What does "Dead on Arrival" refer to?

Question

Does "Dead on Arival" refer to the EMT's arrival at the scene where the victim is found or does it refer to the victim being dead upon arrival at the hospital?

Thanks,

-Paul.

Answer 1

When the patient is dead upon my arrival at the scene, I refer to it as "DOS" for Dead On Scene.
DOA could also apply, though, because the patient is dead upon your arrival to the scene, but generally DOA refers to the patient being dead upon arrival at the hospital.

As far as EMT's being able to pronounce death, generally EMTs can't, but paramedics can (sort of). What happens, is if it's an obvious tramautic injury, the paramedics can just document and leave the body in the care of the police. The doctor doesn't even have to be called. If it's less traumatic (like a cardiac arrest that's got lividity and rigor), then the paramedics will call a doctor over the phone and consult with him. If the doctor agrees, the body is left on scene for the police and coroner to deal with.

Hope this helps...

Answer 2

This term is used because legally a doctor has to confirm death. If there is no doctor at the scene then the victim is confirmed dead on arrival at the hospital.

Answer 3

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Answer 4

Dead on arrival at the hospital

Answer 5

Usually means person was alive when EMT picked them up but died on the way to hospital hence dead on arrival

Answer 6

I believe it means dead on arrival at the hospital. This could also mean they were alive when they were being transported, but died enroute. If the victim is dead when the paramedics arrive, it's dead at the scene.

Answer 7

"Dead on arrival" is a term used to describe a patient's condition upon arrival at the hospital. EMTs are not allowed to declare death. They are required to do everything in their power, on the assumption that they can save the patient. There are exceptions, of course, like when death is obvious in cases with decay or decapitation.

Answer 8

Hospital.

Answer 9

I'm not sure but I think DOA is dead upon arrival at the ER whereas Dead at the scene is just that.

Answer 10

Good answers everyone!

Just thought I'd add this: I don't think EMTs are allowed to pronounce a person dead. They are obviously qualified to ascertain that death has occurred by examining a body, and then pass that information on to the dispatcher, but I believe a doctor or coroner/ME must legally prounounce it.

Trivia: I remember a pretty gory song called DOA by Bloodrock years ago, creepy!

:D