Publications by authors named "Sylvia Feder"
Article Synopsis
- The study examined the role of Do Not Attempt Resuscitation (DNAR) directives in out-of-hospital cardiac arrest (OHCA) cases attended by emergency medical services (EMS) in King County, WA, during 2018.
- Out of 3,152 OHCA cases, 9.9% had a DNAR directive; these were more frequently present in cases where EMS did not initiate resuscitation compared to those where resuscitation was attempted.
- Many DNAR directives were presented late (about 6 minutes after EMS arrival), and family objections to the DNAR led to less compliance with the directive, highlighting challenges in adhering to patient end-of-life preferences.
Reasons 9-1-1 is called for cardiac arrest cases in which no resuscitation is attempted.
Prehosp Emerg Care
September 2009
Objective: The goal of this investigation was to describe the reasons emergency medical services (EMS) is activated when resuscitation is not desired or when patients show signs of irreversible death.
Methods: All medical incident report forms (MIRFs) indicating a cardiac arrest for which resuscitation was withheld were obtained from five participating fire departments. For each eligible case (N = 196), one of the emergency medical technicians (EMTs) present at the scene was interviewed and the dispatch tape of the 9-1-1 call was reviewed.
Background: Emergency medical services (EMS) personnel often are not permitted to honor requests to withhold resuscitation at the end of life, particularly if there is no written do-not-resuscitate (DNR) order.
Objective: To determine whether EMS personnel from agencies implementing new guidelines would be more likely to withhold resuscitation from persons having out-of-hospital cardiac arrests than would personnel from agencies that did not implement the guidelines.
Design: Observational study in which 16 of 35 local EMS agencies volunteered to implement new guidelines for withholding resuscitation.