Ceasing Futile Resuscitation in the Field: Ethical Considerations
Jecker, Nancy S.
Schneiderman, Lawrence J.
Archives of Internal Medicine. 1992 Dec; 152(12): 2392-2397.
This article explores ethical decision making in the prehospital emergency setting with particular attention to emergency cardiac care. The first sections argue in support of current efforts to develop portable do-not-resuscitate (DNR) policies enabling patients' wishes to be honored outside the hospital setting. We then turn to the topic of futile resuscitation, and elaborate and defend a proposal to allow emergency personnel to cease futile resuscitation in the field. We submit that unlike the decision to write a DNR order, the judgment that resuscitation is futile ought not to depend on a patient's prior wishes. Instead, it should reflect a professional consensus and receive support from reliable empirical data. Finally, we acknowledge the difficulty of rendering reliable determinations of futility in the field, and show through case examples and empirical studies how effective policies can be implemented.
Advance Directives; Allied Health Personnel; Community Services; Consensus; Decision Making; Emergency Care; Futility; Guidelines; Health; Health Personnel; Legal Liability; Life; Liability; Morbidity; Mortality; Patients; Physicians; Prognosis; Quality of Life; Resuscitation; Resuscitation Orders; Risks and Benefits; Standards; Treatment Refusal; Withholding Treatment;
Showing items related by title, author, creator and subject.
An Ethical Analysis of the Use of 'Futility in the 1992 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiac Care Jecker, Nancy S.; Schneiderman, Lawrence J. (1993-10-11)