{"title":"When Is It Acceptable to Terminate Resuscitation in Prehospital Settings?","authors":"Christopher Libby, Scott H Pasichow","doi":"10.1001/amajethics.2025.484","DOIUrl":null,"url":null,"abstract":"<p><p>Given advances in resuscitation science that bring advanced cardiac life support (ACLS) to prehospital settings, emergency medical technicians (EMTs) and paramedics must make decisions about whether and when to terminate resuscitation and to transport a patient for whom ACLS is unsuccessful. Protocols for both vary across the United States. This article reviews ethical and scientific features of EMTs' and paramedics' decisions to initiate, continue, or terminate resuscitation.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 7","pages":"E484-490"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"AMA journal of ethics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1001/amajethics.2025.484","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Social Sciences","Score":null,"Total":0}
引用次数: 0
Abstract
Given advances in resuscitation science that bring advanced cardiac life support (ACLS) to prehospital settings, emergency medical technicians (EMTs) and paramedics must make decisions about whether and when to terminate resuscitation and to transport a patient for whom ACLS is unsuccessful. Protocols for both vary across the United States. This article reviews ethical and scientific features of EMTs' and paramedics' decisions to initiate, continue, or terminate resuscitation.
期刊介绍:
The AMA Journal of Ethics exists to help medical students, physicians and all health care professionals navigate ethical decisions in service to patients and society. The journal publishes cases and expert commentary, medical education articles, policy discussions, peer-reviewed articles for journal-based and audio CME, visuals, and more. Since its inception as an editorially-independent journal, we promote ethics inquiry as a public good.