Withholding cardiopulmonary resuscitation: proposals for formal guidelines.
نویسندگان
چکیده
Working with members of the Royal London Trust and its medical council, Len Doyal and Daniel Wilsher have composed a set of guidelines governing the making of decisions to withhold resuscitation from patients. The guidelines describe the procedures that should be followed when giving orders for non-resuscitation and the clinical, legal, and moral criteria that should be satisfied before such orders are issued. The authors hope that these guidelines will be of help to those responsible for the creation of hospitals' policies for non-resuscitation.
منابع مشابه
Applicability of adult guidelines for withholding or terminating resuscitation for prehospital traumatic cardiopulmonary arrest in pediatrics.
PURPOSE The aim of this study is to assess the applicability to a pediatric population of adult guidelines for withholding or terminating traumatic cardiopulmonary resuscitation (CPR). METHOD Using a trauma registry database and patient data from May 2001 to February 2011, a retrospective cohort study was conducted for all trauma patients less than 18 years of age who arrived at the emergency...
متن کاملThe consequences of noncompliance with guidelines for withholding or terminating resuscitation in traumatic cardiac arrest patients.
BACKGROUND The validity of current guidelines regarding resuscitation of patients in traumatic cardiopulmonary arrest (TCPA) and the ability of emergency medical services (EMS) to appropriately apply them have been called into question. The purpose of this study is to demonstrate the consequences of violating the current published guidelines and whether EMS personnel were able to accurately ide...
متن کاملGuidelines for withholding or termination of resuscitation in prehospital traumatic cardiopulmonary arrest: a joint position paper from the National Association of EMS Physicians Standards and Clinical Practice Committee and the American College of Surgeons Committee on Trauma.
1. Resuscitation efforts may be withheld in any blunt trauma patient who, based on out-ofhospital personnel’s thorough primary patient assessment, is found apneic, pulseless, and without organized electrocardiographic (ECG) activity upon the arrival of emergency medical services (EMS) at the scene. 2. Victims of penetrating trauma found apneic and pulseless by EMS, based on their patient assess...
متن کاملWhere now with Do Not Attempt Resuscitation decisions?
Geriatricians are often asked to make decisions about withholding cardiopulmonary resuscitation. This seems to be becoming more difficult and more controversial. There has been increased public concern about this subject recently and a recognition within the profession of the need for more openness and transparency in decision making. The implementation of The Human Rights Act led to updated gu...
متن کاملWithholding and termination of resuscitation of adult cardiopulmonary arrest secondary to trauma: resource document to the joint NAEMSP-ACSCOT position statements.
In the setting of traumatic cardiopulmonary arrest, protocols that direct emergency medical service (EMS) providers to withhold or terminate resuscitation, when clinically indicated, have the potential to decrease unnecessary use of warning lights and sirens and save valuable public health resources. Protocols to withhold resuscitation should be based on the determination that there are no obvi...
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عنوان ژورنال:
- BMJ
دوره 306 6892 شماره
صفحات -
تاریخ انتشار 1993