Editing Do not resuscitate (section)

===Organ donation===

[[Organ donation]] is possible after CPR, but not usually after a death with a DNR. If CPR does not revive the patient, and continues until an operating room is available, then kidneys and liver can be considered for donation. US Guidelines endorse organ donation, "Patients who do not have ROSC (return of spontaneous circulation) after resuscitation efforts and who would otherwise have termination of efforts may be considered candidates for kidney or liver donation in settings where programs exist."<ref name="ecc-donate">{{Cite journal |date=2015 |title=Part 8: Post-Cardiac Arrest Care – ECC Guidelines, section 11 |url=https://eccguidelines.heart.org/index.php/circulation/cpr-ecc-guidelines-2/part-8-post-cardiac-arrest-care/?strue=1&id=11 |journal=Resuscitation Science, Section 11 }}</ref> European guidelines encourage donation, "After stopping CPR, the possibility of ongoing support of the circulation and transport to a dedicated centre in perspective of organ donation should be considered."<ref>{{Cite journal |last=Bossaert|display-authors=etal|date=2015 |title=European Resuscitation Council Guidelines for Resuscitation 2015: Section 11. The ethics of resuscitation and end-of-life decisions |url=https://ercguidelines.elsevierresource.com/european-resuscitation-council-guidelines-resuscitation-2015-section-11-ethics-resuscitation-and-end/fulltext |journal=Resuscitation |volume=95|pages=302–11|access-date=2019-01-24|doi=10.1016/j.resuscitation.2015.07.033|pmid=26477419|doi-access=free|hdl=10067/1303020151162165141|hdl-access=free}}</ref> CPR revives 64% of patients in hospitals<ref name="girotra-race">{{cite journal | vauthors = Joseph L, Chan PS, Bradley SM, Zhou Y, Graham G, Jones PG, Vaughan-Sarrazin M, Girotra S | title = Temporal Changes in the Racial Gap in Survival After In-Hospital Cardiac Arrest | journal = JAMA Cardiology | volume = 2 | issue = 9 | pages = 976–984 | date = September 2017 | pmid = 28793138 | pmc = 5710174 | doi = 10.1001/jamacardio.2017.2403 }}</ref> and 43% outside<ref name="mycares">{{Cite web |url=https://mycares.net/sitepages/reports.jsp |title=National Reports by Year | publisher = MyCares.net |access-date=2018-12-12}}</ref> (ROSC), which gives families a chance to say goodbye,<ref>{{cite journal | vauthors = Breu AC | title = Clinician-Patient Discussions of Successful CPR-The Vegetable Clause | journal = JAMA Internal Medicine | volume = 178 | issue = 10 | pages = 1299–1300 | date = October 2018 | pmid = 30128558 | doi = 10.1001/jamainternmed.2018.4066 | s2cid = 52047054 }}</ref> and all organs can be considered for donation, "We recommend that all patients who are resuscitated from cardiac arrest but who subsequently progress to death or brain death be evaluated for organ donation."<ref name="ecc-donate"/>

1,000 organs per year in the US are transplanted from patients who had CPR.<ref name="orioles">{{cite journal | vauthors = Orioles A, Morrison WE, Rossano JW, Shore PM, Hasz RD, Martiner AC, Berg RA, Nadkarni VM | title = An under-recognized benefit of cardiopulmonary resuscitation: organ transplantation | journal = Critical Care Medicine | volume = 41 | issue = 12 | pages = 2794–9 | date = December 2013 | pmid = 23949474 | doi = 10.1097/CCM.0b013e31829a7202 | s2cid = 30112782 }}</ref> Donations can be taken from 40% of patients who have ROSC and later become brain dead,<ref name="sandroni">{{cite journal | vauthors = Sandroni C, D'Arrigo S, Callaway CW, Cariou A, Dragancea I, Taccone FS, Antonelli M | title = The rate of brain death and organ donation in patients resuscitated from cardiac arrest: a systematic review and meta-analysis | journal = Intensive Care Medicine | volume = 42 | issue = 11 | pages = 1661–1671 | date = November 2016 | pmid = 27699457 | pmc = 5069310 | doi = 10.1007/s00134-016-4549-3 }}</ref> and an average of 3 organs are taken from each patient who donates organs.<ref name="orioles"/> DNR does not usually allow organ donation.