Prehospital organ recovery programs are implemented to supply transplantable organs. Rapid organ recovery ambulances are dispatched1 to trauma scenes to resuscitate and transport potential donors to hospital-independent procurement facilities.2 Jacobs et al3 may alternatively refer to such a procurement facility as a new facility. To facilitate organ recovery after trauma, it is essential to address (1) public concerns about accuracy of determining futility in prehospital or emergency department settings and (2) diverse cultural and religious values and beliefs about end-of-life care.