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

Author:

Cole Robert,Stone Mike,Ruck Keene Alexander,Fritz ZoeORCID

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.

Funder

Wellcome Trust

Publisher

BMJ

Subject

Health Policy,Arts and Humanities (miscellaneous),Issues, ethics and legal aspects,Health (social science)

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4. National Confidential Enquiry into Patient Outcome and Death . Time to Intervene? A review of patients who underwent cardiopulmonary resuscitation as a result of an in-hospital cardiorespiratory arrest [Online], 2012. Available: http://www.ncepod.org.uk/2012cap.htm

5. Joint Royal Colleges Ambulance Liaison Committee . Clinical guidelines, 2019.

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