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Dead On ArrivalDead on arrival or DOA is a notation that a patient was brought to a hospital and immediately pronounced dead by a physician. The term arises because first responders such as emergency medical technicians (a.k.a. paramedics or ambulance drivers) do not have the authority to pronounce a patient dead (in the U.S. at least), and they are obliged, in the absence of a do not resuscitate order, to attempt resuscitation if there is any possibility of life and to continue resuscitation until the patient has been examined by a physician, which usually occurs only after the patient has been brought to a hospital. Colloquially, anything which is received in a non-operational (broken) state can be called DOA or dead on arrival. If a new product arrives "DOA" then it is likely that the recipient will call the supplier to get a Return Merchandise Authorization (RMA), a transaction that acknowledges that (apparently defective) goods will be returned to the supplier for refund, replacement or credit.
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