ATS GUIDELINES Bundle

Managing Requests for Inappropriate Therapies

American Thoracic Society Quick-Reference GUIDELINES Apps

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Table 5. Examples of Questions for Public Engagement • What process or factors should drive the allocation of ICU beds when they are scarce? • Should clinicians be required to provide cardiopulmonary resuscitation requested by surrogates for patients with advanced metastatic cancer and multiorgan failure? • Should patients with far advanced dementia or in a persistent vegetative state be admitted to ICUs? Disclaimer is Guideline attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care, and providers at all levels. is Guideline should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. e ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aer consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool. Source Bosslet GT, Pope TM, Rubenfeld GD, et al. An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units. Am J Respir Crit Care Med. 2015;191(11):1318–1330. Developed in cooperation with the American Association of Critical-Care Nurses, American College of Chest Physicians, European Society of Intensive Care Medicine, and Society of Critical Care Medicine. 106 Commerce Street, Suite 105 Lake Mary, FL 32746 TEL: 407.878.7606 • FAX: 407.878.7611 For additional copies, order at GuidelineCentral.com Copyright © 2015 All rights reserved ATSINA15083 Abbreviations CPR, cardiopulmonary resuscitation; DNR, do not resuscitate; ECMO, extracorporeal membrane oxygenation; ICU, intensive care unit Management

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