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Publication - Guidance

Decisions about Cardiopulmonary Resuscitation: Integrated Adult Policy

Published: 31 Aug 2016

Guidance on cardiopulmonary resuscitation, reflecting feedback and changes to national good practice.

50 page PDF

1.2 MB

50 page PDF

1.2 MB

Decisions about Cardiopulmonary Resuscitation: Integrated Adult Policy

50 page PDF

1.2 MB


ASSOCIATION OF ANAESTHETISTS OF GREAT BRITAIN AND IRELAND. Do Not Attempt Resuscitation ( DNAR) Decisions in the Perioperative Period. London: AAGBI; 2009. Available from:

Adults with Incapacity (Scotland) Act 2000. Edinburgh, HMSO.

BERDOWSKI J, Berg RA, Tijssen JGP, Koster RW. Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies. Resuscitation 2010; 81:1479-1487.

BRITISH MEDICAL ASSOCIATION (2009) Medical treatment for adults with incapacity. Guidance on ethical and medico-legal issues in Scotland. London: BMA books

BRITISH MEDICAL ASSOCIATION, (2000). The impact of the Human Rights Act 1998 on medical decision-making. London: BMA Books.

BRITISH MEDICAL ASSOCIATION, (2007). Withholding or withdrawing life-prolonging medical treatment. 3rd ed. London: BMA Books.

BRITISH MEDICAL ASSOCIATION, (2016). Decisions Relating to Cardiopulmonary resuscitation, guidance from the British Medical Association, Resuscitation Council ( UK) and Royal College of Nursing. Revised 3rd ed. London: BMA.

GENERAL MEDICAL COUNCIL (2010). Treatment and care towards the end of life; good practice in decision-making. London: GMC

GENERAL MEDICAL COUNCIL, (2001). Good medical practice; Ch. 3 and 6. London, General Medical Council.

GIROTA S, Nallamothu BK, Spertus JA, Li Y, Krumholz HM, Chan PS for the American Heart Association. Trends in Survival after In-Hospital Cardiac Arrest. N Engl J Med 2012; 367:1912‑1920.

Human Rights Act (1998). London: HMSO.

MENCAP, (2001). Considerations of 'quality of life' in cases of medical decision-making for individuals with severe learning disabilities. London: MENCAP.

NOLAN JP, Soar J, Smith GB, Gwinnutt C, Parrott F, Power S et al. Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation 2014; 85:987-992.

NOLAN JP, Laver S, Welch C, Harrison D, Gupta V, Rowan K. Outcome following admission to UK intensive care units after cardiac arrest: a secondary analysis of the ICNARC Case Mix Programme Database. Anaesthesia 2007; 62:1207-1216.

PERKINS GD, Cooke MW. Variability in cardiac arrest survival: the NHS Ambulance Service Quality Indicators. Emerg Med J 2012; 29:3-5.

RESUSCITATION COUNCIL ( UK). CIEDs in people towards the end of life, during cardiopulmonary resuscitation and after death. Resuscitation Council ( UK) the British Cardiovascular Society and the National Council for Palliative Care 2015.


SCOTTISH EXECUTIVE HEALTH DEPARTMENT, (2000). Resuscitation Policy. Edinburgh, Scottish Executive Health Department. ( HDL (2000) 22).

SPILLER, J., MURRAY, C., SHORT, S., HALLIDAY, C, NHS Lothian Do Not Attempt Resuscitation Policy. Revised version 2007.

THE SCOTTISH GOVERNMENT 2008. Living and Dying Well. A national action plan for palliative and end of life care in Scotland. Scottish Government Publications Sept 2008.

YOUNG BG et al. Neurologic Prognosis after Cardiac Arrest. New Engl J Med 2009; 361: 605-11.

MENTAL WELFARE COMMISSION 2010. Consent to treatment; a guide for mental health practitioners


Email: Elizabeth Gourlay,