0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Viewpoint |

Resuscitations That Never End Originating From Unresolved Integrity-Related Moral Distress

Tessy A. Thomas, DO, MBE1; Laurence B. McCullough, PhD2
[+] Author Affiliations
1Department of Pediatric Critical Care Medicine, Baylor College of Medicine/Texas Children’s Hospital, Houston
2Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, Texas
JAMA Pediatr. 2016;170(6):521-522. doi:10.1001/jamapediatrics.2016.0030.
Text Size: A A A
Published online

Extract

This Viewpoint discusses the effects on clinicians of repeated exposure to morally distressing cases, in the context of cardiopulmonary resuscitation.

Cardiopulmonary resuscitation (CPR) is a time-dependent clinical intervention. Unlike most other clinical interventions (eg, antibiotics for sepsis, chemotherapy regimens, and duration of mechanical ventilation) that are marked with distinct start and stop times, attempts at CPR are dependent on many process times requiring intense multidisciplinary teamwork in a short period of time. Process times that are simultaneously coordinated and recorded include the following: when the nurses and physicians arrive in the patient’s room; the administration of medication; the cycle of chest compressions; pulse and rhythm checks; defibrillations or cardioversion attempts; and the last recorded time in a resuscitation, return of spontaneous circulation, or death. The resuscitation team leader declares, “the end,” and the team’s work stops. The title of this Viewpoint therefore appears paradoxical: how can it be that cardiopulmonary resuscitation never ends?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

823 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();