With generous support from Providence Health Care in Vancouver BC, this video was produced by Doug Nicolle with a fantastic scientific team: Jennifer Kryworuchko, Romayne Gallagher, Daren Heyland, and Rob Fowler. Here's the story: Canadian colleagues from CARENET (Canadian Researchers at the End of Life Network) collaborated to develop a video to support seriously ill patients and their families facing a decision about whether or not cardiopulmonary resuscitation (CPR) was a treatment that they wanted if their heart were to stop. The video decision aid was presented to the public at a CIHR Cafe Scientifique in Kingston ON in April 2010 and to members of the scientific community between Sept 2010 and Jan 2012. The development team reviewed the scientific literature to ensure that we included the most up to date evidence for outcomes of CPR in 2010 and again in 2012. With stakeholder feedback, the video was revised in early 2012 - this is the latest version. We hope you like it, and are constantly trying to improve communication to seriously ill patients and families on this topic. Please take the time to comment or email the development team at email@example.com. Thanks!
Conflict of Interest? Nothing to declare. J. Kryworuchko holds a research grant to evaluate this project from Heart and Stroke Foundation of Canada.
(for the the CPR Video)
Kryworuchko J, Gallagher R, Fowler R, Heyland D (Writers) & Nicolle D (Producer) . (2012). A Decision Aid to Prepare Patients And Their Families For Shared Decision-Making About Cardio-Pulmonary Resuscitation (CPR)[Video format patient decision aid]. Vancouver, BC: Providence Health Care. (Available at vimeo.com/48147363).
(for scientific data included)
Dhaval et al. Gender and Racial/Ethnic Differences In Survival After Cardiopulmonary Resuscitation For In-Hospital Cardiac Arrest. J Am Coll Cardiol. 2014; 63(12_S).
Ebell et al. Survival after in-hospital cardiopulmonary resuscitation: a meta-analysis. J Gen Int Med 1998; 13(12): 805-816.
Ehlenbach et al. Epidemiologic Study of In Hospital Cardiopulmonary Resuscitation in the Elderly. N Engl J Med 2009; 361:22-31.
Field et al. Part 1: executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010; 122 (suppl 3):S640–S656.
Hijazi et al. Cardiopulmonary resuscitation and dialysis: outcome and patients' views. Seminars in Dialysis 2003; 16(1):51-53.
Hodgetts et al. Incidence, location and reasons for avoidable in-hospital cardiac arrest in a district general hospital. Resuscitation. 2002; 54: 115–123.
Jones-Crawford et al. Resuscitation in the hospital: circadian variation of cardiopulmonary arrest. Am J Med. 2007; 120: 158–164.
Larkin GL, Copes WS, Nathanson BH, Kaye W. Pre-resuscitation factors associated with mortality in 49,130 cases of in-hospital cardiac arrest: a report from the National Registry for Cardiopulmonary Resuscitation. Resuscitation. 2010; 81:302–311.
Nadkarni et al. National Registry of Cardiopulmonary Resuscitation Investigators. First documented rhythm and clinical outcome from in-hospital cardiac arrest among children and adults. JAMA. 2006; 295: 50–57.
Neagle et al. What are the chances a hospitalized patient will survive in hospital cardiac arrest? The Hospitalist, Sept 2010.
Niemann et al. The Utstein template and the effect of in-hospital decisions: the impact of do-not-attempt resuscitation status on survival to discharge statistics. Resuscitation. 2001; 51: 233–237.
Peberdy et al. Cardiopulmonary Resuscitation of adults in the hospital: A report of 14, 720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation 2003; 58: 297-308.
Peberdy et al. Survival from in-hospital cardiac arrest during nights and weekends. JAMA 2008; 299(7):785-792.
Reisfield et al. Survival in cancer patients undergoing in-hospital cardiopulmonary resuscitation: a meta-analysis. Resuscitation 2006; 71: 152-160.
Sandroni et al. In-hospital cardiac arrest: incidence, prognosis and possible measures to improve survival. Intensive Care Med 2007;33(2):237-45.
Shepardson et al. Variation in the use of do-not-resuscitate orders in patients with stroke. Arch Intern Med. 1997; 157: 1841–1847.
Tian et al. Outcomes of critically ill patients who received cardiopulmonary resuscitation. Am J Respir Crit Care 2010; 182(4):501-506.
Zafari et al. A program encouraging early defibrillation results in improved in-hospital resuscitation efficacy. J Am Coll Cardiol 2004; 44(4): 846-852.