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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?
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?
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?
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?
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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?
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What is the purpose of contacting communications for a time of death?
What is the purpose of contacting communications for a time of death?
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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?
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When should resuscitative care be discontinued?
When should resuscitative care be discontinued?
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Under which circumstances may providers/responders immediately stop resuscitation efforts?
Under which circumstances may providers/responders immediately stop resuscitation efforts?
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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.
