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KMID : 1011120140080020023
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Bioethics Policy Studies
2014 Volume.8 No. 2 p.23 ~ p.47
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Decision making of Resuscitation - Withhold or Withdrawal in Emergency Medical System -
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Kim Ah-Jin
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Abstract
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CPR should be performed immediately after cardiac arrest without the special exceptions. If CPR don’t help the recovery of heart function and if the patient don"t want CPR in advance, withholding and withdrawal of CPR can be justified. Domestic practical conditions and environments of EMS prevent two requirements from being satisfied. We showed the entire CPR flow, the possible steps and requirements not to resuscitate.
Physician’s medical directions are necessary in prehospital phase. In early hospital phase, to withdraw CPR would be on the physician’s judgement for the patient’s life interest as well. Physician should consider the patient’s value and non-medical factors in later CPR phase.
There should be the different requirements to each step for withholding and withdrawal of CPR. The institution’s modeling of decision making CPR can be complementary to the present system.
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KEYWORD
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Decision making, Heart Arrest, Cardiopulmonary Resuscitation, Resuscitation orders
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