Cover: Withholding Resuscitation in Prehospital Care

Withholding Resuscitation in Prehospital Care

Published in: Annals of Internal Medicine, v. 144, no. 9, Editorial, May 2, 2006, p. 692-693, W-161

by Arthur L. Kellermann, Joanne Lynn

Read More

Access further information on this document at www.annals.org

This study was published in a peer-reviewed scholarly journal. The full text of the study can be found at the link above.

Abstract

In this issue, Feder and colleagues report on guidelines in King County, Washington, that allowed emergency medical services (EMS) personnel to withhold resuscitation from a terminally ill patient if a family member or caregiver at the scene verbally reported that the patient did not want it. In the 16 EMS agencies that adopted the guidelines, EMS personnel withheld resuscitation nearly twice as often (5.9% before using the guidelines vs. 11.8% after using them), mostly because of honoring verbal requests. The guidelines raise some practical concerns but offer an alternative to the always resuscitate approach.

Research conducted by

This report is part of the RAND Corporation external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.