Browsing by Subject "organ donation"

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    Organ donation Week 1 - Additional brain death tests and international variability
    (2017) Thomson, David
    This video focuses on the international variability in brain death testing guidelines. The video discusses how oculocephalic and ocular cardiac reflex are used as additional tests to the brain stem test. the video also explain what each of these tests entail. It goes on to list possible differences when it comes to brain death testing for different countries. The video then discusses brain death testing for children. This is video 8/10 in week 1 of the Organ Donation course
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    Organ donation Week 1 - Ancillary tests
    (2017) Thomson, David
    This video focuses on the ancillary tests used to confirm the diagnosis of brain death. It goes on to discuss when the ancillary tests are used. It also discusses what insights the ancillary tests show. The video goes on to describe the cerebral angiography procedure. It also discusses why this tests are not always used. The video also discusses the differences, procedures and improvements of the CT angiography and MRI angiography. The video then defines and discusses electroencephalography, and how it is used as a complementary test. This is video 5/10 in week 1 of the Organ Donation course
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    Organ Donation Week 1 - Consent
    (2017) Thomson, David
    This video focuses on consent as the second rule of organ donation. The video discusses what applies as consent. It also discusses the function organ registries and their limitations as well. The video also talks about the importance of having discussions about organ donation with family and loved ones before death. The video then talks about how interactions at the end of person's life can help make informed decisions regarding organ donation for both patients and family members. This is video 2/10 in week 1 of the Organ Donation course
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    Organ donation Week 1 - Consent for donation after brain death
    (2017) Thomson, D
    The video focuses on consent for donation after brain death. The video lays out the differences in what is defined as consent in USA and South Africa. The video also discussed Spain's presumed consent policy. It also discusses consent principles and ethical good practice. The video then discusses how doctors developed protocols advised for doctors in South Africa. It also provides an case study to help discuss who signs the consent form. The next point of discussion is the legal sequence of who can sign consent in South Africa. The video then discusses the importance of discussions with the family of the patient. This is video 9/10 in week 1 of the Organ Donation course
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    Organ Donation Week 1 - Dead donor rule
    (2017) Thomson, David
    This video focuses on the dead donor rule. The video discusses the definition of death required in order for the dead donor rule to be met. It also defines death and the medical community's consensus regarding the determination of brain death. The video then goes on to discuss the debates around death and how it affects the people around it such as family members and medical professionals. This is video 1/10 in week 1 of the Organ Donation course
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    Organ donation Week 1 - Grief communicating effectively
    (2017) Thomson, David
    This video focuses on communicating effectively with the patient's family. The video emphasises the importance of early communication with the family. It then provides examples on how the medical team can communicate effectively with the family. The video then discusses the additional difficulties involved when discussing brain death and goes on to list possible techniques to make use of. This is video 10/10 in week 1 of the Organ Donation course.
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    Organ donation Week 1 - History of brain death
    (2017) Thomson, David
    This video focuses on the history of brain death. It discusses the religious definition of death and the methods used before that lead to public's mistrust in death determination. It also discusses how the link between breathing and life is still a core concept in modern medicine. It then touches on how intensive care has blurred the lines between breathing and life. The video then discusses the standard in various countries for brain death. It also touches on how they vary and are similar. The video then discusses South Africa's legislation regarding brain death. This is video 3/10 in week 1 of the Organ Donation course
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    Organ donation Week 1 - Mechanism of brain death
    (2017) Thomson, David
    This video focuses on how brain death occurs. The video discusses what causes the excessive elevation of intracranial pressure. It then goes on to explain how this can impede on blood circulation to the brain and what doctors are able to do to prevent it. The video also discusses how the body tries to heal itself as well. The video then goes on to discuss the vegetative state and what it entails for the patient. This is video 4/10 in week 1 of the Organ Donation course
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    Organ donation Week 1 - Organ donation Week 1 - Brain death - clinical testing
    (2017) Thomson, David
    This video focuses on the procedure for brain death testing. The video lists the steps to take and then describes what to check for. The first step is to check for responsiveness. The following step is brain stem testing. The third step is to make sure there is no gag reflex. The fourth step is to check for the cough reflex. The fifth step is to check for oculovestibular reflex, also known as cold caloric reflex. The sixth step is to check if there are any facial movements in response to painful stimuli. The final step is the apnea test. This is video 7/10 in week 1 of the Organ Donation course
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    Organ donation Week 1 - Preconditions required for brain death
    (2017) Thomson, David
    This video focuses on the prerequisites that must be met before brain death testing can take place. The video then discusses the requirements in terms of body temperature, drug effects and blood pressure for the patient. It also describes how doctors are able to intervene. It also shows how delaying brain death testing and nerve stimulators can be used as options. The video then discusses how electrolyte disturbances might need to be corrected and how the coma should not have a metabolic and endocrine cause. This is video 6/10 in week 1 of the Organ Donation course
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    Organ donation Week 2 - A good death
    (2017) Thomson, David
    This video focuses on what defines a good death. It goes on describe how the patient should have control over the dying process. The establishment of realistic goals and effective communication is discussed.The video also discusses the terms non-beneficial and medical futility. The video then discussed the difference in the functions of hospitals and hospices. This is video 1/5 in week 2 of the Organ Donation course.
