Walker Wendy M
University of Birmingham, School of Health Sciences, 52 Pritchatts Road, Edgbaston, Birmingham B15 2TT, United Kingdom.
Int Emerg Nurs. 2008 Apr;16(2):119-26. doi: 10.1016/j.ienj.2008.01.007. Epub 2008 Mar 20.
Many nurses will be familiar with the demanding role of caring for a patient who requires cardiopulmonary resuscitation following a sudden, life-threatening illness or event. This paper examines the phenomenon of sudden cardiac death and in particular, focuses on the medical-technical discourse of dying and death in the context of resuscitation for the victims of sudden cardiac arrest. The process of dying is distinguished from the end point of death by drawing upon biomedical determinants and definitions of death. Comparison is made between the use of resuscitation techniques in an attempt to reverse 'clinical death' and the notion of a 'natural death' that is proffered as a means to a 'good' or 'ideal' death. The humanistic versus technological imperative is further deliberated by examining the role of the emergency team in end of life care and includes consideration of the effects that medical dominance may have on the dying process. The practice of family witnessed resuscitation is recognised as one way in which a holistic approach to emergency resuscitative care may be achieved.
许多护士都熟知照顾因突发危及生命的疾病或事件而需要心肺复苏的患者这一艰巨任务。本文探讨了心源性猝死现象，尤其关注在对心脏骤停受害者进行复苏的背景下，关于濒死和死亡的医学技术论述。通过借鉴生物医学对死亡的决定因素和定义，区分了濒死过程与死亡终点。比较了为逆转“临床死亡”而使用复苏技术与作为“善终”或“理想死亡”方式的“自然死亡”概念。通过审视急救团队在临终护理中的作用，进一步探讨了人文需求与技术需求的问题，其中包括考虑医疗主导对濒死过程可能产生的影响。家属见证复苏的做法被认为是实现紧急复苏护理整体方法的一种途径。
