0
ARTICLE |

High-Dose Epinephrine in Cardiopulmonary Resuscitation

Darell E. Heiselman, DO
JAMA. 1993;269(11):1383. doi:10.1001/jama.1993.03500110051021.
Text Size: A A A
Published online

To the Editor.  —Callaham et al1 state in their "Methods" section that informed consent was not obtained but was "implied on a compassionate basis." I can understand the need to enroll patients without consent into such a study because of the urgency of the clinical setting. In addition, the incurred delay in attempting to obtain informed consent from surrogate decision makers would make conclusions and effects of treatment impossible to interpret. Recently, there have been a multitude of reports involving resuscitation research using high-dose epinephrine.2,3 Before we begin down this slippery slope, we as researchers in cardiopulmonary resuscitation must ensure that if there is to be no informed consent, ethically there at least must be disclosure of the research performed. My concern is that investigators in trials such as the one reported make no statements or assurances that truthful, full disclosure was performed, especially to the families of

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();