2015 Trumbull Memorial Hospital Demo

Termination of Resuscitation

Termination of Resuscitation

Clinical Indications:  A patient currently receiving the CCR protocol  Four rounds of 200 compressions provided with ACLS support protocols  Persistent asystole following the four rounds of CPR/ACLS

Steps

Performed? Yes No

13. Ensure the CCR protocol is being followed  Four rounds of 200 compressions with ACLS support  Persistent asystole is confirmed on the ECG

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14. Once four rounds of CCR have been followed with no success, begin explaining the situation to the family and prepare them for the next steps 15. Continue with the CCR protocol while contacting Trumbull Memorial Hospital and requesting to speak with an attending ER physician for field termination of resuscitation

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16. Provide the ER physician with the following information:  Patient name, age, sex  Location of the incident  Time patient was last seen normal  Length and content of resuscitation effort (CPR, epi, defib, etc)  Results of resuscitation effort (persistent asystole, no change, etc)  Request termination of resuscitative efforts 17. If given a time of pronouncement, cease resuscitation efforts  Document the time of pronouncement and the physician’s name

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18. Contact the Trumbull County Coroner’s Office at (330) 675-2516 and follow the Procedure for Reporting a Death 19. Ensure the coroner’s office representative will:  Contact the family physician and request that they sign the death certificate  Arrange transport of the patient’s body 20. If given permission by the coroner’s office, prepare the body for the family to mourn  Remove medical devices and cover the patient’s body with a blanket as appropriate 21. Once the coroner’s office has been notified and the EMS crew has received confirmation that the coroner’s office representative will arrange transport, the EMS crew may choose to:  Return to service for pending 911 calls  Return to a more centralized location for the purpose of adequate 911 response  Remain on scene for grievance counseling (if trained) or customer service

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155

EMR

EMT

AEMT

Paramedic

Extended