By Mary Fran Hazinski, John M. Field
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Extra info for 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science
67. 68. 69. 70. 71. Circulation November 2, 2010 minutes following hypoxic-ischemic encephalopathy. Pediatrics. 2009; 124:1619 –1626. Atkins DL, Everson-Stewart S, Sears GK, Daya M, Osmond MH, Warden CR, Berg RA. Epidemiology and outcomes from out-of-hospital cardiac arrest in children: the Resuscitation Outcomes Consortium Epistry-Cardiac Arrest. Circulation. 2009;119:1484 –1491. Perron AD, Sing RF, Branas CC, Huynh T. Predicting survival in pediatric trauma patients receiving cardiopulmonary resuscitation in the prehospital setting.
Support Care Cancer. 2009. 3. Miller W, Levy P, Lamba S, Zalenski RJ, Compton S. Descriptive analysis of the in-hospital course of patients who initially survive outof-hospital cardiac arrest but die in-hospital. J Palliat Med. 2010;13: 19 –22. 4. ACEP Policy Statement: Code of Ethics for Emergency Physicians. Am College of Emergency Physicians. idϭ29144. Accessed 5 May, 2010. 5. Marco CA, Bessman ES, Schoenfeld CN, Kelen GD. Ethical issues of cardiopulmonary resuscitation: current practice among emergency physicians.
DNAR documentation can take many forms (eg, written bedside orders, wallet identification cards, identification bracelets, or predefined paper documents approved by the local emergency medical services [EMS] authority). 16 Delayed or token efforts such as so-called “slow-codes” (knowingly providing ineffective resuscitative efforts) are inappropriate. This practice compromises the ethical integrity of healthcare providers, uses deception to create a false impression, and may undermine the provider-patient relationship.