Welcome to the Recess Room podcast.

Five, four, three, two, one, fire.

So hi, and welcome back to the Recess Room podcast. I'm Simon Lang.

And I'm Rob Fenwick.

And this time, just for a change change we're going to be talking about

cardiac arrest management cardiac arrest management sounds like a good topic one for the

resus room very good indeed and even outside the resource room possibly for this one so we're

going to be looking at a really difficult topic actually, and that's about when to stop CPR.

Now, I imagine there are a lot of clinicians out there that are really comfortable with this.

They're very happy about their decision making, they've got their own prognostic indicators that they'll look at, and they're happy when to cease.

But actually, some of us out there might find it more tricky.

And actually, the decision to stop can be at times really hard.

But we're going to have a look at a paper and think about a few different systems,

which actually try and give explicit advice on when to stop CPR.

Definitely. Really important topic, really important

topic, good to cover this one. So probably the most explicit and obvious system which uses

advice on when to stop CPR is that of pre-hospital services. So there are different documents

out there which state when it is futile to continue.

There are links to these on the website and make sure you're going to have a look at them yourself.

But for example, the Resuscitation Council in the UK give certain cases where you can

recognise that a life is extinct. So times when you don't even need to start CPR. So things like decapitation,

which probably be pretty unlikely to start CPR with, incineration where you've got full thickness

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