CEASE: A guide for clinicians on how to stop resuscitation efforts

Alexia M. Torke, Patricia Bledsoe, Lucia D. Wocial, Gabriel T. Bosslet, Paul R. Helft

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Resuscitation programs such as Advanced Cardiac Life Support, Cardiac Life Support, Pediatric Advanced Life Support, and the Neonatal Resuscitation Program offer inadequate guidance to physicians who must ultimately decide when to stop resuscitation efforts. These decisions involve clinical and ethical judgments and are complicated by communication challenges, group dynamics, and family considerations. This article presents a framework, summarized in a mnemonic (CEASE: Clinical Features, Effectiveness, Ask, Stop, Explain), for how to stop resuscitation efforts and communicate that decision to clinicians and ultimately the patient's family. Rather than a decision rule, this mnemonic represents a framework based on best evidence for when physicians are considering stopping resuscitation efforts and provides guidance on how to communicate that decision.

Original languageEnglish (US)
Pages (from-to)440-445
Number of pages6
JournalAnnals of the American Thoracic Society
Volume12
Issue number3
DOIs
StatePublished - Mar 1 2015

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Keywords

  • Decision making
  • Physician-patient relations
  • Resuscitation

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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