When should you consider stopping resuscitation efforts?

Stopping resuscitation efforts is considered appropriate when there is a return of spontaneous circulation (ROSC). ROSC indicates that the heart has resumed effective beating, restoring circulation, and providing a potential pathway for survival and recovery. The presence of ROSC reflects a successful temporary outcome during resuscitation efforts, suggesting that the patient may have a chance for further treatment and recovery.

In the context of other options, feelings of exhaustion by the rescuer or arbitrary time limits for resuscitation do not provide evidence-based grounds for stopping. Resuscitation should continue until there are clear signs of effective circulation, another qualified medical professional arrives and takes over, or if there are other ethical or medical reasons to discontinue based on the situation. The absence of breathing alone is not a sufficient indicator to stop resuscitation, as it could be part of a cardiac event where resuscitation efforts may still lead to a positive outcome if performed correctly and promptly.