When Not to Rescue: An Ethical Analysis of Best Practices for Cardiopulmonary Resuscitation and Emergency Cardiac Care
Jecker, N.S.; Derse, A.R.
Journal of Clinical Ethics 28(1): 44-56
2017
ISSN/ISBN: 1046-7890 PMID: 28436929 Document Number: 694833
It is now a default obligation to provide cardiopulmonary resuscitation (CPR), in the absence of knowledge of a patient's or surrogate's wishes to the contrary. We submit that it is time to re-evaluate this position. Attempting CPR should be subject to the same scrutiny demanded of other medical interventions that involve balancing a great benefit against grievous harms.
Document emailed within 1 workday
Related Documents
Montgomery, W.H.; Donegan, J.; McIntyre, K. 1986: Standards and guidelines for cardiopulmonary resuscitation and emergency cardiac care Circulation 74(6 Part 2): IV1-IV3Montgomery, W.H. 1992: The development of standards and guidelines for cardiopulmonary resuscitation and emergency cardiac care in the United States Annals of the Academy of Medicine Singapore 21(1): 92-96
Jakubaszko, J.; Smereka, J.; Sehn, M. 2002: New recommendations in European cardiopulmonary resuscitation guidelines (Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care 2000: an International Consensus on Science Przeglad Lekarski 59(11): 927-931
Nagashima, K.; Takahata, O.; Fujimoto, K.; Suzuki, A.; Iwasaki, H. 2003: Investigation on nurses' knowledge of and experience in cardiopulmonary resuscitation and on nurses' knowledge of the guidelines for cardiopulmonary resuscitation and emergency cardiovascular care established in 2000--results of a survey at Asahikawa Medical College Hospital (second report) Masui. Japanese journal of anesthesiology 52(4): 427-430
McIntyre, K.M. 1992: Cardiopulmonary resuscitation in chronically ill patients in the intensive care unit. Does poor outcome justify withholding cardiopulmonary resuscitation from this group? Archives of Internal Medicine 152(11): 2181-2183
Wang, X-Ping.; Martin, S.Mok.; Li, Y-Lan.; Chen, J.; Zhang, Y-Ming. 2008: Effect of emergency care simulator combined with problem-based learning in teaching of cardiopulmonary resuscitation Zhonghua Yi Xue Za Zhi 88(23): 1651-1653
Hori, S. 2011: New evidences in the 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care with Treatment Recommendations Nihon Rinsho. Japanese Journal of Clinical Medicine 69(4): 605-611
Hall, A.P.; Delnoij, T.S.R.; Donker, D.W. 2014: Extracorporeal cardiopulmonary resuscitation for refractory ventricular fibrillation. A rescue bridge to reperfusion Acta Anaesthesiologica Belgica 65(4): 175-178
Calvo Macías, C.; López-Herce Cid, J.; Carrillo Alvarez, A.; Burón Martínez, E. 2000: Pediatric cardiopulmonary resuscitation equipment in the resuscitation cart or trolley. Spanish Group of Pediatric and Neonatal Cardiopulmonary Resuscitation Anales Espanoles de Pediatria 52(3): 258-260
Calvo Macías, C.; López-Herce Cid, J.; Carrillo Alvarez, A.; Burón Martínez, E. 2000: Pediatric cardiopulmonary resuscitation equipment in the resuscitation cart or trolley. Spanish Group of Pediatric and Neonatal Cardiopulmonary Resuscitation Anales Espanoles de Pediatria 52(3): 258-260
Krittayaphong, R.; Saengsung, P.; Chawaruechai, T.; Yindeengam, A.; Udompunturak, S. 2009: Factors predicting outcome of cardiopulmonary resuscitation in a developing country: the Siriraj cardiopulmonary resuscitation registry Journal of the Medical Association of Thailand 92(5): 618-623
Okada, K. 2011: Historical review from beginning of CPR to CPCR (cardiopulmonary resuscitation to cardiopulmonary-cerebral resuscitation) Nihon Rinsho. Japanese Journal of Clinical Medicine 69(4): 598-603
Brunetti, L.L.; Weiss, M.J.; Studenski, S.A.; Clipp, E.C. 1990: Cardiopulmonary resuscitation policies and practices. A statewide nursing home study Archives of Internal Medicine 150(1): 121-126
Erenler, A.K.; Çelik, S.; Baydin, A.; Tomak, L.; KoSargelir, M.; Yasti, A.Ç. 2015: Outcomes of cardiopulmonary resuscitation in trauma patients in the Emergency Department European Review for Medical and Pharmacological Sciences 19(14): 2567-2571
Pluntke, S. 2008: Aids for cardiopulmonary resuscitation--the animax device: more safety for an emergency Pflege Zeitschrift 61(11): 606-609
Parsons, W.R. 1975: An evaluation of emergency cardiopulmonary resuscitation procedures in a teaching hospital American Surgeon 41(9): 546-549
McRae, J.T. 1976: Cardiopulmonary resuscitation (CPR) as treatment of cardiac arrest. III. Advanced CPR North Carolina Medical Journal 37(7): 363-366
Duvoisin, R.M.; Broniak, F.F.; Collop, J.R.; Collins, B.C. 1992: Invasive hemodynamic monitoring during cardiopulmonary resuscitation in a community hospital emergency department Journal of the American Osteopathic Association 92(12): 1507-1512
McIntyre, K.M. 1993: Failure of 'predictors' of cardiopulmonary resuscitation outcomes to predict cardiopulmonary resuscitation outcomes. Implications for do-not-resuscitate policy and advance directives Archives of Internal Medicine 153(11): 1293-1296
Chew, K.S.; Idzwan, Z.M.; Hisamuddin, N.A.R.; Kamaruddin, J.; Wan Aasim, W.A. 2008: Outcomes of cardiopulmonary resuscitation performed in Emergency Department, Hospital Universiti Sains Malaysia Medical Journal of Malaysia 63(1): 4-8