Department of Emergency Medicine, University of the Witwatersrand, Johannesburg.
S Afr Med J. 2011 Sep 27;101(10):765-7.
Resuscitation of patients occurs daily in emergency departments. Traditional practice entails family members remaining outside the resuscitation room.
We explored the introduction of family witnessed resuscitation (FWR) as it has been shown to allow closure for the family when resuscitation is unsuccessful and helps them to better understand the last moments of life.
Attending medical doctors have concerns about this practice, such as traumatisation of family members, increased pressure on the medical team, interference by the family, and potential medico-legal consequences. There was not complete acceptance of the practice of FWR among the sample group.
Short-course training such as postgraduate advanced life support and other continued professional development activities should have a positive effect on this practice.The more experienced doctors are and the longer they work in emergency medicine, the more comfortable they appear to be with the concept of FWR and therefore the more likely they are to allow it. Further study and course attendance by doctors has a positive influence on the practice of FWR.
在急诊科，每天都会对患者进行复苏。传统的做法是让家属留在复苏室外。
我们探讨了引入有家属在场的心肺复苏术（FWR），因为当复苏不成功时，这可以让家属得到安慰，帮助他们更好地理解生命的最后时刻。
主治医生对这种做法有一些担忧，例如会使家属受到创伤、给医疗团队带来更大的压力、家属的干扰，以及可能的医疗法律后果。在样本组中，并不是所有人都完全接受 FWR 的做法。
短期课程培训，如研究生高级生命支持和其他持续的专业发展活动，应该对这种做法产生积极影响。经验丰富的医生和在急诊医学领域工作时间较长的医生，他们对 FWR 概念的接受程度似乎越高，因此他们越有可能允许进行 FWR。医生进一步的学习和课程参与对 FWR 的实践有积极的影响。
