Ward C G
University of Miami School of Medicine, Department of Surgery, FL 33101.
J Burn Care Rehabil. 1992 Mar-Apr;13(2 Pt 1):272-4.
The decision not to resuscitate a patient with burns is an issue of concern, with advocates both for and against. Most patients have not had previous experience with major burn injuries. It is therefore unreasonable to expect them or their families to act from a position of knowledge. There is a subset of patients considered for "do not resuscitate" orders who are nonsurvivors. If the outcome is predictable, the responsibility of the burn team is to inform patients and their families. Such discussion should come within the first few hours of admission, when the patient is fully awake and able to understand, to respond, and to make plans.
对于烧伤患者不进行心肺复苏的决定是一个备受关注的问题，存在支持和反对的双方。大多数患者此前没有过严重烧伤的经历。因此，期望他们或其家人基于了解情况的立场行事是不合理的。在考虑下达“不进行心肺复苏”医嘱的患者中有一部分是非幸存者。如果结局是可预测的，烧伤治疗团队有责任告知患者及其家人。这样的讨论应在入院后的头几个小时内进行，此时患者完全清醒，能够理解、做出回应并制定计划。
