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发帖数: 20965 | 1 http://www.cnn.com/2013/07/10/health/cpr-lifesaving-stats/index.html
(CNN)In his 20 years of practicing emergency medicine, Dr. David Newman says
, he remembers every patient who has walked out of his hospital alive after
receiving CPR.
It's not because Newman has an extraordinary memory or because reviving a
patient whose heart has stopped sticks in his mind more than other types of
trauma. It's because the number of individuals who survive CPR is so small.
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这个描述感觉准确
Newman says the few who do survive after CPR are what physicians describe as
the "healthy dead": i.e. "a boy who drowned moments before," "a man who
collapses while running a marathon" or someone experiencing a mild heart
attack.
More common are the "unhealthy dead": those with terminal illnesses, the
chronically ill and patients who do not receive CPR within five to 10
minutes of cardiac arrest.
"In these cases, (CPR) is unnecessarily burdensome, invasive and arguably
cruel, with little to no chance of benefit," Newman said. Many survivors
suffer abdominal distention or broken rib cages; some have severe brain
damage from being without oxygen for so long.
Still, trauma workers, including physicians, nurses and EMTs, are required
to do anything and everything in their power to revive the patient unless an
advance directive -- a specific written and signed order -- specifies that
resuscitation should not be performed.
Many veteran physicians have begun to opt out of the resuscitation practices
they often administer to their patients. In a 2012 article published in The
Guardian, "How Doctors Choose to Die," retired physician Dr. Ken Murray
reveals that members of his profession frequently turn down everything from
chemotherapy to CPR. |
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