Date Published

December 22, 2017

Updated For

ALS PCS Version ALS PCS Version 5.2


Question: Are paramedics in Ontario authorized to adhere to a person's DNR wishes documented on a completed 'CCAC Plan of Treatment' as an alternative to a completed 'DNR Confirmation Form?



This is a challenging scenario for paramedics to be in.  As per the BLS Standards, the Do Not Resuscitate standard is to be followed only when a valid MOHLTC DNR Confirmation is presented to the paramedics. In these situations, paramedics will start resuscitation and attempt to contact a base hospital physician for further direction.  A working group at the provincial level has recently been formed to explore other potential DNR methods that may be utilized in the prehospital setting.



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