) Blood Samples Photos (Organs & Wounds) Urine Samples Biopsies Surgeon Anatomical Report Hospital Chart & Diagnostic Test Results (per Coroner request)

Jason Schecterle

Patrick Hardison

Moving Forward: How Can We Work Together? IDS Can Provide Education to Law Enforcement on Organ & Tissue Donation Evidence Needs to be Preserved & Protected! Prosecution of Perpetrators is Paramount! What opportunities exist to educate Sheriff/Police Agencies? Who would IDS Staff call in the event of a disagreement? Retired Police Officer as Donor Ambassador? Thank You for Allowing Us to Present Today!

Again, Thank You for Your Support! Woody Marshall Director, Hospital Services Intermountain Donor Services woody@idslife.org 801-478-7347