These Web-based Integrated Guidelines incorporate the relevant recommendations from 2010 and the new or updated recommendations from 2015.
The goals of resuscitation are to preserve life; restore health; relieve suffering; limit disability; and respect individuals’ decisions, rights, and privacy. Because cardiopulmonary resuscitation (CPR) efforts must be initiated immediately at the time of arrest, a rescuer may not know who the victim is, what that individual’s goals of care are, or if an advance directive exists. As a result, administration of CPR may be contrary to the individual’s desires or best interests.1-3 This Part of the 2015 American Heart Association (AHA) Web-based Integrated Guidelines for CPR and Emergency Cardiovascular Care provides updates to the 2010 AHA Guidelines4 for healthcare providers who are faced with the difficult decision to provide or withhold emergency cardiovascular care.
Guru V, Verbeek PR, Morrison LJ. Response of paramedics to terminally ill patients with cardiac arrest: an ethical dilemma. CMAJ. 1999;161:1251–1254.
Wiese CH, Bartels UE, Zausig YA, Pfirstinger J, Graf BM, Hanekop GG. Prehospital emergency treatment of palliative care patients with cardiac arrest: a retrolective investigation. Support Care Cancer. 2010;18:1287– 1292. doi: 10.1007/s00520-009-0746-8.
Miller W, Levy P, Lamba S, Zalenski RJ, Compton S. Descriptive analysis of the in-hospital course of patients who initially survive out-of-hospital cardiac arrest but die in-hospital. J Palliat Med. 2010;13:19–22. doi: 10.1089/jpm.2009.0248.
Morrison LJ, Kierzek G, Diekema DS, Sayre MR, Silvers SM, Idris AH, Mancini ME. Part 3: ethics: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122(suppl 3):S665–S675. doi: 10.1161/ CIRCULATIONAHA.110.970905.