In some jurisdictions, first responders must consult verbally with a physician before officially pronouncing a patient deceased, but once cardiopulmonary resuscitation (CPR) is initiated, it must be continued until a physician can pronounce the patient dead. Dead on arrival can also mean that a person is said by a doctor to be dead upon their arrival at a hospital, emergency room, clinic, or ward. A person can be pronounced dead on arrival if cardiopulmonary resuscitation or mouth-to-mouth resuscitation is found to be futile.
When presented with a patient, medical professionals are required to perform cardiopulmonary resuscitation (CPR) unless specific conditions are met that allow them to pronounce the patient as deceased.[2] In most places, these are examples of such criteria:
Injuries not compatible with life. These include but are not necessarily limited to decapitation, catastrophic brain trauma, incineration, severing of the body, or injuries that do not permit effective administration of CPR. If a patient has sustained such injuries, it should be intuitively obvious that the patient is non-viable.
Rigor mortis, indicating that the patient has been dead for at least a few hours. Rigor mortis can sometimes be difficult to determine, so it is often reported along with other determining factors.
Livor mortis (lividity), indicating that the body has been pulseless and in the same position long enough for blood to sink and collect within the body, creating purplish discolorations at the lowest points of the body (with respect to gravity)
Stillbirth. If it can be determined without a doubt that an infant died prior to birth, as indicated by skin blisters, an unusually soft head, and an extremely offensive odor, resuscitation should not be attempted. If there is even the slightest hope that the infant is viable, CPR should be initiated; some jurisdictions maintain that life-saving efforts should be attempted on all infants to assure parents that all possible actions were performed to save their child, futile as the medical professionals may have known them to be.
This list may not be a comprehensive picture of medical practice in all jurisdictions or conditions. For example, it may not represent the standard of care for patients with terminal diseases such as advanced cancer. In addition, jurisdictions such as Texas permit withdrawal of medical care from patients who are deemed unlikely to recover.
Regardless of the patient, a pronouncement of death must always be made with absolute certainty and only after it has been determined that the patient is not a candidate for resuscitation. This type of decision is rather sensitive and can be difficult to make.
Legal definitions of death vary from place to place; for example, irreversible brain-stem death, prolonged clinical death, etc.
Colloquial useedit
When, as with computers, product complexity is high and diagnostics are involved, the medical metaphor is perhaps appropriate, as complex diagnostics might be required to determine if the product "is really dead".
This term is also commonly applied to consumer electronics or other products that are defective straight out of the box, meaning they don't function properly from the moment they're unpacked or turned on for the first time.
In another context, "dead on arrival" may be used to describe an idea, concept, or product that is considered to be fundamentally flawed, and therefore viewed as an utter failure from the start.
In politics, the term is often used to describe incumbent politicians who are believed to have little or no chance of re-election.
^Pasquale, Michael D.; Rhodes, Michael; Cipolle, Mark D.; Hanley, Terrance; Wasser, Thomas (October 1996). "Defining "Dead on Arrival"". The Journal of Trauma: Injury, Infection, and Critical Care. 41 (4): 726–730. doi:10.1097/00005373-199610000-00022. ISSN 1079-6061. PMID 8858036.
^Byrne, James P.; Xiong, Wei; Gomez, David; Mason, Stephanie; Karanicolas, Paul; Rizoli, Sandro; Tien, Homer; Nathens, Avery B. (November 2015). "Redefining "dead on arrival": Identifying the unsalvageable patient for the purpose of performance improvement". Journal of Trauma and Acute Care Surgery. 79 (5): 850–857. doi:10.1097/TA.0000000000000843. ISSN 2163-0755. PMID 26496112. S2CID 7187414.
