Termination of Resuscitation

Medical Arrest Termination of Resuscitation Checklist 

Medical Arrest: Termination of Resuscitation (> 30 minutes of downtime)
Checklist:
□ Adequate CPR has been administered 
□ ETCO2 is less than 20
□ PEA rate is less than 40
□ Airway managed with ET, I-gel, cric
□ IV/IO access has been achieved 
□ Rhythm appropriate medications and treatment administered 
□ Identified reversible causes have been addressed 
□ Failure to establish sustained ROSC at any time 
□ Failure to establish recurring/persistent v-fib 
□ Arrest not due to suspected hypothermia 
□ Providers agree with decision to cease efforts 
□ If all present, may terminate without contacting medical control, otherwise discuss case with medical control 

Bereavement resources: https://www.mercy.net/content/dam/mercy/en/pdf/mnm-resources/bereavement-support-groups-in-st-louis-area.pdf