Standards and Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC). Part VIII: Medicolegal Considerations and Recommendations
JAMA. 1986 Jun 6; 255(21): 2979-2984.
These resuscitation guidelines were developed to "enhance the quality of care while protecting the patient's right to accept or reject therapy and to clarify the physician's role in making decisions to provide, withhold, or withdraw life support." Among the issues covered are the obligation to provide cardiopulmonary resuscitation (CPR), reasons to withhold or withdraw CPR, and the liability risks of CPR providers--laypersons, CPR teachers and organizations, and hospitals. Also discussed are the role of hospital ethics committees and medicolegal considerations in treating minors. The guidelines conclude with recommendations that states enact legislation allowing allied health personnel to render emergency care more effectively outside the hospital, providing "good samaritan" immunity to laypersons administering CPR, requiring basic life support training for police and firefighters, and acknowledging the patient's right to self determination in life-or-death decisions. (KIE abstract)
Adults; Allied Health Personnel; Allowing to Die; Brain; Brain Death; Brain Pathology; Children; Clinical Ethics; Clinical Ethics Committees; Competence; Death; Decision Making; Emergency Care; Ethics; Ethics Committees; Family Members; Guidelines; Health; Health Personnel; Hospitals; Hospital Ethics Committees; Institutional Ethics; Legal Aspects; Legal Liability; Legal Obligations; Legislation; Life; Liability; Medical Records; Minors; Organizations; Parents; Patient Participation; Physician's Role; Physicians; Prognosis; Records; Resuscitation; Resuscitation Orders; Selection for Treatment; Standards; Self Determination; Treatment Refusal; Withholding Treatment;
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Standards for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC). v. Medicolegal Considerations and Recommendations Unknown creator (American Heart Association. Committee on Cardiopulmonary Resuscitation and Emergency Cardiac CareNational Academy of Sciences. National Research Council. Division of Medical Sciences. Committee on Emergency Medical Services, 1974-02-18)