1. Ethical guidelines on cardiopulmonary resuscitation in the context of the COVID-19 pandemic in Colombia
- Author
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Rueda EA, Suárez E, Gempeler FE, Torregrosa L, Caballero A, Bernal D, and Badoui N
- Subjects
- Advance Directives, Aerosols, Air Microbiology, COVID-19, Cardiopulmonary Resuscitation methods, Clinical Decision-Making, Colombia epidemiology, Coronavirus Infections epidemiology, Coronavirus Infections prevention & control, Coronavirus Infections transmission, Heart Arrest etiology, Humans, Infection Control methods, Infectious Disease Transmission, Patient-to-Professional prevention & control, Medical Futility, Occupational Exposure, Personal Autonomy, Personal Protective Equipment, Pneumonia, Viral epidemiology, Pneumonia, Viral prevention & control, Pneumonia, Viral transmission, SARS-CoV-2, Social Justice, Betacoronavirus, Cardiopulmonary Resuscitation ethics, Coronavirus Infections complications, Heart Arrest therapy, Pandemics prevention & control, Pneumonia, Viral complications, Practice Guidelines as Topic
- Abstract
The pandemic caused by COVID19 is associated with an increase in the number of cases of cardiorespiratory arrest, which has resulted in ethical concerns regarding the enforceability of cardiopulmonary resuscitation, as well as the conditions to carry it out. The risk of aerosol transmission and the clinical uncertainties about the efficacy, the potential sequelae, and the circumstances that could justify limiting this procedure during the pandemic have multiplied the ethical doubts on how to proceed in these cases. Based on ethical and legal grounds, this paper offers a practical guide on how to proceed in the clinical setting in cases of cardiopulmonary arrest during the pandemic. The criteria of justice, benefit, no harm, respect for autonomy, precaution, integrity, and transparency are asserted in an organized and practical framework for decision-making regarding cardiopulmonary resuscitation.
- Published
- 2020
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