Sudden Death and the Myth of Cpr

Sudden Death and the Myth of CPR is for anyone who has taken a CPR course or who believes the images from television dramas. It is also for families of victims and survivors of CPR. It will engage emergency personnel, others in the medical field, and anyone concerned with ethical issues of death and dying.

Stefan Timmermans is Assistant Professor of Sociology at Brandeis University and is widely published on the topic of health care.

Foreword

xi

Bern Shen

Preface

xv

Introduction: What They Didn't Tell you in Your CPR Course

1

(3)

The Myth of CPR

4

(2)

How Dignified Is Sudden Death?

6

(5)

Death Awareness in the United States

11

(20)

The Emergence of Death Awareness

12

(6)

Hospice Care

18

(3)

Right-to-Die Movement

21

(3)

The ``Good'' Death

24

(4)

Toward a Dignified Sudden Death?

28

(3)

The Search for the Best Resuscitation Technique

31

(25)

The Royal Humane Society

33

(5)

The Resuscitation Techniques of the Royal Humane Society

38

(5)

The Vital Principle

38

(4)

The Schafer Technique

42

(1)

Resuscitation Research in the United States

43

(11)

Manual Artificial Ventilation Methods

43

(3)

The Obstructed Airway

46

(1)

Mouth-to-Mouth Ventilation

47

(2)

Chest Compressions

49

(5)

The Origins of Resuscitation Beliefs

54

(2)

CPR for All

56

(34)

Professional Versus Lay CPR

58

(4)

Patient Transportation

62

(4)

Consolidation of the Emergency Medical System

66

(3)

Survival Rates

69

(15)

The Chain of Survival

74

(3)

Some CPR Is Better Than No CPR

77

(2)

What Is Survival?

79

(3)

Number-to-Number Inflation

82

(2)

The Economic Cost of Saving Lives

84

(2)

Universal Lifesaving

86

(4)

Lifesaving in Action

90

(25)

Cardiopulmonary Resuscitation

91

(5)

Paramedics

96

(4)

The Emergency Department

100

(8)

Ritual, Medicalization, and Community

108

(7)

Deciding Life and Death

115

(38)

Reaching Decisions

115

(2)

Initial Impression

117

(2)

Dead on Arrival

119

(1)

The Rush of the First Minutes

119

(9)

The Resuscitation Team

119

(1)

Retrieving Clinical Information

120

(3)

Circumstances of the Cardiac Arrest

123

(1)

The Patient's Social Viability

124

(4)

Resuscitation Trajectories

128

(21)

Legal Death Trajectory

130

(8)

Elite Death Trajectory

138

(4)

Temporary Stabilization Trajectory

142

(5)

Stabilization Trajectory

147

(2)

Social Inequality of Sudden Death

149

(4)

``There Is a Code and a Code''

153

(31)

The Routines of Emergencies

153

(1)

Becoming a Resuscitator

154

(6)

Major Categories

160

(17)

The Successful Resuscitative Effort

160

(5)

The Bad Resuscitative Effort

165

(5)

The Tragic Resuscitative Effort

170

(5)

The Non-Category

175

(2)

Personal Philosophy

177

(3)

Comfort with Sudden Death

180

(4)

Saving Life or Saving Death?

184

(23)

Resuscitation Ethic

184

(2)

More Effective CPR

186

(5)

Empowering Relatives and Friends

191

(6)

Family Attendance

197

(7)

Final Reflections

204

(3)

Appendix: Methodology

207

(6)

Notes

213

(20)

References

233

(16)

Index

249

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Sudden Death and the Myth of Cpr

Summary

Author Biography

Table of Contents

Supplemental Materials