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Ethical, professional, and legal obligations in clinical practice: a series of discussion topics for postgraduate medical education Topic 3: resuscitation decisions in adult patients
D M GoreCraigavon Area
Hospital, Northern Ireland
Correspondence to: Mr D M Gore, Department of Surgery, University of Liverpool, 5th Floor UCD Building, Daulby Street, Liverpool L69 3GA, UK dmgore@liverpool.ac.uk
Submitted 24 May 2000;
Accepted 2 August 2000
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Introduction |
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This is the third discussion topic in a series of five dealing with ethical, professional, and legal obligations of clinical practice. Junior doctors tend to lack confidence in these subjects, and thus I organised a series of informal discussions in our surgical unit on which these articles are based. The sessions were prepared with reference to non-academic literature readily available from the General Medical Council and the medical defence organisations. While our unit dealt with these issues from a surgical perspective, the obligations of clinical practice apply to all practitioners, and the series could be easily modified for other clinical specialties.
Closed chest resuscitation for cardiopulmonary arrest was
pioneered in the 1960s and a crash team is now a standard feature of UK
acute hospitals.1 Different series report survival rates ranging from 5%-20%. A "not for resuscitation" (NFR) decision indicates that an elective decision has been made not to call
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This article has been cited by other articles:
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Gorton, A J, Jayanthi, N V G, Lepping, P, Scriven, M W
(2008). Patients' attitudes towards "do not attempt resuscitation" status. J. Med. Ethics
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[Abstract] [Full Text] -
Jain, A K, Chattopadhyay, I, Kallat, A
(2002). Ethical, professional, and legal obligations in clinical practice Author's reply. Postgrad. Med. J.
78: 61-62
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