Potential Impact of a Verbal Prehospital DNR Policy
Grudzen, Corita R
Koenig, William J
Hoffman, Jerome R
Boscardin, W John
Lorenz, Karl A
Asch, Steven M
Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors 2009 Apr-Jun; 13(2): 169-72
Forgoing resuscitation in prehospital cardiac arrest has previously required a written prehospital do-not-resuscitate (DNR) order. Some emergency medical services (EMS) agencies, including Los Angeles County (LAC), have implemented policies allowing surrogate decision makers to verbally request to forgo resuscitation. The impact of a verbal DNR policy is unclear, given the absence of information about how often cardiac arrest occurs at home, or in the presence of a family member.
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The LA Story: What Happened After a New Policy Allowing Paramedics to Forgo Resuscitation Attempts in Prehospital Cardiac Arrest Grudzen, Corita R; Hoffman, Jerome R; Koenig, William J; Boscardin, John; Lorenz, Karl A; Asch, Steven M (2010-06)BACKGROUND: Despite potential harm to patients, families, and emergency personnel, a low survival rate, and high costs and intensity of care, attempting resuscitation after prehospital cardiac arrest is the norm, unless ...
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