critical care medicine
Cardiopulmonary Resuscitation (CPR) in Adults
Termination of Resuscitation
CPR should be continued until the cardiopulmonary system is stabilized, the patient is pronounced dead, or a lone rescuer is physically unable to continue. If cardiac arrest is thought to be due to hypothermia, CPR should be continued until the body is rewarmed to 34°C. 10 mm Hg after 20 minutes of CPR is a poor prognostic sign. Studies of outcomes from cardiac arrest have found that neurologically favorable survival is < 1% in patients > 81 years old (possibly ≥ 73 years old— Termination of resuscitation references , 1.Goto Y, Funada A, Maeda T, Okada H, Goto Y: Field termination-of-resuscitation rule for refractory out-of-hospital cardiac arrests in Japan.J Cardiol73(3):240–246, 2019. doi:10.1016/j.jjcc.2018.12.002 2.Grunau B, Scheuermeyer F, Kawano T, et al: North American validation of the Bokutoh criteria for withholding professional resuscitation in non-traumatic out-of-hospital cardiac arrest.Resuscitation135:51–56, 2019. doi:10.1016/j.resuscitation.2019.01.008 