One definition of futility is any treatment that merely preserves permanent unconsciousness or fails to end total dependence of a patient on intensive medical care [1] . However, no agreement has ever been reached on what the exact definition of futility is, as it is not only based on temporary values but also evolves into different subtypes, making it harder to define [2] . The difficulty in d...

One of the major advances in medicine has been the use of cardiopulmonary resuscitation (CPR) procedure since the 1960s in order to save human lives. This procedure has so far saved thousands of lives. Although CPR has helped to save lives, in some cases, it prolongs the process of dying, suffering, and pain in patients. This study was conducted to explain the experience of Iranian physicians r...

trauma is a common cause of death and disability in children. proper approach to pediatric trauma involves adherence to abcde sequence in the primary survey and resuscitation in order to promptly recognize and manage life-threatening conditions immediately. this readily reviewed sequence includes a: establishment and maintenance of a patent airway while maintaining cervical spine immobilization...

RATIONALE We investigated whether proposed "quality markers" within the medical record are associated with family assessment of the quality of dying and death in the intensive care unit (ICU). OBJECTIVE To identify chart-based markers that could be used as measures for improving the quality of end-of-life care. DESIGN A multicenter study conducting standardized chart abstraction and surveyi...

Objective: Fluid resuscitation is necessary in almost all critical patients. The central venous pressure (CVP) is a well-established method of assessing resuscitation. Recently, there have been attempts to investigate less invasive methods like the diameters of inferior vena cava (IVC) or the jugular vein. We aimed to investigate this method in our research.Methods: Seventy eight critical...

Approximately 400,000 people die outside US hospitals or chronic care facilities each year. While there has been some recent movement towards initiating procedures for prehospital Do Not Resuscitate (DNR) orders, the most common situation in the US is that emergency medical systems (EMS) personnel are not authorized to pronounce patients dead, but are required to attempt resuscitation with all ...

conclusions vacuum-assisted abdominal closure is a good technique for temporary abdominal closure. in patients who are unable to achieve fascial closure, skin closure alone is safe. results after 157 trauma laparotomies, 35 (22%) were open abdomen cases with an average injury severity score was 35. ninety-four percent of open abdomens occurred after damage-control surgery. temporary vacuum-assi...

OBJECTIVES This study investigated Finnish physicians' experiences of decisions concerning living wills and do not resuscitate (DNR) orders and also their views on the role of patients and family members in these decisions. DESIGN A questionnaire was sent to 800 physicians representing the following specialties: general practice (n = 400); internal medicine (n = 207); neurology (n = 100), and...