living your best to the end

Dr Paul Dorian: CPR insights from a man dedicated to our hearts

3 questions about Cardio Pulmonary Resuscitation (CPR) Dr Paul Dorian As always, before launching into questions, I  explain my sense about the topic, CPR, to. Dr Paul Dorian  “I think we ‘real people’ have neither the information nor the context to make informed decisions about CPR.” His answer: comprehensive, concise, hugely helpful. The CPR decision is complex, fraught and depends on the individual, their underlying diseases, and the situation. As a decision-maker here are the questions to ask: How likely is going to be that CPR is going to be life-saving in the short term – whether it’s 30 minutes or a day.  How likely is this person going to return to meaningful Quality of Life – with the definition of ‘meaningful’ is different for each of us What’s the intermediate or long-term outlook for this person’s overall health – say 6 months to 2 years. For example if this person has late stage kidney disease, their life expectancy may not be that long. Another factor to consider when undertaking CPR is timing: For instance, if a heart attack happens outside the hospital, the success rate for ‘Basic CPR’  – mouth to mouth or auto defibrillators (AED)– is 4-6%.  The reason for that low ‘success rate’ is because of the timeliness of the intervention. It often takes too long to do that CPR. In the hospital, the success rate goes up to 20-25% but that’s still pretty low. When decisions of life and death have to be made, if you haven’t thought about and talked about your preferences and values there’s no time for philosophizing when there’s a health...