Emergency medical service providers’ experience with family presence during cardiopulmonary resuscitation

Compton, Scott; Madgy, Alexander; Goldstein, Mark; Sandhu, Jaswinder S.; Dunne, Robert; Swor, Robert A.

doi:10.1016/j.resuscitation.2005.12.012

Cited by 64 publications

(58 citation statements)

References 8 publications

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“…98 On the basis of the literature to date, the reluctance stems from provider and public ignorance of out-of-hospital arrest outcomes, [26][27]29,[103][104][105] fear related to inadequate preparation for communication with acutely grieving family members, 26,106 perceived determinants of family adaptation to loss, and concerns regarding legal liability for providers. The issue of whether families benefit from futile resuscitative measures in the field and ED has not been studied.…”

Section: Discussionmentioning

confidence: 99%

Withholding or Termination of Resuscitation in Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest

Fallat¹,

Cooper²,

Salomone³

et al. 2014

Pediatrics

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This multiorganizational literature review was undertaken to provide an evidence base for determining whether recommendations for outof-hospital termination of resuscitation could be made for children who are victims of traumatic cardiopulmonary arrest. Although there is increasing acceptance of out-of-hospital termination of resuscitation for adult traumatic cardiopulmonary arrest when there is no expectation of a good outcome, children are routinely excluded from state termination-of-resuscitation protocols. The decision to withhold resuscitative efforts in a child under specific circumstances (decapitation or dependent lividity, rigor mortis, etc) is reasonable. If there is any doubt as to the circumstances or timing of the traumatic cardiopulmonary arrest, under the current status of limiting termination of resuscitation in the field to persons older than 18 years in most states, resuscitation should be initiated and continued until arrival to the appropriate facility. If the patient has arrested, resuscitation has already exceeded 30 minutes, and the nearest facility is more than 30 minutes away, involvement of parents and family of these children in the decision-making process with assistance and guidance from medical professionals should be considered as part of an emphasis on family-centered care because the evidence suggests that either death or a poor outcome is inevitable. Pediatrics 2014;133:e1104-e1116

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Section: Discussionmentioning

confidence: 99%

Withholding or Termination of Resuscitation in Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest

Fallat¹,

Cooper²,

Salomone³

et al. 2014

Pediatrics

View full text Add to dashboard Cite

show abstract

“…They also expressed the fear that the presence of family members might impede clinical care, and that they might act inappropriately if they become too emotional. In addition, there were concerns about overcrowded emergency rooms, and the shortage of nurses who could assist the family members during the resuscitation procedures (6,10,(16)(17)(18)(29)(30)(31)(32)(33).…”

Section: Discussionmentioning

confidence: 99%

Opinions for Family Presence During Cardiopulmonary Resuscitation in Turkey: A Literature Review

Yavuz¹,

Dikmen²,

Altınbaş³

et al. 2014

Yoğun Bakim Derg

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Amaç: Bu derlemenin amacı, Türkiye'de kardiyopulmoner resüsitasyon sırasında ailenin bulunmasıyla ilgili çalışmaları değerlendirmektir.Gereç ve Yöntemler: Türkiye'de kardiyopulmoner resüsitasyon sırasında ailenin bulunması ile ilgili çalışmalar incelendi. Bu literatür incelemesi bilgisayar ortamında PubMed/ MEDLINE veritabanları kullanılarak yapıldı. Türkiye'de kardiyopulmoner resüsi-tasyon sırasında ailenin bulunması ile ilgili beş makale bulundu. Bu beş çalışma amaç, örneklem, yöntem, sonuç ve çıkarımları içeren bir düzen içerisinde verildi. Bulgular: Bu konu hakkındaki dört çalışma sağlık profesyonellerinin görüşlerini, biri de aile bireylerinin görüşlerini belirlemek amacıyla yapılmıştır. Bu çalışmalarda sağlık profesyonelleri kardiyopulmoner resüsitasyon sırasında ailelerin bulunmasını olumlu düşünmemektedirler. Sağlık profesyonellerinin kardiyopulmoner resüsitasyon sırasın-da ailelerin yanlarında bulunması ile ilgili olumsuz deneyimleri olduğu belirtilmektedir. Objective: The aim of this review was to evaluate the studies on family presence during cardiopulmonary resuscitation in Turkey.Material and Methods: Articles were screened which focused on cardiopulmonary resuscitation family presence in Turkey. The studies were identified by using computerized literature searches of the Pubmed/MEDLINE database. Five articles were found to be related to family presence during cardiopulmonary resuscitation in Turkey. Each of these studies has been described in terms of the following framework used to critique the five studies: summary of their aims, samples, methods, interventions and conclusions.Results: Four researches on this topic have been conducted to determine the health care professionals' and one to determine family members' opinions about the presence of family members during cardiopulmonary resuscitation. Findings of these studies revealed that the health care providers have different opinions about this practice. Health care professionals did not support the presence of families during cardiopulmonary resuscitation, and those who had taken part in family presence during cardiopulmonary resuscitation had negative experiences. Conclusion:Results from these data reveal that prevalent negative attitudes of health care professionals about family presence during cardiopulmonary resuscitation may arise from lack of a formal policy. Further studies are needed on a larger sample, and also studies evaluating the effects of different factors on family members of patients. (Yoğun Bakım Derg 2013; 4: 13-7)

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“…474,478,479 Family presence during resuscitation, in general, is not disruptive, 464,472,475,476,480,481 and does not create stress among staff or negatively affect their performance. 462,464,480,482 If the presence of family members creates undue staff stress or is considered detrimental to the resuscitation, 483 then family members should be respectfully asked to leave (Class IIa, LOE C). Members of the resuscitation team must be sensitive to the presence of family members, and one person should be assigned to remain with the family to comfort, answer questions, and support the family.…”

Section: Family Presence During Resuscitationmentioning

confidence: 99%

Part 14: Pediatric Advanced Life Support

Kleinman¹,

Chameides²,

Schexnayder³

et al. 2010

Circulation

913

304

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Emergency medical service providers’ experience with family presence during cardiopulmonary resuscitation

Cited by 64 publications

References 8 publications

Withholding or Termination of Resuscitation in Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest

Withholding or Termination of Resuscitation in Pediatric Out-of-Hospital Traumatic Cardiopulmonary Arrest

Opinions for Family Presence During Cardiopulmonary Resuscitation in Turkey: A Literature Review

Part 14: Pediatric Advanced Life Support

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