Resuscitation and the Radiologist
Authors: Vincent G. McDermott
Journal: Annals of Internal Medicine (1998)

Editorials15 November 1998Resuscitation and the RadiologistVincent G. McDermott, MBVincent G. McDermott, MBDurham Veterans Affairs Medical Center; Durham, NC 27710Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-129-10-199811150-00016 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Cardiopulmonary resuscitation was developed for the treatment of acute complications of myocardial infarction and anesthesia induction [1]. In the 1960s and 1970s, its use spread throughout the hospital setting until it became apparent that resuscitation was undesirable in certain terminally ill patients. This finding led to the formal introduction of do-not-resuscitate (DNR) orders. Policies on DNR orders are now required of all hospitals seeking accreditation from the Joint Commission on Accreditation of Healthcare Organizations [2]. The DNR status may be determined months or even years before death is anticipated. Thus, it is not unusual for patients with a DNR order ...References1. Kouwenhoven WB, Jude JR, Knickerbocker GG. Closed-chest cardiac massage. JAMA. 1960; 173:1064-7. Google Scholar2. Management and administrative services (MA). In: Joint Commission on Accreditation of Hospitals. Accreditation Manual for Hospitals. Chicago: Joint Commission on Accreditation of Hospitals; 1988:90. Google Scholar3. Heffner JE, Barbieri C. Compliance with do-not-resuscitate orders for hospitalized patients transported to radiology departments. Ann Intern Med. 1998; 129:801-5. Google Scholar4. Jacobson JA, Gully JE, Mann H. “Do not resuscitate” orders in the radiology department: an interpretation. Radiology. 1996; 198:21-4. Google Scholar5. Terry PB. Resuscitation and radiology [Editorial]. Radiology. 1996; 198:17-8. Google Scholar6. Heffner JE, Barbieri C, Casey K. Procedure-specific do-not-resuscitate orders. Effect on communication of treatment limitations. Arch Intern Med. 1996; 156:793-7. Google Scholar7. La Puma J, Silverstein MD, Stocking CB, Roland D, Siegler M. Life-sustaining treatment. A prospective study of patients with DNR orders in a teaching hospital. Arch Intern Med. 1988; 148:2193-5. Google Scholar8. Uhlmann RF, Cassel CK, McDonald WJ. Some treatment-withholding implications of no-code orders in an academic hospital. Crit Care Med. 1984; 12:879-81. Google Scholar9. Schreiber MH. Communicating with the referring physician: the standard of care. AJR Am J Roentgenol. 1997; 169:343-5. Google Scholar10. Clemency MV, Thompson NJ. “Do not resuscitate” (DNR) orders and the anesthesiologist: a survey. Anesth Analg. 1993; 76:394-401. Google Scholar11. Cohen CB, Cohen PJ. Do-not-resuscitate orders in the operating room. N Engl J Med. 1991; 325:1879-82. Google Scholar12. Bernat JL, Grabowski EW. Suspending do-not-resuscitate orders during anesthesia and surgery. Surg Neurol. 1993; 40:7-9. Google Scholar13. Margolis JO, McGrath BJ, Kussin PS, Schwinn DA. Do not resuscitate (DNR) orders during surgery: ethical foundations for institutional policies in the United States. Anesth Analg. 1995; 80:806-9. Google Scholar14. Bastron RD. Ethical concerns in anesthetic care for patients with do-notresuscitate orders. Anesthesiology. 1996; 85:1190-3. Google Scholar15. Casarett D, Ross LF. Overriding a patient's refusal of treatment after an iatrogenic complication. N Engl J Med. 1997; 336:1908-10. Google Scholar Author, Article, and Disclosure InformationAuthors: Vincent G. McDermott, MBAffiliations: Durham Veterans Affairs Medical Center; Durham, NC 27710Corresponding Author: Vincent G. McDermott, MB, Durham Veterans Affairs Medical Center, 508 Fulton Street, Durham, NC 27710. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCompliance with Do-Not-Resuscitate Orders for Hospitalized Patients Transported to Radiology Departments John E. Heffner and Celia Barbieri Metrics 15 November 1998Volume 129, Issue 10 Page: 831-833 Keywords Cardiopulmonary resuscitation Diagnostic radiology Do not resuscitate orders Endoscopy Intensive care units Physiotherapy Radiation therapy Radiologists Resuscitation Thorax ePublished: 15 August 2000 Issue Published: 15 November 1998 Copyright & PermissionsCopyright © 1998 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...