Manual of Child Neurology: Problem Based Approach to Common Disorders

Author(s): Mohammed M. S. Jan

DOI: 10.2174/978160805022211201010116

DNR Decisions

Pp: 116-122 (7)

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Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

Cardiopulmonary resuscitation (CPR) is now routinely performed on any hospitalized patients who suffer cardiac or respiratory arrest. Children with irreversible or progressive terminal illness may benefit temporarily from CPR, only to deteriorate later on. Painful and invasive procedures may be performed unnecessarily and the child could be left in a worse condition. A "do not resuscitate" (DNR) order indicates that the treating team has decided not to have CPR attempted in the event of cardiac or pulmonary arrest. In this chapter, various aspects related to the DNR decision making in children will be discussed and summary of the published guidelines by the Royal College of Pediatrics & Child Health and the American Academy of Pediatrics will be presented.

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