Emergency Care and Treatment Plan public consultation - now open. https://www.resus.org.uk/consultations/emergency-care-and-treatment-plan/ …
@JFr4ser @ResusCouncilUK Any procedures which *are* deemed appropriate when pt has competence would require consent though. Just concerned >
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@C7RKY@ResusCouncilUK Procedure is the wrong word. This is about escalation of treatment including where that treatment occurs -
@JFr4ser@ResusCouncilUK Let's call it what consent guidelines call it - treatment options. Even a change/escalation still requires consent. -
@C7RKY@ResusCouncilUK Yes. I say to the patient Id like to swap your face mask for ... Because.... They agree which is consent. -
@JFr4ser@ResusCouncilUK Hmmm.. not *entirely* sold on that process. Maybe not best example, but what about other options/risks discussion? -
@C7RKY@ResusCouncilUK What other options are there for oxygen therapy? Some form of mask or a ventilator. Without it no survival -
@JFr4ser@ResusCouncilUK I know more about consent than this area of medicine, tbh. Trying to grasp the specifics as they apply here. -
@C7RKY@ResusCouncilUK < oxygen, fluids, escalating to HDU, central venous line, non-invasive ventilation, inotropic drugs, ITU ventilation> -
@C7RKY@ResusCouncilUK < from what would be offered what would be acceptable to them. Even with no co-morbidity I could refuse any of those - 13 more replies
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@C7RKY@JFr4ser@ResusCouncilUK this form may be perceived as representing a pt's consent, when they've no place to sign it to confirm, tbh. -
@C7RKY@ResusCouncilUK Some of their consent is based on the fact they've presented themselves to hospital for treatment -
@JFr4ser@ResusCouncilUK That's assumed consent or implied consent. Neither of which I'm a fan of. Esp for any significant treatment choices -
@C7RKY@JFr4ser@ResusCouncilUK does mentioning the interventions change consent Issue from one type of consent to another? -
@katemasters67@JFr4ser@ResusCouncilUK Right now, there are no definitive rules as to where that line is drawn. That's part of the problem. -
@C7RKY@katemasters67@JFr4ser@ResusCouncilUK Unless perceived to be futile -
@jim_crawfurd@katemasters67@JFr4ser@ResusCouncilUK If perceived to be futile, nobody would be asked to consent to that treatment anyway. -
@C7RKY@jim_crawfurd@katemasters67@ResusCouncilUK I think away from DNACPR and advanced directives is beyond intention of this form - 12 more replies
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@C7RKY@ResusCouncilUK In simple terms mechanical ventilation is escalation of oxygen therapy, starts at ward level with a simple face maskThanks. Twitter will use this to make your timeline better. UndoUndo
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