Abstract

BackgroundAwareness during Cardio Pulmonary Resuscitation (CPR) also called CPR induced consciousness (CPRIC) is a rare, but increasingly reported condition with significant clinical implications. Health professionals lack guidelines about patients with CPRIC, and to this date, no studies have addressed the complexity of communication and ethical aspects when continuing CPR while the patient is conscious.MethodsWe aim to explore Cardiac arrest team members perspectives regarding communication and ethical conflicts related to awareness during CPR. We have designed a qualitative, descriptive study using focus groups to discuss and reflect on patients with awareness during CPR. Focus groups consist of cardiac arrest team members (senior and training medical doctors, nurses and hospital porters). We will be presenting already published case reports about patients with CPRIC to focus groups to facilitate discussion and debate regarding the team members perceptions. Data analysis is inductive and based on systematic text condensation.DiscussionPrevious studies have suggested that external stressors affect the performance of a Cardiac arrest team. As a result of our analysis, we will aim to describe communicative and ethical challenges and concerns regarding awareness during CPR. Recent studies in the area point to a desire for guidelines and we hope to contribute with knowledge, that can inform the further process when developing guidelines and training team members to handle these stressful and important cases.Trial registrationThe study involves no healthcare intervention on human participants.

Highlights

  • Awareness during Cardio Pulmonary Resuscitation (CPR) called CPR induced consciousness (CPRIC) is a rare, but increasingly reported condition with significant clinical implications

  • Aim and design The study is designed as a qualitative, descriptive study, using focus groups to explore cardiac arrest team members perspectives on communication and ethical conflicts related to awareness during CPR

  • We are aware that patients are important stakeholders in the development of guidelines and protocols, we were not able to define one specific group of patients to include in the study, as cardiac arrest is a condition with a low rate of successful survival

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Summary

Introduction

Awareness during Cardio Pulmonary Resuscitation (CPR) called CPR induced consciousness (CPRIC) is a rare, but increasingly reported condition with significant clinical implications. No. Lundsgaard and Lundsgaard Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (2018)6:5 studies have yet addressed these issues, but studies about “family present during CPR” as well as studies about end-of-life discussions reveals how dealing with patients emotions regarding death is challenging and can provoke anxiety in the health practitioner [8, 9]. Lundsgaard and Lundsgaard Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (2018)6:5 studies have yet addressed these issues, but studies about “family present during CPR” as well as studies about end-of-life discussions reveals how dealing with patients emotions regarding death is challenging and can provoke anxiety in the health practitioner [8, 9] These studies point to increased focus on in-situ debriefing of everyone involved [8, 10]

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