Abstract：
:Emergency teams asked to provide cardiopulmonary resuscitation for pediatric patients often consist of nurses and physicians from various pediatric and nonpediatric specialties. Team members should agree on the timing of termination of unsuccessful resuscitative efforts; however, no firm guidelines about such timing have been established. The purposes of this study were to determine (1) whether a consensus exists among health-care professionals about the optimal duration of unsuccessful resuscitation for pediatric patients and (2) whether attitudes are influenced by individual case prognosis, medical specialty, level of training, or certification in pediatric advanced life support (PALS). By random selection, 140 physicians, nurses, and medical students were asked to specify the duration that they would continue unsuccessful resuscitative efforts for each of two hypothetical cases: one patient with a good prognosis for survival and one with a poor prognosis. Although no clear consensus existed, all groups of health-care providers chose significantly briefer durations of resuscitation for the case with a poorer prognosis (P < 0.01). The specified durations of resuscitation were briefer for those who had PALS certification than for those who did not and for pediatricians than for nonpediatric physicians (P < 0.01). Furthermore, PALS certification (P < 0.01) and pediatric specialty (P < 0.05) contributed as independent variables in influencing the study participants' attitudes about duration of resuscitation, whereas level of training did not. We conclude that no consensus exists among the groups studied on the optimal duration of unsuccessful resuscitative efforts in pediatric patients. We speculate that the opinions might be more uniform if resuscitation of pediatric patients was provided primarily by pediatricians or PALS-certified physicians.
journal_name
Mayo Clin Procjournal_title
Mayo Clinic proceedingsauthors
O'Marcaigh AS,Koenig WJ,Rosekrans JA,Berseth CLdoi
10.1016/s0025-6196(12)60126-8subject
Has Abstractpub_date
1993-04-01 00:00:00pages
332-6issue
4eissn
0025-6196issn
1942-5546pii
S0025-6196(12)60126-8journal_volume
68pub_type
杂志文章abstract：OBJECTIVE:To test the hypothesis that chromosomal rearrangements (CRs) can distinguish low risk of progression (LRP) from intermediate and high risk of progression (IHRP) to prostate cancer (PCa) and if these CRs have the potential to identify men with LRP on needle biopsy that harbor IHRP PCa in the prostate gland. P...
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章,评审
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更新日期：2017-08-01 00:00:00
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journal_title：Mayo Clinic proceedings
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
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journal_title：Mayo Clinic proceedings
pub_type： 历史文章,杂志文章
doi：10.4065/81.8.1071
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pub_type： 杂志文章,评审
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pub_type： 临床试验,杂志文章
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pub_type： 杂志文章,评审
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：10.1016/s0025-6196(12)65202-1
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journal_title：Mayo Clinic proceedings
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：10.1016/s0025-6196(12)61196-3
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：10.4065/77.11.1233
更新日期：2002-11-01 00:00:00
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doi：10.1016/s0025-6196(12)62163-6
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journal_title：Mayo Clinic proceedings
pub_type： 传,历史文章,杂志文章,评审
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：10.1016/s0025-6196(12)60217-1
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章,评审
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pub_type： 杂志文章
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pub_type： 杂志文章
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更新日期：2017-04-01 00:00:00
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章,评审
doi：10.4065/72.11.1051
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：10.1016/s0025-6196(12)60297-3
更新日期：1985-02-01 00:00:00
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：10.4065/77.7.713
更新日期：2002-07-01 00:00:00
