{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T14:02:07Z","timestamp":1789394527623,"version":"build-2803163510"},"reference-count":24,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,1]]},"abstract":"<jats:p>In rare circumstances, children who have suffered traumatic brain injury from child abuse are declared dead by neurologic criteria and are eligible to donate organs. When the parents are the suspected abusers, there can be confusion about who has the legal right to authorize organ donation. Furthermore, organ donation may interfere with the collection of forensic evidence that is necessary to evaluate the abuse. Under those circumstances, particularly in the context of a child homicide investigation, the goals of organ donation and collection and preservation of critical forensic evidence may seem mutually exclusive. In this Ethics Rounds, we discuss such a case and suggest ways to resolve the apparent conflicts between the desire to procure organs for donation and the need to thoroughly evaluate the evidence of abuse.<\/jats:p>","DOI":"10.1542\/peds.2020-0662","type":"journal-article","created":{"date-parts":[[2020,8,19]],"date-time":"2020-08-19T12:25:19Z","timestamp":1597839919000},"source":"Crossref","is-referenced-by-count":4,"title":["For Victims of Fatal Child Abuse, Who Has the Right to Consent to Organ Donation?"],"prefix":"10.1542","volume":"146","author":[{"given":"Stephanie Anne","family":"Deutsch","sequence":"first","affiliation":[{"name":"Divisions of General Pediatrics and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Teeple","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mindy","family":"Dickerman","sequence":"additional","affiliation":[{"name":"Pediatric Critical Care Medicine, Department of Pediatrics,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Macaulay","sequence":"additional","affiliation":[{"name":"Department of Patient and Family Services, Nemours\/Alfred I. DuPont Hospital for Children, Wilmington, Delaware"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Collins","sequence":"additional","affiliation":[{"name":"Medical Examiner Unit, Division of Forensic Science, and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2020,9,1]]},"reference":[{"issue":"1","key":"2021121021231450400_B1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00000433-199503000-00001","article-title":"Medical examiners\u2019 attitudes toward organ procurement from child abuse\/homicide victims","volume":"16","author":"Kurachek","year":"1995","journal-title":"Am J Forensic Med Pathol"},{"issue":"5","key":"2021121021231450400_B2","first-page":"415","article-title":"Successful organ donation in victims of child abuse","volume":"9","author":"Duthie","year":"1995","journal-title":"Clin Transplant"},{"issue":"12","key":"2021121021231450400_B3","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1001\/jama.1994.03510360011005","article-title":"Can forensic medicine and organ donation coexist for the public good?","volume":"271","author":"Voelker","year":"1994","journal-title":"JAMA"},{"issue":"4","key":"2021121021231450400_B4","doi-asserted-by":"crossref","first-page":"232","DOI":"10.7182\/prtr.1.9.4.q022hjm60630w514","article-title":"Ethical analysis of organ recovery denials by medical examiners, coroners, and justices of the peace","volume":"9","author":"Shafer","year":"1999","journal-title":"J Transpl Coord"},{"issue":"5","key":"2021121021231450400_B5","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1111\/1467-9566.00308","article-title":"The cause of death vs. the gift of life: boundary maintenance and the politics of expertise in death investigation","volume":"24","author":"Timmermans","year":"2002","journal-title":"Sociol Health Illn"},{"key":"2021121021231450400_B6","article-title":"Curran v. Bosze. Ill.2d 473, 566 N.E.2d 1319, 153 Ill"},{"key":"2021121021231450400_B7","unstructured":"Escobar\u2008MA, Zeller\u2008KA, Sieren\u2008LM, Hamilton\u2008NA, Miller-Fitzwater\u2008AL, Santore\u2008M. Physical child abuse. Available at: www.pedsurglibrary.com\/apsa\/view\/Pediatric-Surgery-NaT\/829478\/all\/Physical_Child_Abuse. Accessed July 17, 2020"},{"issue":"4","key":"2021121021231450400_B8","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1177\/1524838016658879","article-title":"Community-level approaches to child maltreatment prevention","volume":"17","author":"Molnar","year":"2016","journal-title":"Trauma Violence Abuse"},{"issue":"4","key":"2021121021231450400_B9","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1542\/peds.2010-0081","article-title":"Policy statement-pediatric organ donation and transplantation","volume":"125","author":"Committee on Hospital Care, Section on Surgery, and Section on Critical Care","year":"2010","journal-title":"Pediatrics"},{"issue":"3","key":"2021121021231450400_B10","doi-asserted-by":"crossref","first-page":"136","DOI":"10.3109\/tcic.8.3.136.141","article-title":"Medical examiner\/coroner denial for organ donation in brain-dead victims of child abuse: controversies and solutions","volume":"8","author":"Goldstein","year":"1997","journal-title":"Clin Intensive