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Paeds SAQspain-palliative-and-end-of-life-care

Paeds SAQs · pain-palliative-and-end-of-life-care

Organ and tissue donation in children — formative SAQs

Formative SAQs on organ and tissue donation in children covering definition, classification, bedside pathway, red flags, documentation and family support.

20 marks30 min1 min readVerification in progress

Target exams

RACP General PaediatricsMRCPCH ClinicalRACP DWE
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Study tools

Target exams

RACP General PaediatricsMRCPCH ClinicalRACP DWE
Prompt
Organ and tissue donation in children: definition, shared decision-making, stepwise plan and escalation

SAQ 1 (10)

A five-year-old sustains catastrophic traumatic brain injury. After optimisation, clinical examination suggests neurological death. The parents ask whether their child can help other children. [1] [2]

a) Define the core problem in one sentence and state the governing ethical standard. (3 marks) [1]

b) Outline the classification axes you would use and why they change management. (3 marks) [1] [2]

c) List the red flags that would force senior, ethics or court escalation. (2 marks) [1]

d) Document the key elements you would write in the clinical record after the family meeting. (2 marks) [2]

Paediatrics Fellowship Pro

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References6ShowHide
  1. [1]Moynihan KM et al. Epidemiology of childhood death in Australian and New Zealand intensive care units. Intensive Care Med, 2019.PMID 31270578
  2. [2]Dopson S et al. Exploring nurses' knowledge, attitudes and feelings towards organ and tissue donation after circulatory death within the paediatric intensive care setting in the United Kingdom: A qualitative content analysis study. Intensive Crit Care Nurs, 2019.PMID 31350064
  3. [3]Lee LA et al. Organ Donation in Canadian PICUs: A Cross-Sectional Survey, 2021-2022. Pediatr Crit Care Med, 2024.PMID 37966310
  4. [4]Kramer AH et al. Missed Organ Donation Opportunities in Patients With Devastating Brain Injury: A Prospective Population-Based Cohort Study. Crit Care Med, 2026.PMID 41269058
  5. [5]Jarrah RJ et al. Developing a standard method for apnea testing in the determination of brain death for patients on venoarterial extracorporeal membrane oxygenation: a pediatric case series. Pediatr Crit Care Med, 2014.PMID 24201855
  6. [6]Weiss MJ et al. The Bucharest international European Society for Organ Transplantation consensus on paediatric controlled donation after circulatory determination of death. Transpl Int, 2026.PMID 42453307
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