155 / 222
155
EMR
EMT
AEMT
Paramedic
Extended
Termination of Resuscitation
Clinical Indications:
A patient currently receiving the CCR protocol
Four rounds of 200 compressions provided with ACLS support protocols
Persistent asystole following the four rounds of CPR/ACLS
Steps
Performed?
Yes No
13. Ensure the CCR protocol is being followed
Four rounds of 200 compressions with ACLS support
Persistent asystole is confirmed on the ECG
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14. Once four rounds of CCR have been followed with no success, begin explaining the
situation to the family and prepare them for the next steps
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15. Continue with the CCR protocol while contacting Trumbull Memorial Hospital and
requesting to speak with an attending ER physician for field termination of
resuscitation
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16. Provide the ER physician with the following information:
Patient name, age, sex
Location of the incident
Time patient was last seen normal
Length and content of resuscitation effort (CPR, epi, defib, etc)
Results of resuscitation effort (persistent asystole, no change, etc)
Request termination of resuscitative efforts
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17.
If given a time of pronouncement, cease resuscitation efforts
Document the time of pronouncement and the physician’s name
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18. Contact the Trumbull County Coroner’s Office at (330) 675-2516 and follow the
Procedure for Reporting a Death
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19. Ensure the coroner’s office representative will:
Contact the family physician and request that they sign the death certificate
Arrange transport of the patient’s body
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20.
If given permission by the coroner’s office, prepare the body for the family to mourn
Remove medical devices and cover the patient’s body with a blanket as appropriate
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21. Once the coroner’s office has been notified and the EMS crew has received
confirmation that the coroner’s office representative will arrange transport, the EMS
crew may choose to:
Return to service for pending 911 calls
Return to a more centralized location for the purpose of adequate 911 response
Remain on scene for grievance counseling (if trained) or customer service
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Termination of Resuscitation