Termination of resuscitation attempts:
Within resuscitation attempts, there are certain criteria where, despite best efforts, resuscitation will not be successful, or to start would be futile due to the length of time the patient has been in arrest:
Where the patient has been in cardiac arrest for some time, there is no realistic chance of a successful resuscitation if all the following exist together –
As discussed, these are some of the main principles for ROLE within the UK. Some Ambulance Trusts and organisations will have differing criteria and guidelines. It is important to review your local guidelines and act within your scope of practice to provide the best care for the patient. Some of the decisions can be difficult when weighing up various factors and information, and further study should be undertaken to improve your personal knowledge and decision making.
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