@katemasters67 Got it! Making frail elderly person "not for cardiac compressions" is act of Intelligent Kindness respecting Hippocratic Oath
@doctorcaldwell @katemasters67 I don't dispute there are numerous cases for whom a DNACPR is right Gordon. It's how to convince pt vs avoid?
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@C7RKY@katemasters67 many pts relieved to know near EoL. "Its been good, I'm ready now, I want to die at home" (where no CPR possible!)Thanks. Twitter will use this to make your timeline better. UndoUndo
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@C7RKY@katemasters67 if a near EoL pt really wants to be "for CPR" he would have to live rest of life in coronary care unit in case needed -
@doctorcaldwell@katemasters67 Appreciate all that, but key here is assumption that someone is a 'near EOL pt'. I've seen enough personally> -
@doctorcaldwell@katemasters67 >to know that doctors are human (like the rest of us) & make mistakes. Incl about such near EOL assumptions. -
@C7RKY@katemasters67 but a DNACPR does NOT mean STOP all other tests&treatments If we were wrong about EoL patient improves+doesnt need CPR -
@doctorcaldwell@C7RKY but your decision wouldn't change, or are there reversible reasons for deciding DNACPR? -
@katemasters67@C7RKY oh yes, eg septicaemic shock pt could be so ill temporarily CPR would not work, sometimes recover+reverse DNACPR
End of conversation
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@C7RKY@katemasters67 In elderly CPR must start within 2mins or brain damage rapidly ensues, high risk of vegetative state if heart restartsThanks. Twitter will use this to make your timeline better. UndoUndo
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