External linksedit
The dictionary definition of dead on arrival at Wiktionary
February 15, 2024
dead, arrival, other, uses, disambiguation, confused, with, dead, alive, look, dead, arrival, wiktionary, free, dictionary, also, dead, field, brought, dead, dead, right, there, terms, which, indicate, that, patient, found, already, clinically, dead, upon, arr. For other uses see Dead on arrival disambiguation Not to be confused with dead or alive Look up dead on arrival in Wiktionary the free dictionary Dead on arrival DOA also dead in the field brought in dead BID or dead right there DRT are terms which indicate that a patient was found to be already clinically dead upon the arrival of professional medical assistance often in the form of first responders such as emergency medical technicians paramedics firefighters or police 1 In some jurisdictions first responders must consult verbally with a physician before officially pronouncing a patient deceased but once cardiopulmonary resuscitation CPR is initiated it must be continued until a physician can pronounce the patient dead Dead on arrival can also mean that a person is said by a doctor to be dead upon their arrival at a hospital emergency room clinic or ward A person can be pronounced dead on arrival if cardiopulmonary resuscitation or mouth to mouth resuscitation is found to be futile Contents 1 Medical DOA 2 Colloquial use 3 See also 4 References 5 External linksMedical DOA editWhen presented with a patient medical professionals are required to perform cardiopulmonary resuscitation CPR unless specific conditions are met that allow them to pronounce the patient as deceased 2 In most places these are examples of such criteria Injuries not compatible with life These include but are not necessarily limited to decapitation catastrophic brain trauma incineration severing of the body or injuries that do not permit effective administration of CPR If a patient has sustained such injuries it should be intuitively obvious that the patient is non viable Rigor mortis indicating that the patient has been dead for at least a few hours Rigor mortis can sometimes be difficult to determine so it is often reported along with other determining factors Obvious decomposition Livor mortis lividity indicating that the body has been pulseless and in the same position long enough for blood to sink and collect within the body creating purplish discolorations at the lowest points of the body with respect to gravity Stillbirth If it can be determined without a doubt that an infant died prior to birth as indicated by skin blisters an unusually soft head and an extremely offensive odor resuscitation should not be attempted If there is even the slightest hope that the infant is viable CPR should be initiated some jurisdictions maintain that life saving efforts should be attempted on all infants to assure parents that all possible actions were performed to save their child futile as the medical professionals may have known them to be Identification of valid do not resuscitate ordersThis list may not be a comprehensive picture of medical practice in all jurisdictions or conditions For example it may not represent the standard of care for patients with terminal diseases such as advanced cancer In addition jurisdictions such as Texas permit withdrawal of medical care from patients who are deemed unlikely to recover Further information Texas Futile Care Law Regardless of the patient a pronouncement of death must always be made with absolute certainty and only after it has been determined that the patient is not a candidate for resuscitation This type of decision is rather sensitive and can be difficult to make Legal definitions of death vary from place to place for example irreversible brain stem death prolonged clinical death etc Colloquial use editWhen as with computers product complexity is high and diagnostics are involved the medical metaphor is perhaps appropriate as complex diagnostics might be required to determine if the product is really dead This term is also commonly applied to consumer electronics or other products that are defective straight out of the box meaning they don t function properly from the moment they re unpacked or turned on for the first time In another context dead on arrival may be used to describe an idea concept or product that is considered to be fundamentally flawed and therefore viewed as an utter failure from the start In politics the term is often used to describe incumbent politicians who are believed to have little or no chance of re election See also editEmergency department MorgueReferences edit Pasquale Michael D Rhodes Michael Cipolle Mark D Hanley Terrance Wasser Thomas October 1996 Defining Dead on Arrival The Journal of Trauma Injury Infection and Critical Care 41 4 726 730 doi 10 1097 00005373 199610000 00022 ISSN 1079 6061 PMID 8858036 Byrne James P Xiong Wei Gomez David Mason Stephanie Karanicolas Paul Rizoli Sandro Tien Homer Nathens Avery B November 2015 Redefining dead on arrival Identifying the unsalvageable patient for the purpose of performance improvement Journal of Trauma and Acute Care Surgery 79 5 850 857 doi 10 1097 TA 0000000000000843 ISSN 2163 0755 PMID 26496112 S2CID 7187414 External links edit nbsp The dictionary definition of dead on arrival at Wiktionary Retrieved from https en wikipedia org w index php title Dead on arrival amp oldid 1207697876, wikipedia, wiki, book, books, library,
