European Resuscitation Council Guidelines for Resuscitation 2010 Section 10. The ethics of resuscitation and end-of-life decisions

Lippert, Freddy; Raffay, Violetta; Georgiou, Marios; Steen, Petter Andreas; Bossaert, Leo

doi:10.1016/j.resuscitation.2010.08.013

Cited by 226 publications

(104 citation statements)

References 156 publications

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“…Bestehende evidenzbasierte Leitlinien unterstützen professionelle Helfer bei der Entscheidung, welche Therapieansätze am zweckdienlichsten sind [11,974,975].…”

Section: Prinzip Der Fürsorgeunclassified

Kurzdarstellung

Monsieurs

Nolan

Bossaert

et al. 2015

Notfall Rettungsmed

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“…Bestehende evidenzbasierte Leitlinien unterstützen professionelle Helfer bei der Entscheidung, welche Therapieansätze am zweckdienlichsten sind [11,974,975].…”

Section: Prinzip Der Fürsorgeunclassified

Kurzdarstellung

Monsieurs

Nolan

Bossaert

et al. 2015

Notfall Rettungsmed

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“…However, other forms of treatment such as ventilation, oxygen therapy, antibiotic therapy, fluid therapy, pharmacotherapy and especially analgesic and sedative treatment should be undertaken in accordance with contemporary medical standards [4]. All medical interventions with the exception of defibrillation should be taken 9 11…”

Section: Resultsmentioning

confidence: 99%

“…15.8% of the respondents are of a different view and 14.6% have no opinion on the subject. Information on the DNR declaration, according to majority of the respondents 59.5%, should be made in writing, while 20.7% of the respondents allow for both written and oral form (in fact both of the forms of transferring information are equally important and in force) [4]. When the respondents were asked about who should make the decision of withholding resuscitation of a patient with a signed DNR declaration they answered accordingly: the attending physician -46.3%; medical referee -29.3%; the physician with the longest work seniority -19.5%.…”

Section: Resultsmentioning

confidence: 99%

“…A patient's written declaration, apart from numerous flaws, has also many advantages. Firstly, it is a sign of respect for the patient autonomy, secondly it removes the responsibility from health care workers (doctors, nurses, paramedics) in controversial situations, thirdly it allows for rescue operations consistent with the patient's worldview regardless of their religion and fourthly, the existence of such a declaration amplifies the need for understanding modern medicine [3,4].…”

Section: Introductionmentioning

confidence: 99%

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DNR declaration — emergency medical system nurses’ opinions

et al. 2012

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AbstractAdvance directive and other declarations of will made by patients in a case of mental illness still raise ethical and legal issues. In Poland there is no legal regulation, neither research about code of conduct in situation of do not attempt resuscitation. There are also not enough studies regarding Healthcare workers’ opinion about DNAR declaration (Do Not Attempt Resuscitation). The study is aimed at finding out emergency medical system nurses opinion on the subject of enforcing do not attempt resuscitation in situation of circulatory and respiratory arrest. Methods: The research was conducted by means of the diagnostic survey method applying a self — constructed questionnaire. The study was carried out among 82 (100%) nurses, from September to December 2011. Obtained information were analyzed statistically, Chi-square of independence with assumed p ≤ 0.05. level of significance was used for statistical analysis. Results: The study of the respondents’ opinion shows that 67% Healthcare employees think that DNAR declaration should be obligatory in Poland. Contrary opinion has 7.3% of respondents. In their opinion the decision to refrain from resuscitating should be made by attending physician − 46.3% and medical board − 29.3%. Information enclosed within DNAR declaration, in most of respondents’ opinion − 59.5%, should be only passed on in written form. Conclusions: Majority of respondents agree that patients have a right to refrain from resuscitating as a self − determination act. Respondents concur the introduction of DNAR declaration in Polish Healthcare system. In respondents’ opinion that decision should be required in written form and an attending physician should decide about its implementation, what violates the existing rule. The execution of living will declaration raises ethical issues. Additionally, it also appears as public/social problem. The last stage of incurable disease is given as justifiable circumstances of DNAR.

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“…In Europe alone it is estimated that approximately 350 000 people die from cardiac arrest each year [1]. Traditional interventions have not sufficiently decreased mortality rates and increased the rate of cardiopulmonary resuscitation (CPR) especially by first responders.…”

Section: Introductionmentioning

confidence: 99%

Design of a Game-Based Pre-hospital Resuscitation Training for First Responders

Kalz

Schmitz

Biermann

et al. 2013

Lecture Notes in Computer Science

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Abstract. This paper reports about the design of a game-based training intervention for pre-hospital resuscitation training. Our underlying assumption is, that survival chances in cardiac arrest situations could be significantly improved, if bystanders would be better educated and prepared to help. Based on a discussion of problems of current training concepts and related educational theories a game-based learning intervention is proposed. The focus of the intervention is the improvement of procedural knowledge and self-efficacy of participants. The game is designed on the basis of the ARLearn platform. The game context and game-design is discussed. Last but not least we discuss short-term and long-term evaluation scenarios.

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European Resuscitation Council Guidelines for Resuscitation 2010 Section 10. The ethics of resuscitation and end-of-life decisions

Cited by 226 publications

References 156 publications

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DNR declaration — emergency medical system nurses’ opinions

Design of a Game-Based Pre-hospital Resuscitation Training for First Responders

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