Qualitative questions |
1. How do witnessed cardiac arrest influence a cessation decision? |
2. How does bystander resuscitation influence a cessation decision? |
3. How do rhythm changes influence a cessation decision? |
4. What are your views on end-tidal values when ceasing resuscitation? |
5. Is there a duration of resuscitation beyond which you would cease resuscitation? |
6. Which factors influence your resuscitation decisions the most? |
7. Why was there variation in the rationales to cease resuscitation? |
8. What are your thoughts on SCA support and remote decisions? |
Qualitative findings |
"Witnessed is more likely to be known, a longer period and obviously the worst outcome." (SCA2)
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“It does make impact on a decision to cease, but there is no way of knowing if that was effective.” (SCA2) |
“A rhythm change to asystole is a poor, but any other rhythm changes is a positive.” (SCA1) |
“If they’ve been reasonable and deteriorated then again, I’m going to want the whole bigger picture.” (SCA3) |
“I think it depends the different factors, anything over 45 min I’m a bit cenacle about.” (SCA5) |
“The rate of the PEA the morphology is really relevant.” (SCA1) |
“It’s a difficult subjective in hindsight it’s easy when you are look at the resus unfolding in front of you.” (SCA5) |
“They are difficult I reflect on my decision and feel a sense of loss for the family.” (SCA6) |
Qualitative themes |
Defining a futile resuscitation |
The impact of ceasing resuscitation |
Supportive tools for cessation of resuscitation decisions |
Perceived conflict between the senior and on-scene paramedic |
Summary and interpretation of results |
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PEA in a local context |
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SCA experiences of ceasing resuscitation |
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Multifactorial decision-making |
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