Termination of resuscitation measures – is it that simple?
https://doi.org/10.24884/2078-5658-2025-22-2-6-10
Abstract
Authors group raises the issue of legal regulation of cardiopulmonary resuscitation in the Russian Federation. Domestic legislation lacks clarity in matters concerning the effectiveness criteria and time frames of the extended resuscitation measures. The current protocols for declaration of death are not applicable in ECMO (extracorporeal membrane oxygenation) conditions. Thus, there is a need to improve the legal regulation of issues of establishing a person’s death, including the development of a united protocol, containing precise criteria for TOR (Termination of Resuscitation) measures, regardless of the technologies used. All this effort would reduce the number of hopeless, prospectless evacuations to hospitals, as well as ensure legal protection for medical personnel.
About the Authors
V. M. Teplov
Pavlov University
Russian Federation
Russian Federation
Teplov Vadim M., Dr. of Sci. (Med.), Associate Professor, Head of the Department of Emergency Medical Services, Professor of the Department of Emergency Medical Care and Injury Surgery
6-8, L’va Tolstogo str., Saint Petersburg, 197022
M. A. Kosareva
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Kosareva Maria A., Anesthesiologist and Intensivist, Emergency Physician
3/5, lit. A, Budapeshtskaya str., Saint Petersburg, 192242
D. M. Prasol
Pavlov University
Russian Federation
Russian Federation
Prasol Denis M., Cand. of Sci. (Med.), Head of the Inpatient Emergency Department, Assistant of the Departments of Emergency Medical Care and Injury Surgery
6-8, L’va Tolstogo str., Saint Petersburg, 197022
A. F. Kotlyarsky
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Kotlyarsky Alexander F., Head of the Department of Anesthesiology and Intensive Care for the Adult Population № 1
3/5, lit. A, Budapeshtskaya str., Saint Petersburg, 192242
E. A. Karpova
Pavlov University
Russian Federation
Russian Federation
Karpova Elena A., Head Physician of the Clinic, Assistant of the Department of Public Health with a Course of Economics and Health Management
6-8, L’va Tolstogo str., Saint Petersburg, 197022
S. F. Bagnenko
Pavlov University
Russian Federation
Russian Federation
Bagnenko Sergey F., Dr. of Sci. (Med.), Academician of the RAS, Professor, Rector; Chief Freelance Specialist of the Russian Ministry of Health in Emergency Medical Care
6-8, L’va Tolstogo str., Saint Petersburg, 197022
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Review
For citations:
Teplov V.M., Kosareva M.A., Prasol D.M., Kotlyarsky A.F., Karpova E.A., Bagnenko S.F. Termination of resuscitation measures – is it that simple? Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2025;22(2):6-10. (In Russ.) https://doi.org/10.24884/2078-5658-2025-22-2-6-10
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