不再有点菜式复苏:走向一个普遍、简单、合乎伦理、医学上合理的状态秩序。

Mohammed Al Faiyumi
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引用次数: 1

摘要

心肺复苏是临床医学中常用的干预措施,确定患者的代码状态是至关重要的。“有限/部分代码”多年来已悄悄进入医疗实践,并已成为一种可接受的做法。我们在这里描述了一个分层的、临床合理的和道德规范的状态排序,包括复苏的主要要素,有助于建立护理目标,消除“有限/部分代码”的使用,促进与患者和代理人的共同决策,并易于与医疗团队成员沟通。
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No More Resuscitation a la Carte: Towards a Universal, Simple, Ethical, and Medically Sound Code Status Ordering.

Cardiopulmonary resuscitation is a commonly performed intervention in clinical medicine and determining a patient's code status is paramount. "Limited/partial code" has crept into medical practice throughout the years and has become an acceptable practice. We describe here a tiered, clinically sounds and ethical code status ordering that includes the main elements of resuscitation, helps with establishing goals of care, eliminates the use of "limited/partial code," facilitates shared decision-making with patients and surrogates and is easy to communicate to healthcare team members.

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