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Do We Need a Clinical Decision Rule for the Discontinuation of Cardiac Arrest Resuscitations?
Arch Intern Med. 1999;159:119-121.
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THE GUIDELINES for the treatment of patients in cardiac arrest are probably the most successful clinical guidelines in medicine today. These include guidelines for cardiopulmonary resuscitation (CPR), advanced cardiac life support (ACLS), and pediatric advanced life support that are developed through a consensus process by the American Heart Association in cooperation with other organizations.1 These guidelines are widely used and successful because the optimal treatment for a patient in cardiac arrest requires an interdisciplinary team response with time to treatment being a key factor. In the setting of cardiac arrest, decisions must be made instantaneously and there is no time to look up the appropriate treatment. Although the body of recommendations in ACLS and pediatric advanced life support are rich and full of nuances encouraging clinicians to assess the patient for cause of the arrest and individualize the treatment based on clinical circumstances, the treatment is often reduced to a . . . [Full Text of this Article]
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Derivation of a Clinical Decision Rule for the Discontinuation of In-Hospital Cardiac Arrest Resuscitations
Carl van Walraven, Alan J. Forster, and Ian G. Stiell
Arch Intern Med. 1999;159(2):129-134.
ABSTRACT
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Validation of a Clinical Decision Aid to Discontinue In-Hospital Cardiac Arrest Resuscitations
van Walraven et al.
JAMA 2001;285:1602-1606.
ABSTRACT
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