Care"},{"issue":"2","key":"2021121021231450400_B11","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1046\/j.1600-6143.2003.00327.x","article-title":"Vital role of medical examiners and coroners in organ transplantation","volume":"4","author":"Shafer","year":"2004","journal-title":"Am J Transplant"},{"key":"2021121021231450400_B12","first-page":"15","article-title":"Criminal investigations and prosecutions not adversely affected by organ donation. A case law review","volume":"Summer","author":"Strama","year":"1994","journal-title":"Newsl Med Law Comm"},{"issue":"4","key":"2021121021231450400_B13","doi-asserted-by":"crossref","first-page":"497","DOI":"10.23907\/2014.064","article-title":"National Association of Medical Examiners position paper: medical examiner release of organs and tissues for transplantation","volume":"4","author":"Pinckard","year":"2013","journal-title":"Acad Forensic Pathol"},{"issue":"9","key":"2021121021231450400_B14","doi-asserted-by":"crossref","first-page":"e916","DOI":"10.1097\/CCM.0000000000002452","article-title":"Organ support after death by neurologic criteria in pediatric patients","volume":"45","author":"Lewis","year":"2017","journal-title":"Crit Care Med"},{"issue":"5","key":"2021121021231450400_B15","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1001\/jamapediatrics.2019.0249","article-title":"Epidemiology of brain death in pediatric intensive care units in the United States","volume":"173","author":"Kirschen","year":"2019","journal-title":"JAMA Pediatr"},{"issue":"7","key":"2021121021231450400_B16","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1097\/TP.0000000000000758","article-title":"Pediatric deceased donation-a report of the Transplantation Society meeting in Geneva","volume":"99","author":"Martin","year":"2015","journal-title":"Transplantation"},{"issue":"3","key":"2021121021231450400_B17","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1111\/j.1399-0012.2008.00790.x","article-title":"Exploring the psychological effects of deceased organ donation on the families of the organ donors","volume":"22","author":"Merchant","year":"2008","journal-title":"Clin Transplant"},{"issue":"4","key":"2021121021231450400_B18","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1111\/ajt.12660","article-title":"Family perspectives on deceased organ donation: thematic synthesis of qualitative studies","volume":"14","author":"Ralph","year":"2014","journal-title":"Am J Transplant"},{"issue":"2","key":"2021121021231450400_B19","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1007\/s00134-015-3833-y","article-title":"Ten changes that could improve organ donation in the intensive care unit","volume":"42","author":"Dom\u00ednguez-Gil","year":"2016","journal-title":"Intensive Care Med"},{"issue":"6","key":"2021121021231450400_B20","doi-asserted-by":"crossref","first-page":"1291","DOI":"10.1097\/CCM.0000000000000958","article-title":"Management of the potential organ donor in the ICU: Society of Critical Care Medicine\/American College of Chest Physicians\/Association of Organ Procurement Organizations consensus statement","volume":"43","author":"Kotloff","year":"2015","journal-title":"Crit Care Med"},{"issue":"3","key":"2021121021231450400_B21","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1097\/01.CNQ.0000325044.78904.9b","article-title":"US Organ Donation Breakthrough Collaborative increases organ donation","volume":"31","author":"Shafer","year":"2008","journal-title":"Crit Care Nurs Q"},{"issue":"9","key":"2021121021231450400_B22","doi-asserted-by":"crossref","first-page":"2139","DOI":"10.1097\/CCM.0b013e31821f0d4f","article-title":"Guidelines for the determination of brain death in infants and children: an update of the 1987 Task Force recommendations","volume":"39","author":"Nakagawa","year":"2011","journal-title":"Crit Care Med"},{"issue":"5","key":"2021121021231450400_B23","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1542\/peds.106.5.1151","article-title":"Foregoing life-sustaining medical treatment in abused children","volume":"106","author":"Committee on Child Abuse and Neglect","year":"2000","journal-title":"Pediatrics"},{"key":"2021121021231450400_B24","unstructured":"Office of the Child Advocate; Child Protection Accountability Commission. CPAC reports & publications. Available at: https:\/\/courts.delaware.gov\/childadvocate\/cpac\/cpac_reports.aspx. Accessed December 12, 2019"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/doi\/10.1542\/peds.2020-0662\/1080562\/peds_20200662.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/doi\/10.1542\/peds.2020-0662\/1080562\/peds_20200662.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,11]],"date-time":"2021-12-11T06:56:40Z","timestamp":1639205800000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/146\/3\/e20200662\/36703\/For-Victims-of-Fatal-Child-Abuse-Who-Has-the-Right"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,1]]},"references-count":24,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,9,1]]},"published-print":{"date-parts":[[2020,9,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2020-0662","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,1]]},"article-number":"e20200662"}}