Initiation of CPR and Determination of Death - Revision history

Treloars at 15:48, 1 April 2025

2025-04-01T15:48:16Z

← Older revision		Revision as of 15:48, 1 April 2025
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	* The patient who, upon arrival of EMS personnel, is attended by a physician licensed in the State of Florida, AND where the physician is willing to write a statement of his relationship to the patient, a "Do Not Resuscitate" order, and a rationale for this order on the Patient Care Report or agency abbreviated Patient Care Report. EMS personnel must attempt to verify the identity of the physician before withholding cardiopulmonary resuscitation.		* The patient who, upon arrival of EMS personnel, is attended by a physician licensed in the State of Florida, AND where the physician is willing to write a statement of his relationship to the patient, a "Do Not Resuscitate" order, and a rationale for this order on the Patient Care Report or agency abbreviated Patient Care Report. EMS personnel must attempt to verify the identity of the physician before withholding cardiopulmonary resuscitation.
	* A patient who is subject to a current order, of unquestioned validity written by the patient's physician to withhold cardiopulmonary resuscitation. ALL WRITTEN DOCUMENTS SHOULD BE CONSIDERED INVALID UNLESS VALIDITY IS ESTABLISHED BOTH AT THE SCENE AND IN CONJUNCTION WITH THE ON-LINE MEDICAL CONTROL PHYSICIAN.		* A patient who is subject to a current order, of unquestioned validity written by the patient's physician to withhold cardiopulmonary resuscitation. ALL WRITTEN DOCUMENTS SHOULD BE CONSIDERED INVALID UNLESS VALIDITY IS ESTABLISHED BOTH AT THE SCENE AND IN CONJUNCTION WITH THE ON-LINE MEDICAL CONTROL PHYSICIAN.
	* When presented with a State DNR form which is appropriately completed.		* • When presented with a State DNR form which is appropriately completed. A copy is valid as long as it is on yellow paper, any shade is acceptable.
	* Cardiopulmonary resuscitation may be halted when:		* Cardiopulmonary resuscitation may be halted when:
	** Effective spontaneous ventilation and circulation have been restored.		** Effective spontaneous ventilation and circulation have been restored.

Treloars at 20:50, 31 January 2018

2018-01-31T20:50:22Z

← Older revision		Revision as of 20:50, 31 January 2018
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	* '''ALL DECISIONS CONCERNING THE WITHHOLDING OR CESSATION OF RESUSCITATION, NOT COVERED BY THE ABOVE EXCEPTIONS, MUST BE MADE IN CONJUNCTION WITH MEDICAL CONTROL.'''		* '''ALL DECISIONS CONCERNING THE WITHHOLDING OR CESSATION OF RESUSCITATION, NOT COVERED BY THE ABOVE EXCEPTIONS, MUST BE MADE IN CONJUNCTION WITH MEDICAL CONTROL.'''
	* Document original body position and location. Disposable supplies (i.e. ETT, IVs, EKG electrodes, TCP electrodes, or Hands free defibrillation pads) will be left in place. If EMS crews receive confirmation from patient's physician that they will sign the death certificate airway devices and IV's can be removed. Contact Law Enforcement and follow agency SOG’s regarding patient body care and removal. If the body is moved for treatment purposes do not move it back into the original position.		* Document original body position and location. Disposable supplies (i.e. ETT, IVs, EKG electrodes, TCP electrodes, or Hands free defibrillation pads) will be left in place. If EMS crews receive confirmation from patient's physician that they will sign the death certificate airway devices and IV's can be removed. Contact Law Enforcement and follow agency SOG’s regarding patient body care and removal. If the body is moved for treatment purposes do not move it back into the original position.

			[[Category:Administrative Policies\|0105]]

