Podcast
Questions and Answers
According to the ATCEMS System standard, when should resuscitation, including CPR, be withheld?
According to the ATCEMS System standard, when should resuscitation, including CPR, be withheld?
- When the patient has a valid OOH DNR
- When the provider is unsure whether the patient meets the criteria
- When the patient is pulseless and apneic
- When the patient is obviously dead as per specific criteria (correct)
Which condition warrants withholding or terminating resuscitation according to the ATCEMS System standard?
Which condition warrants withholding or terminating resuscitation according to the ATCEMS System standard?
- Respiratory distress without pulselessness
- Partial thickness burns covering 40% of the body surface area
- Complete exsanguination (correct)
- Less than 90% body surface area burned with superficial burns
In what scenario should resuscitative care not be initiated or continued by an ATCEMS System Provider?
In what scenario should resuscitative care not be initiated or continued by an ATCEMS System Provider?
- When the patient has severe displacement of brain matter
- When the patient is pulseless and apneic without any obvious mortal wounds (correct)
- When the patient has a valid OOH DNR
- When there is uncertainty about the patient's condition meeting specific criteria
What does the ATCEMS System standard consider as a valid reason for withholding resuscitative efforts?
What does the ATCEMS System standard consider as a valid reason for withholding resuscitative efforts?
According to ATCEMS System guidelines, what would prompt a provider to document specific indications for withholding or terminating resuscitation in the ePCR?
According to ATCEMS System guidelines, what would prompt a provider to document specific indications for withholding or terminating resuscitation in the ePCR?
What is the purpose of contacting communications for a time of death?
What is the purpose of contacting communications for a time of death?
Under what conditions can an ALS provider contact communications for a time of death?
Under what conditions can an ALS provider contact communications for a time of death?
When should resuscitative care be discontinued?
When should resuscitative care be discontinued?
Under which circumstances may providers/responders immediately stop resuscitation efforts?
Under which circumstances may providers/responders immediately stop resuscitation efforts?
Study Notes
Withholding Resuscitation
- Resuscitation, including CPR, should be withheld if the patient has a valid Do-Not-Resuscitate (DNR) order or has signs of obvious death (i.e., decapitation, decomposition, or rigor mortis).
- A valid reason for withholding resuscitation is if the patient has a terminal illness or injury and has a DNR order or a prehospital DNR form.
Documenting Resuscitation Efforts
- A provider should document specific indications for withholding or terminating resuscitation in the ePCR, such as the patient's condition, advance directives, or a DNR order.
Contacting Communications for a Time of Death
- The purpose of contacting communications for a time of death is to notify them of the patient's demise and provide a time of death.
- An ALS provider can contact communications for a time of death if the patient has obvious signs of death, a valid DNR order, or has been pronounced dead by a physician.
Discontinuing Resuscitation
- Resuscitative care should be discontinued if the patient has a valid DNR order, has signs of obvious death, or if resuscitation efforts are deemed futile.
- Providers/responders may immediately stop resuscitation efforts if the patient has a DNR order, has obvious signs of death, or if the patient's condition is deemed non-survivable.
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Description
Test your knowledge on the criteria for withholding resuscitative efforts in the ATCEMS System, including when resuscitation, including CPR, should be withheld and the parameters for determining if a patient is obviously dead or has a valid OOH DNR.
