Robinson Christopher P, Hunt Suzanne L, Gronseth Gary S, Hocker Sara, Wijdicks Eelco F M, Rabinstein Alejandro A, Braksick Sherri A
Department of Neurology, University of Florida, Gainesville, FL.
Department of Biostatistics and Data Science, University of Kansas Medical Center, Kansas City, KS.
Kans J Med. 2021 Nov 5;14(3):277-281. doi: 10.17161/kjm.vol14.15512. eCollection 2021.
Circulatory-respiratory death declaration is a common duty of physicians, but little is known about the amount of education and physician practice patterns in completing this examination.
An online survey of physicians was conducted evaluating the rate of formal training and specific examination techniques used in the pronouncement of circulatory-respiratory death. Data, including the level of practice, training received in a formal death declaration, and examination components, were collected.
Respondents were attending physicians (52.4%), residents (30.2%), fellows (10.7%), and interns (6.7%). Most respondents indicated they had received no formal training in death pronouncement; however, most reported self-perceived competence. When comparing examination components used by the study's cohort, 95 different examination combinations were used for death pronouncement.
Formal training in death pronouncement was uncommon and clinical practice varied. Implementation of formal training and standardization of the examination are necessary to improve physician competence and reliability in death declarations.
循环呼吸死亡宣告是医生的一项常见职责，但对于完成此项检查所需的教育量以及医生的实践模式知之甚少。
对医生进行了一项在线调查，评估在宣告循环呼吸死亡时的正规培训率和使用的具体检查技术。收集了包括执业水平、在正式死亡宣告中接受的培训以及检查内容等数据。
受访者包括主治医师（52.4%）、住院医师（30.2%）、研究员（10.7%）和实习生（6.7%）。大多数受访者表示他们没有接受过死亡宣告方面的正规培训；然而，大多数人报告自我感觉有能力。在比较该研究队列使用的检查内容时，用于死亡宣告的检查组合有95种不同情况。
死亡宣告方面的正规培训并不常见且临床实践各不相同。实施正规培训和检查标准化对于提高医生在死亡宣告方面的能力和可靠性是必要的。