Treloars: /* 1.05 INITIATION OF CPR AND DETERMINATION OF DEATH */

2016-07-27T14:28:44Z

1.05 INITIATION OF CPR AND DETERMINATION OF DEATH

← Older revision		Revision as of 14:28, 27 July 2016
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	* Medical Related Cardiac Arrests meet the criteria set forth in the [[Asystole\|ASYSTOLE PRACTICE PARAMETER (4.02)]]		* Medical Related Cardiac Arrests meet the criteria set forth in the [[Asystole\|ASYSTOLE PRACTICE PARAMETER (4.02)]]
	* '''ALL DECISIONS CONCERNING THE WITHHOLDING OR CESSATION OF RESUSCITATION, NOT COVERED BY THE ABOVE EXCEPTIONS, MUST BE MADE IN CONJUNCTION WITH MEDICAL CONTROL.'''		* '''ALL DECISIONS CONCERNING THE WITHHOLDING OR CESSATION OF RESUSCITATION, NOT COVERED BY THE ABOVE EXCEPTIONS, MUST BE MADE IN CONJUNCTION WITH MEDICAL CONTROL.'''
	* Document original body position and location. Disposable supplies (i.e. ETT, IVs, EKG electrodes, TCP electrodes, or Hands free defibrillation pads) will be left in place. Contact Law Enforcement and follow agency SOG’s regarding patient body care and removal. If the body is moved for treatment purposes do not move it back into the original position.		* Document original body position and location. Disposable supplies (i.e. ETT, IVs, EKG electrodes, TCP electrodes, or Hands free defibrillation pads) will be left in place. If EMS crews receive confirmation from patient's physician that they will sign the death certificate airway devices and IV's can be removed. Contact Law Enforcement and follow agency SOG’s regarding patient body care and removal. If the body is moved for treatment purposes do not move it back into the original position.

Treloars at 19:20, 26 February 2015

2015-02-26T19:20:11Z

← Older revision		Revision as of 19:20, 26 February 2015
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	* Medical Related Cardiac Arrests meet the criteria set forth in the [[Asystole\|ASYSTOLE PRACTICE PARAMETER (4.02)]]		* Medical Related Cardiac Arrests meet the criteria set forth in the [[Asystole\|ASYSTOLE PRACTICE PARAMETER (4.02)]]
	* '''ALL DECISIONS CONCERNING THE WITHHOLDING OR CESSATION OF RESUSCITATION, NOT COVERED BY THE ABOVE EXCEPTIONS, MUST BE MADE IN CONJUNCTION WITH MEDICAL CONTROL.'''		* '''ALL DECISIONS CONCERNING THE WITHHOLDING OR CESSATION OF RESUSCITATION, NOT COVERED BY THE ABOVE EXCEPTIONS, MUST BE MADE IN CONJUNCTION WITH MEDICAL CONTROL.'''
	* Document original body position and location. Disposable supplies (i.e. ETT, IVs, EKG electrodes, TCP electrodes, or Hands free defibrillation pads) will be left in place. Contact Law Enforcement and follow agency SOG’s regarding patient body care and removal.		* Document original body position and location. Disposable supplies (i.e. ETT, IVs, EKG electrodes, TCP electrodes, or Hands free defibrillation pads) will be left in place. Contact Law Enforcement and follow agency SOG’s regarding patient body care and removal. If the body is moved for treatment purposes do not move it back into the original position.

Treloars at 03:04, 30 January 2012

2012-01-30T03:04:16Z

← Older revision		Revision as of 03:04, 30 January 2012
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	Patients found in cardiopulmonary arrest by EMS personnel will receive cardiopulmonary resuscitation unless they meet the following EXCEPTIONS:		Patients found in cardiopulmonary arrest by EMS personnel will receive cardiopulmonary resuscitation unless they meet the following EXCEPTIONS:
	* Trauma Related Cardiac Arrests who meet the criteria set forth in the DETERMINATION OF DEATH IN TRAUMA PRACTICE PARAMETER (1.06).		* Trauma Related Cardiac Arrests who meet the criteria set forth in the [[Determination of Death in Trauma\|DETERMINATION OF DEATH IN TRAUMA PRACTICE PARAMETER (1.06)]].
	* The patient who has been decapitated or whose thorax or abdomen has been transected.		* The patient who has been decapitated or whose thorax or abdomen has been transected.
	* The patient with no palpable pulse or blood pressure, who exhibits no response to stimuli, no respiratory effort, is not exposed to an environment likely to promote hypothermia, (such as cold water or low ambient air temperatures), and is asystolic in two or more electrocardiograph leads, PROVIDED that one of the following are present:		* The patient with no palpable pulse or blood pressure, who exhibits no response to stimuli, no respiratory effort, is not exposed to an environment likely to promote hypothermia, (such as cold water or low ambient air temperatures), and is asystolic in two or more electrocardiograph leads, PROVIDED that one of the following are present:
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	** Effective spontaneous ventilation and circulation have been restored.		** Effective spontaneous ventilation and circulation have been restored.
	** Resuscitation efforts have been transferred to persons of no less skill than the initial providers.		** Resuscitation efforts have been transferred to persons of no less skill than the initial providers.
	* Medical Related Cardiac Arrests meet the criteria set forth in the ASYSTOLE PRACTICE PARAMETER (4.02)		* Medical Related Cardiac Arrests meet the criteria set forth in the [[Asystole\|ASYSTOLE PRACTICE PARAMETER (4.02)]]
	* '''ALL DECISIONS CONCERNING THE WITHHOLDING OR CESSATION OF RESUSCITATION, NOT COVERED BY THE ABOVE EXCEPTIONS, MUST BE MADE IN CONJUNCTION WITH MEDICAL CONTROL.'''		* '''ALL DECISIONS CONCERNING THE WITHHOLDING OR CESSATION OF RESUSCITATION, NOT COVERED BY THE ABOVE EXCEPTIONS, MUST BE MADE IN CONJUNCTION WITH MEDICAL CONTROL.'''
	* Document original body position and location. Disposable supplies (i.e. ETT, IVs, EKG electrodes, TCP electrodes, or Hands free defibrillation pads) will be left in place. Contact Law Enforcement and follow agency SOG’s regarding patient body care and removal.		* Document original body position and location. Disposable supplies (i.e. ETT, IVs, EKG electrodes, TCP electrodes, or Hands free defibrillation pads) will be left in place. Contact Law Enforcement and follow agency SOG’s regarding patient body care and removal.

