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.