Sudden Death and the Myth of CPR
Temple University Press,U.S. (Verlag)
978-1-56639-715-5 (ISBN)
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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. Anyone who has ever taken a CPR course has wondered, /u0022What would happen if I actually had to use CPR?/u0022 In Western societies, the lifesaving power of resuscitation has the status of a revered cultural myth. It promises life in the face of sudden death, but the reality is that lives are rarely saved. Medical researchers estimate the survival rate for out-of-hospital CPR to be between 1 and 3 percent. Sudden Death and the Myth of CPR explores the history of this medical innovation and the promotion of its effectiveness. The overuse of resuscitation, Timmermans explains, defines people's experience with sudden death, something he learned firsthand by following the practice of lifesaving from street corner to emergency room.
He argues that very few people are successfully resuscitated without brain damage despite the promotion of CPR's effectiveness through powerful media images. In vivid accounts of the day-to-day practices of cardiopulmonary resuscitation in one of the only studies o f sudden death, Timmermans records the astonishingly frank comments of emergency personnel. Doctors, nurses, social workers, and paramedics express emotions from cynicism about going through the futile motions to genuine concern for victims' family members. If a person who was supposed to keep on living dies at the end of a resuscitative attempt, how socially meaningful is the dying? Timmermans asks tough questions and addresses the controversial ethical issues about the appropriateness of interfering with life and death. He suggests policy reform and the restoration of dignity to sudden death.
Stefan Timmermans is Assistant Professor of Sociology at Brandeis University and is widely published on the topic of health care.
CONTENTS Foreword by Bern Shen, M.D. Preface Introduction: What They Didn't Tell You in Your CPR Course The Myth of CPR How Dignified is Sudden Death? 1. Death Awareness in the United States The Emergence of Death Awareness Hospice Care Right-to-Die Movement The "Good" Death Toward a Dignified Sudden Death? 2. The Search for the Best Resuscitation Technique The Royal Humane Society The Resuscitation Techniques of the Royal Humane Society The Vital Principle The Schafer Technique Resuscitation Research in the United States Manual Artificial Ventilation Methods The Obstructed Airway Mouth-to-Mouth Ventilation Chest Compressions The Origins of Resuscitation Beliefs 3. CPR for All Professional Versus Lay CPR Patient Transportation Consolidation of the Emergency Medical System Survival Rates The Chain of Survival Some CPR Is Better Than No CPR What Is Survival? Number-to-Number Inflation The Economic Cost of Saving Lives Universal Lifesaving 4. Lifesaving in Action Cardiopulmonary Resuscitation Paramedics The Emergency Department Ritual, Medicalization, and Community 5. Deciding Life and Death Reaching Decisions Initial Impressions Dead on Arrival The Rush of the First Minutes The Resuscitation Team Retrieving Clinical Information Circumstances of the Cardiac Arrest The Patient's Social Viability Resuscitation Trajectories Legal Death Trajectory Elite Death Trajectory Temporary Stabilization Trajectory Stabilization Trajectory Social Inequality of Sudden Death 6. "There Is a Code and a Code" The Routines of Emergencies Becoming a Resuscitator Major Categories The Successful Resuscitative Effort The Bad Resuscitative Effort The Tragic Resuscitative Effort The Non-Category Personal Philosophy Comfort with Sudden Death 7. Saving Life or Saving Death? Resuscitation Ethic More Effective CPR Empowering Relatives and Friends Family Attendance Final Reflections Appendix: Methodology Notes References Index
| Erscheint lt. Verlag | 27.7.1999 |
|---|---|
| Verlagsort | Philadelphia PA |
| Sprache | englisch |
| Maße | 150 x 250 mm |
| Gewicht | 666 g |
| Themenwelt | Medizinische Fachgebiete ► Innere Medizin ► Kardiologie / Angiologie |
| Medizin / Pharmazie ► Medizinische Fachgebiete ► Notfallmedizin | |
| Studium ► Querschnittsbereiche ► Geschichte / Ethik der Medizin | |
| Sozialwissenschaften ► Soziologie | |
| ISBN-10 | 1-56639-715-4 / 1566397154 |
| ISBN-13 | 978-1-56639-715-5 / 9781566397155 |
| Zustand | Neuware |
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