Abstract
Resuscitation of patients in hospital following cardiopulmonary arrest is a standard procedure. Such intervention is not always appropriate, and this article examines some of the issues involved in making the decision not to resuscitate, with particular reference to elderly patients. The effectiveness and possible adverse effects of cardiopulmonary resuscitation (CPR) in the elderly are considered, along with ethical aspects of the problem such as how to discuss the pros and cons with the patient and relatives.
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Elizabeth M. Smith, Registrar in Geriatric Medicine, St George's Hospital Medical School, London
Ian R. Hastie, Consultant and Senior Lecturer in Geriatric Medicine, St George's Hospital Medical School, London