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[复苏的法医学方面]

[Forensic medicine aspects of resuscitation].

作者信息

Bauer G

机构信息

Institut für Gerichtliche Medizin, Universität Wien.

出版信息

Wien Med Wochenschr. 1987 Dec 15;137(23):533-42.

PMID:3326291
Abstract

Nowadays, in almost all cases of clinical death, there is at least a remote chance of resuscitation, of restoring breathing and circulation by means of modern methods of cardiopulmonary resuscitation. Statistically, there are more cases of cardiocirculatory arrest due to an internal cause than to a traumatic cause. Just as medical activity in general, resuscitation is increasingly discussed in its legal and ethical aspects. The duty to exercise due care and proper qualification require a very specific approach in the case of resuscitation, as the chain of persons potentially involved in life saving stretches from the medical layman to the specialist trained to deal with emergency situations. As opposed to conditions in other countries, in Austria the duty to render aid and assistance as statutory provision of the penal code can be of great importance in such cases. Criteria and definition, especially in the ad hoc establishment of death, assume a special significance in resuscitation. Over the past years, resuscitation measures within the complex of the procurement of death have repeatedly been put up for discussion. Examples from US judicature may help to define the problem more clearly and also to offer solutions for similar cases. Such decisions should essentially be guided by the consideration of the presumed will of the patient who no longer is in a position to exercise the right of self-determination.

摘要

如今,在几乎所有临床死亡案例中,通过现代心肺复苏方法恢复呼吸和循环,即进行复苏,至少存在一丝渺茫的机会。从统计数据来看,心循环骤停由内因导致的病例比由外伤导致的更多。与一般医疗活动一样,复苏在法律和伦理方面也越来越受到讨论。在复苏情况下,履行应有的谨慎义务和具备适当资质需要一种非常特殊的方法,因为可能参与挽救生命的人员范围从普通民众一直延伸到接受过紧急情况处理培训的专家。与其他国家的情况不同,在奥地利,刑法典规定的提供援助的义务在这类案例中可能非常重要。标准和定义,尤其是在临时判定死亡方面,在复苏中具有特殊意义。在过去几年里,在死亡判定过程中的复苏措施屡屡引发讨论。美国司法案例或许有助于更清晰地界定问题,并为类似案例提供解决方案。此类决策本质上应以考虑不再能够行使自决权的患者的推定意愿为指导。

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