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Updated: Jun 19, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

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Published on: November 9, 2016

Public preferences regarding slow codes in critical care.

Philipp Sprengholz^1,2,3

¹Institute of Psychology, University of Bamberg, Bamberg, Germany.

|October 3, 2024

Summary

Public perceptions of slow codes, an intermediate approach to resuscitation, reveal that laypersons find them common and often preferable to no resuscitation. This challenges ethical assumptions and informs clinical practice.

Keywords:

critical care empirical ethics public opinion slow code

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Last Updated: Jun 19, 2026

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Area of Science:

Medical Ethics
Emergency Medicine
Public Health

Background:

Slow code, a reduction in resuscitative efforts, is an intermediate approach between full and no resuscitation.
Ethical debates often condemn slow codes as dishonest, yet public perception remains understudied.

Purpose of the Study:

To investigate public perceptions of slow codes.
To compare laypersons' views on slow codes versus full codes and no codes.

Main Methods:

Two vignette experiments were conducted to gauge public opinion.
Participants' perceptions of ethicality, punishability, and preference for different resuscitation levels were assessed.

Main Results:

Laypersons perceive slow codes as commonplace and frequently prefer them over no resuscitation.
Full codes were viewed as the standard, most ethical, and least punishable option.
Results challenge the assumption that the public universally opposes slow codes.

Conclusions:

Public opinion on slow codes is more nuanced than often assumed by ethicists.
Findings suggest slow codes are an accepted practice by the public, influencing ethical discussions and clinical implementation.