“Is he a code or not?” shouted the cardiology fellow.
“Partial code, no intubation,” answered the nurse. Faces frowned and breaths were sighed. Leonard was a 77-year-old man with widely metastatic colon cancer. Nearly everyone agreed that it would be better to forgo resuscitation and let him die.
“Okay, bag him with the mask, get a central line started, and continue compressions.”
Thirty minutes later, spontaneous respirations and a heart rhythm had been restored. He was transferred to the intensive care unit (ICU) for further care; however, concern arose as to the possibility of anoxic encephalopathy. Soon his family arrived, and a family meeting was hastily arranged.
Rousseau P. Partial Codes—When “Less” May Not Be “More”. JAMA Intern Med. 2016;176(8):1057–1058. doi:10.1001/jamainternmed.2016.2522
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