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对心脏停搏患者的复苏尝试:是法律在本末倒置吗?

Resuscitation attempts in asystolic patients: the legal tail wagging the dog?

作者信息

Levy Frederick, Kelen Gabor

机构信息

Department of Emergency Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland 21287, USA.

出版信息

J Emerg Med. 2006 Feb;30(2):223-6. doi: 10.1016/j.jemermed.2005.04.021.

DOI:10.1016/j.jemermed.2005.04.021
PMID:16567264
Abstract

In today's litigious society, legal worries can cause Emergency practitioners to alter their delivery of clinical care. One clinical scenario in which this particularly true is in resuscitation of the so called "medically futile" patient. Patients who arrive to the Emergency Department in prolonged asystole have a uniformly dismal prognosis at best. Yet, many Emergency Physicians often continue resuscitative efforts for fear of being sued. These fears are largely unjustified. This article attempts to analyze the factors and elements involved in support of the assertion that the risk of a lawsuit is negligible at best.

摘要

在当今这个好打官司的社会,法律方面的担忧会导致急诊医生改变他们提供临床护理的方式。在一种临床情况下,这种情况尤其明显,那就是对所谓“医疗上无意义”的患者进行复苏。那些长时间处于心搏停止状态被送到急诊科的患者,其预后充其量也都很糟糕。然而,许多急诊医生常常因为害怕被起诉而继续进行复苏努力。这些担忧在很大程度上是没有道理的。本文试图分析支持这样一种观点的相关因素,即诉讼风险充其量是微不足道的。

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