Organ Donation After Out-of-Hospital Cardiac Arrest: A Scientific Statement From the International Liaison Committee on Resuscitation

Modify the Maastricht classification system to correctly identify OHCA organ donors and report outcomes consistently

Modify the minimum data set for reporting cardiac arrests to increase reporting of organ donation as a resuscitation outcome

Lack of legislation mandating organ donation as the default option is the greatest impediment to uncontrolled donation after cardiac death protocols

Extracorporeal CPR may increase organ donation rates; research needed on neuroprognostication rules for stopping it and on cost-effectiveness

All health systems should develop, implement, and evaluate protocols to optimise organ donation for patients with OHCA and failed resuscitation