Derivation of a Clinical Decision Rule for the Discontinuation of In-Hospital Cardiac Arrest Resuscitations

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Abstract
CARDIOPULMONARY resuscitation (CPR) and advanced cardiac life support are used to resuscitate patients suffering cardiac arrest. With the exception of airway management and cardiac defibrillation, the effectiveness of interventions provided during resuscitation is uncertain.1 Physicians and other health care personnel often expend prolonged amounts of time and effort in attempting to resuscitate patients. Resuscitated patients may be subjected to prolonged, intensive, and invasive therapy. Throughout this time, the patient's family and members of the health care team often deal with difficult emotions and decisions.