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    Organ donation Week 2 - An approach to withdrawal of non-beneficial treatment
    (2017) Thomson, David
    This video focuses on approaches to withdrawal of non-beneficial treatments. The video lays out the possible factors to take into account when withdrawing non-beneficial treatment. The possible withdrawal of routine evaluations, routine monitoring of vital signs and ventilation. The video then discusses the monitoring process after the withdrawal of treatment. This is video 4/5 in week 2 of the Organ Donation course.
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    Organ donation Week 2 - Circulatory death certification
    (2017) Thomson, David
    This video focus on certification of circulatory death. The video also discusses how to define death if a medical practitioner is not able to restart the heart. The video also discusses the differences in guidelines when it comes to different countries. It also touches on how clinical science can be supplemented by evidence of asystole on a continuous ECG display. The video also discusses new therapies that can also be used in situations where there is a route to recovery. The video then explains the importance of doctors understanding the limitations of medical therapy. This is video 5/5 in week 2 of the Organ Donation course.
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    Organ donation Week 2 - Principles in medical ethics
    (2017) Thomson, David
    This video focuses on principles in medical ethics. The four pillars are defined and discussed. It then discusses the combined decision between the doctor and patient when it comes to the patient's care. The video also discusses the conflict between respect for autonomy and other principles. Then the video touches on the philosophical thought experiment of the trolley problem. This is video 2/5 in week 2 of the Organ Donation course.
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    Organ donation Week 2 - Withdrawal of treatment
    (2017) Thomson, David
    This video focuses on the withdrawal of treatment. The video discusses the many factors that affect the withdrawal of treatment. It goes on to talk about the benefits of modern medical therapies and when its in the best interests of the patient to use them. The video also provides an example of a treatment from and ICU practice that can be used for organ support. It then discusses how withdrawing or withholding treatment is not euthanasia. The video then discusses DNR orders and other end of life treatment decisions. This is video 3/5 in week 2 of the Organ Donation course.
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    Organ donation Week 3 - Donation - who can donate what
    (2017) Thomson, David
    This video focuses on who can be organ donors. The video lists the types of organs that can be donated and the time constraints with regards to how long after death. The video also discusses the number of lives that can be saved by an organ donor. It also touches on donor suitability and the donor pool. The video then provides examples of when organ donation can be stopped. It also discusses the types of medical conditions that do not preclude transplantation. It then touches on organ dysfunction. This is video 1/7 in week 3 of the Organ Donation course.
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    Organ donation Week 3 - Donation medical assessment-work up donor
    (2017) Thomson, David
    This video focuses on the medical assessment used to assess the risk of the organs being donated. The video lays out the process of the medical assessment. It discusses the use of blood tests and social history in the process. The video discusses the work of the clinicians in assessing the organs individually. The video then discusses how the assessment is also made intraoperatively. Afterwards the video discusses the assessment of compatibility. This is video 2/7 in week 3 of the Organ Donation course.
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    Organ donation Week 3 - Donor management
    (2017) Thomson, David
    This video focuses on the maximising the amount of good that can come out of an organ donation through effective management. The video discusses the number of lives gained through organ donation. It also touches on the amount of work and human resources required for organ transplantation. The video discusses the active management of brain dead donors. It also discusses the different strategies required to main stable haemodynamics for different organs. The video touches on the importance of donor management in preventing complications. The video then discusses transplantation, specifically for lungs. This is video 3/7 in week 3 of the Organ Donation course.
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    Organ donation Week 3 - Organ allocation - ensuring fairness
    (2017) Thomson, David
    The video discusses the ensuring of fairness when it comes to organ allocation. The video discusses how the deceased donation is a gift to society and the importance fair consideration of the candidates circumstances and medical needs when allocating. It offers examples that illustrates the complexity in deciding who receives the donated organ. The video discusses the limitations of organ transplants in terms of size discrepancies and blood types. The use of HLA matching is also discussed. The video also discusses the Model for End-Stage Liver Disease (MELD) score. The video then discusses the complication and differences in allocation systems amongst countries. This is video 7/7 in week 3 of the Organ Donation course.
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    Organ donation Week 3 - Organ preservation and transport
    (2017) Thomson, David
    This video focuses on organ preservation and transportation. The video defines what ischaemia is and how it plays a role in the organ transportation and preservation process. The video then explains how the organ preservation process fits into the procurement operation. The video also discusses the various strategies used to help maintain the organ during the procurement operation. The video then discusses the new techniques that are available for organ preservation. This is video 5/7 in week 3 of the Organ Donation course.