Campbell R
R Campbell, Medical Ethics and Human Rights Department, British Medical Association, Tavistock Square, London WC1H 9JP, UK. Email:
J R Coll Physicians Edinb. 2017 Mar;47(1):47-51. doi: 10.4997/JRCPE.2017.110.
Since its introduction in the 1960s as a treatment to restart the heart after sudden cardiac arrest from a heart attack, attempts at cardiopulmonary resuscitation have become more common in other clinical situations. Cardiopulmonary resuscitation can be a lifesaving treatment, with the likelihood of recovery varying greatly depending on individual circumstances; however, overall, the proportion of people who survive following cardiopulmonary resuscitation is relatively low. Anticipatory decisions were recognised as being the best way of ensuring that cardiopulmonary resuscitation was not attempted against individuals' wishes. Since 2001, the British Medical Association, Resuscitation Council (UK) and Royal College of Nursing have published professional guidance on decisions relating to cardiopulmonary resuscitation. The latest version of this guidance was published in June 2016. This paper summarises the key legal and ethical principles that should inform all cardiopulmonary resuscitation decisions, with particular emphasis on the recent changes in law and policy.
自20世纪60年代作为一种在心脏病发作导致心脏骤停后重启心脏的治疗方法引入以来，心肺复苏在其他临床情况下的尝试变得更加普遍。心肺复苏可以是一种挽救生命的治疗方法，恢复的可能性因个体情况而异；然而，总体而言，心肺复苏后存活的人数比例相对较低。预先决定被认为是确保不违背个人意愿进行心肺复苏的最佳方式。自2001年以来，英国医学协会、复苏委员会（英国）和皇家护理学院已发布了关于心肺复苏相关决定的专业指南。该指南的最新版本于2016年6月发布。本文总结了所有心肺复苏决定应遵循的关键法律和伦理原则，特别强调了法律和政策的近期变化。
