Will We Code for Default ECMO?

Daniel J Brauner; Christopher J Zimmermann

doi:10.1001/amajethics.2019.443

Will We Code for Default ECMO?

AMA J Ethics. 2019 May 1;21(5):E443-449. doi: 10.1001/amajethics.2019.443.

Authors

Daniel J Brauner¹, Christopher J Zimmermann²

Affiliations

¹ An associate professor of medicine in the Section of Geriatrics and Palliative Medicine at the University of Chicago, where he is also the co-director of the MacLean Center for Clinical Medical Ethics Consultation Service.
² A general surgery resident at the School of Medicine and Public Health in the Department of Surgery at the University of Wisconsin-Madison and an American College of Surgeons-MacLean Center surgical ethics fellow.

PMID: 31127925
DOI: 10.1001/amajethics.2019.443

Abstract

Cardiopulmonary resuscitation has become the default treatment for all patients who suffer cardiac arrest. The history of how this came to be suggests the clinical and ethical importance of establishing more humane and appropriate indications for extracorporeal membrane oxygenation and other aggressive therapies for patients at the end of life.

Publication types

Historical Article
Research Support, N.I.H., Extramural

MeSH terms

Cardiopulmonary Resuscitation / economics
Cardiopulmonary Resuscitation / history*
Clinical Coding / standards*
Extracorporeal Membrane Oxygenation / economics
Extracorporeal Membrane Oxygenation / history*
Heart Arrest / therapy
History, 20th Century
Humans
Standard of Care / ethics*

Grants and funding

T32 HL110853/HL/NHLBI NIH HHS/United States