Treloars: Created page with "== Section 1 - ADMINISTRATIVE POLICIES== ===1.05 INITIATION OF CPR AND DETERMINATION OF DEATH=== Patients found in cardiopulmonary arrest by EMS personnel will receive cardi..."

2012-01-30T03:01:28Z

Created page with "== Section 1 - ADMINISTRATIVE POLICIES== ===1.05 INITIATION OF CPR AND DETERMINATION OF DEATH=== Patients found in cardiopulmonary arrest by EMS personnel will receive cardi..."

New page

== Section 1 - ADMINISTRATIVE POLICIES==

===1.05 INITIATION OF CPR AND DETERMINATION OF DEATH===

Patients found in cardiopulmonary arrest by EMS personnel will receive cardiopulmonary resuscitation unless they meet the following EXCEPTIONS:
* Trauma Related Cardiac Arrests who meet the criteria set forth in the DETERMINATION OF DEATH IN TRAUMA PRACTICE PARAMETER (1.06).
* The patient who has been decapitated or whose thorax or abdomen has been transected.
* The patient with no palpable pulse or blood pressure, who exhibits no response to stimuli, no respiratory effort, is not exposed to an environment likely to promote hypothermia, (such as cold water or low ambient air temperatures), and is asystolic in two or more electrocardiograph leads, PROVIDED that one of the following are present:
** Rigor mortis
** Decomposition of body tissues
** Dependent lividity
** Incineration
* The patient who, upon arrival of EMS personnel, is attended by a physician licensed in the State of Florida, AND where the physician is willing to write a statement of his relationship to the patient, a "Do Not Resuscitate" order, and a rationale for this order on the Patient Care Report or agency abbreviated Patient Care Report. EMS personnel must attempt to verify the identity of the physician before withholding cardiopulmonary resuscitation.
* A patient who is subject to a current order, of unquestioned validity written by the patient's physician to withhold cardiopulmonary resuscitation. ALL WRITTEN DOCUMENTS SHOULD BE CONSIDERED INVALID UNLESS VALIDITY IS ESTABLISHED BOTH AT THE SCENE AND IN CONJUNCTION WITH THE ON-LINE MEDICAL CONTROL PHYSICIAN.
* When presented with a State DNR form which is appropriately completed.
* Cardiopulmonary resuscitation may be halted when:
** Effective spontaneous ventilation and circulation have been restored.
** Resuscitation efforts have been transferred to persons of no less skill than the initial providers.
* Medical Related Cardiac Arrests meet the criteria set forth in the ASYSTOLE PRACTICE PARAMETER (4.02)
* '''ALL DECISIONS CONCERNING THE WITHHOLDING OR CESSATION OF RESUSCITATION, NOT COVERED BY THE ABOVE EXCEPTIONS, MUST BE MADE IN CONJUNCTION WITH MEDICAL CONTROL.'''
* Document original body position and location. Disposable supplies (i.e. ETT, IVs, EKG electrodes, TCP electrodes, or Hands free defibrillation pads) will be left in place. Contact Law Enforcement and follow agency SOG’s regarding patient body care and removal.