Cardiopulmonary resuscitation decisions - integrated adult policy: guidance

Updated guidance on cardiopulmonary resuscitation (CPR) policy reflecting feedback and changes to national good practice.


References

ASSOCIATION OF ANAESTHETISTS OF GREAT BRITAIN AND IRELAND. Do Not Attempt Resuscitation ( DNAR) Decisions in the Perioperative Period. London: AAGBI; 2009. Available from: www.aagbi.org/publications/publications-guidelines/A/F

Adults with Incapacity (Scotland) Act 2000. Edinburgh, HMSO.

BERDOWSKI J, Berg RA, Tijssen JGP, Koster RW. Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies. Resuscitation 2010; 81:1479-1487.

BRITISH MEDICAL ASSOCIATION (2009) Medical treatment for adults with incapacity. Guidance on ethical and medico-legal issues in Scotland. London: BMA books

BRITISH MEDICAL ASSOCIATION, (2000). The impact of the Human Rights Act 1998 on medical decision-making. London: BMA Books.

BRITISH MEDICAL ASSOCIATION, (2007). Withholding or withdrawing life-prolonging medical treatment. 3rd ed. London: BMA Books.

BRITISH MEDICAL ASSOCIATION, (2016). Decisions Relating to Cardiopulmonary resuscitation, guidance from the British Medical Association, Resuscitation Council ( UK) and Royal College of Nursing. Revised 3rd ed. London: BMA. https://www.resus.org.uk/dnacpr/decisions-relating-to-cpr/

GENERAL MEDICAL COUNCIL (2010). Treatment and care towards the end of life; good practice in decision-making. London: GMC

GENERAL MEDICAL COUNCIL, (2001). Good medical practice; Ch. 3 and 6. London, General Medical Council.

GIROTA S, Nallamothu BK, Spertus JA, Li Y, Krumholz HM, Chan PS for the American Heart Association. Trends in Survival after In-Hospital Cardiac Arrest. N Engl J Med 2012; 367:1912‑1920.

Human Rights Act (1998). London: HMSO.

MENCAP, (2001). Considerations of 'quality of life' in cases of medical decision-making for individuals with severe learning disabilities. London: MENCAP.

NOLAN JP, Soar J, Smith GB, Gwinnutt C, Parrott F, Power S et al. Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation 2014; 85:987-992.

NOLAN JP, Laver S, Welch C, Harrison D, Gupta V, Rowan K. Outcome following admission to UK intensive care units after cardiac arrest: a secondary analysis of the ICNARC Case Mix Programme Database. Anaesthesia 2007; 62:1207-1216.

PERKINS GD, Cooke MW. Variability in cardiac arrest survival: the NHS Ambulance Service Quality Indicators. Emerg Med J 2012; 29:3-5.

RESUSCITATION COUNCIL ( UK). CIEDs in people towards the end of life, during cardiopulmonary resuscitation and after death. Resuscitation Council ( UK) the British Cardiovascular Society and the National Council for Palliative Care 2015.

SCOTTISH AMBULANCE SERVICE AND SCOTTISH PARTNERSHIP FOR PALLIATIVE CARE End of Life Care Policy. August 2014.

SCOTTISH EXECUTIVE HEALTH DEPARTMENT, (2000). Resuscitation Policy. Edinburgh, Scottish Executive Health Department. ( HDL (2000) 22).

SPILLER, J., MURRAY, C., SHORT, S., HALLIDAY, C, NHS Lothian Do Not Attempt Resuscitation Policy. Revised version 2007.

THE SCOTTISH GOVERNMENT 2008. Living and Dying Well. A national action plan for palliative and end of life care in Scotland. Scottish Government Publications Sept 2008.

YOUNG BG et al. Neurologic Prognosis after Cardiac Arrest. New Engl J Med 2009; 361: 605-11.

MENTAL WELFARE COMMISSION 2010. Consent to treatment; a guide for mental health practitioners http://www.mwcscot.org.uk/media/51774/Consent%20to%20Treatment.pdf

Contact

Email: Elizabeth Gourlay, elizabeth.gourlay@gov.scot

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