19 min listen
Debate: ‘Do Not Resuscitate’ Should Be The Default
FromCoda Change
ratings:
Length:
27 minutes
Released:
Feb 4, 2017
Format:
Podcast episode
Description
Alex -PRO- : The application of ‘CPR-for-all’ is the ultimate evidence drift. A treatment that is completely appropriate for dropping dead whilst running a marathon has almost no place in acute healthcare facilities where chronic irreversible complex co-morbidities abound. 90% of doctors would not choose CPR for themselves, yet 100% are trained in how to administer it to patients. Defaulting to ‘CPR-for-all’ removes a patients’ ability to provide informed consent for assault whilst they die from another disease. Remember - 2 weeks in ICU can spare you 5 minutes of difficult conversation. Sara -CON- : Across the globe, patients are assumed to be full code to allow for prompt resuscitation, until code status can be discussed and clarified. There are numerous excellent reasons for this. Can you imagine if our systems decreed that DNR was the default? “Let’s not shock that VF, until we can clarify his code status.” Or, “let’s not resuscitate that child, after all, DNR is the default and her mother isn’t here yet!” Making DNR the default is not a good solution to ICU or hospital over-crowding. Let’s not mandate DNR, let’s mandate having reasonable code discussions early and often.
Released:
Feb 4, 2017
Format:
Podcast episode
Titles in the series (100)
Scott Weingart: Tubing the Shocked Patient: The lowdown on getting your priorities straight and your doses optimised when tubing a shocked patient. by Coda Change