Bell M D D
The General Infirmary at Leeds, Great George Street, Leeds LS1 3EX, UK.
Emerg Med J. 2006 Nov;23(11):824-7. doi: 10.1136/emj.2006.036749.
The Human Tissue Act 2004, which governs all activity relating to the human body, organs or tissues, is grounded in the principle of fully informed consent in line with societal expectations. The associated intention to deal with the current deficit of transplantable organs has paradoxically been translated into the legitimisation of non-consensual organ preservation manoeuvres after death. The procurement strategy targeted under this new statute is "uncontrolled" non-heart-beating donation, and the clinical arenas would be accident and emergency departments and acute medical wards. Practitioners in these fields need to have an understanding of the process and the associated ethical, logistical and legal hurdles to defensible implementation. In the light of these hurdles, there is an obvious need for more widespread professional and public consultation before adoption of this programme.
2004年的《人体组织法》对所有与人体、器官或组织相关的活动进行管理，该法基于符合社会期望的充分知情同意原则。处理当前可移植器官短缺问题的相关意图，却自相矛盾地转化为死后非自愿器官保存操作的合法化。根据这项新法规所针对的采购策略是“不受控制的”非心脏跳动供体捐赠，临床场所将是急诊科和急性内科病房。这些领域的从业者需要了解该过程以及可辩护实施所涉及的相关伦理、后勤和法律障碍。鉴于这些障碍，在采用该方案之前显然需要进行更广泛的专业和公众咨询。
