Family members, ambulance clinicians and attempting CPR in the community: the ethical and legal imperative to reach collaborative consensus at speed.


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Type
Article
Change log
Authors
Cole, Robert 
Stone, Mike 
Ruck Keene, Alexander 
Abstract

Here we present the personal perspectives of two authors on the important and unfortunately frequent scenario of ambulance clinicians facing a deceased individual and family members who do not wish them to attempt cardiopulmonary resuscitation. We examine the professional guidance and the protection provided to clinicians, which is not matched by guidance to protect family members. We look at the legal framework in which these scenarios are taking place, and the ethical issues which are presented. We consider the interaction between ethics, clinical practice and the law, and offer suggested changes to policy and guidance which we believe will protect ambulance clinicians, relatives and the patient.

Description
Keywords
autonomy, clinical ethics, education for health care professionals, end-of-life, right to refuse treatment, Ambulances, Cardiopulmonary Resuscitation, Consensus, Family, Humans, Morals
Journal Title
J Med Ethics
Conference Name
Journal ISSN
0306-6800
1473-4257
Volume Title
47
Publisher
BMJ
Rights
All rights reserved
Sponsorship
Wellcome Trust (208213/Z/17/Z)