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Thursday, March 26, 2020

Coronavirus: Do Not Resuscitate



Last night, a friend sent me this text message:
I was just told by a nurse that many hospitals across the country have issued Do Not Resuscitate orders for coronavirus patients. People need to check their local hospitals to see which ones have issued this order.
Nothing like tossing the Hippocratic Oath out the window!

It just so happens, another friend send me an article from the Washington Post on Do Not Resuscitate orders. 

It begins with:
Hospitals on the front lines of the pandemic are engaged in a heated private debate over a calculation few have encountered in their lifetimes — how to weigh the “save at all costs” approach to resuscitating a dying patient against the real danger of exposing doctors and nurses to the contagion of coronavirus. 
The conversations are driven by the realization that the risk to staff amid dwindling stores of protective equipment — such as masks, gowns and gloves — may be too great to justify the conventional response when a patient “codes,” and their heart or breathing stops. 
Northwestern Memorial Hospital in Chicago has been discussing a do-not-resuscitate policy for infected patients, regardless of the wishes of the patient or their family members — a wrenching decision to prioritize the lives of the many over the one. 
Richard Wunderink, one of Northwestern’s intensive-care medical directors, said hospital administrators would have to ask Illinois Gov. J.B. Pritzker for help in clarifying state law and whether it permits the policy shift.
“It’s a major concern for everyone,” he said. “This is something about which we have had lots of communication with families, and I think they are very aware of the grave circumstances.”
Like one of my friends said, check your local hospitals to see which of them issued this order.

To read more, go here.

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