A review of the evidence for Prehospital Termination of ...

admitted to the ICU, which decreases ICU bed availability, and many of these patients do notsurvive to hospital discharge. Due to severe hypoxia many of the patients that do survive todischarge are neurologically devastated and are a burden to their families or are sent to a skillednursing facility. However, it is difficult to ignore how amazing it is when a patient survivesneurologically intact and is able to thank you for your help. We cannot diminish the value ofthat one person.References1. Sherbino J, Keim SM, Davis DP; BEEM Group. Clinical Decision Rules for Termination ofResuscitation in Out-of-hospital Cardiac Arrest. J Emerg Med. 2010;38(1): 80-86.2. Mollberg NM, Wise SR, Berman K, Chowdhry S, Holevar M, Sullivan R, Vafa A. TheConsequences of Noncompliance With Guidelines for Withholding or TerminatingResuscitation in Traumatic Cardiac Arrest Patients. J Trauma. 2011;71: 997–1002.3. Willis CD, Cameron PA, Bernard SA, Fitzgerald M. Cardiopulmonary resuscitation aftertraumatic cardiac arrest is not always futile. Injury, Int. J. Care Injured. 2006;37: 448-454.4. Richman PB, Vadeboncoeur TF, Chikani C, Clark L, Bobrow BJ. Independent Evaluation ofan Out-of-hospital Termination of Resuscitation (TOR) Clinical Decision Rule. Acad EmergMed. 2008; 15:517-521.5. Capizzani AR, Drongowski R, Ehrlich PF. Assessment of termination of trauma resuscitation