Talk:Do not resuscitate

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US[edit]

The article as it stands is quite good, but it needs some international perspective, as it is completely US-based (which perfectly reasonable if the authors are American.) DNR (or NFR) orders are quite different in the UK, and I suppose in other parts of the world. An international persective would be useful. It might also be helpful to discuss the different perception between doctors and the public of the likely success of CPR and advanced life support. Anyone? Jellytussle 17:20, 6 December 2006 (UTC)

I thought so far the international sections were somewhat poorly supported with information. If others are willing to contribute more info then we can increase the international section.SpoticusKC 05:54, 30 June 2007 (UTC)

I'd like to see proper citation used through the article, especially for "In many jurisdictions, medical professionals are ordered not to acknowledge DNR orders." Its not doubt that this occurs but rather, wanting to see the claim made concrete. GavinZac 14:41, 10 December 2006 (UTC)
As a licensed EMT-B, I can verify that we are instructed to honor DNR orders at the scene unless any family member present asks us to intervene, in which case we are required to do so and take the patient to the ER. A DNR can only be honoured against family wishes by a doctor. --DesiArcy (talk) 23:29, 7 August 2009 (UTC)

In the UK, can it ever be legal to put a DNR on someone's file against their explicit will, or without their consent if they are able to consent? The comments of the Department of Health spokesperson in this article suggest that. --88.73.34.114 (talk) 19:39, 27 August 2011 (UTC)

DNR Tattoos[edit]

Does anyone think there should be a paragraph or section included in this article about DNR tattoos?Peaceoutside 22:52, 16 July 2007 (UTC)

I have seen two different photographs of DNR tattoos but never one in person. I dont think it is yet a large enough culture phenomenon and the legality of such is not clear. SpoticusKC 03:51, 17 July 2007 (UTC)


Accuracy of CPR[edit]

This article desperately needs to be rewritten by someone (preferably a physician) who works in critical care. I'm an American medical student and in my very brief experience with DNR orders, the way they are actually described to patients and the effect they have on care is pretty poorly captured by this article.

Also, I'm not sure where the 10% success figure is coming from, but whether or not ACLS is successful is highly context dependent. A brief websearch reveals this: http://emj.bmj.com/cgi/content/abstract/21/3/370 which makes me suspect that the 10% figure is a low-ball figure for the success rate of recusitation during non-hospital encounters. It isn't very informative to rattle off (uncited) figures without giving some idea as to what the population those figures are derived from is. My suspicion is that in-hospital resuscitation has a much higher success rate than reported in this article. 70.5.13.102 05:45, 2 September 2007 (UTC)GMM

Most of the talk of 'success of CPR' is better suited for the CPR page on wikipedia, although it is relevant to deciding on whether or not to choose a DNR order over a CPR order. The CPR page has relevant citations that would be useful to put on this page. To the medical student, you should take a stab at writing more to the article and others will reinfe and edit where needed. Most of the medical pages here are quite inadequate.SpoticusKC 02:06, 8 September 2007 (UTC)

It is impossible to attach a figure to THE survival rate of CPR. Outcomes vary extremely widely according to demographics and time and place. Read [1] for more info on the subject. Survival rates are particularly low for those over 60 and with asystoly. Intermediate outcomes are in the order of 10% overall, and much lower for those mentioned above. The immediate overall outcome of an in hospital resus event is in the order of 30% according to the article. I wonder if that figure is not artificially high due to some local practice. I haven't read thoroughly, but it seems this takes into account EVERY call made to the resus team. Most of those will be for cases without actual cardiac arrest anyways. Ft. Jack Hackett 12:10, 16 September 2007 (UTC)

WikiProject class rating[edit]

This article was automatically assessed because at least one WikiProject had rated the article as start, and the rating on other projects was brought up to start class. BetacommandBot 03:56, 10 November 2007 (UTC)

Accuracy of terms[edit]

Advance directives and DNAR orders are quite different as you can read on Decisions Relating to Cardiopulmonary Resuscitation. A Joint Statement by the British Medical Association, Resuscitation Council (UK) and the Royal College of Nursing” 2007. This article should be reviewed in order to make this more clear. —Preceding unsigned comment added by 195.23.102.126 (talk) 12:30, 16 February 2011 (UTC)

Ethical Issues[edit]

I think ethical issues around this topic could be fleshed out more. Having dealt with some professionally, I will try to work on this. What do you do in the case of a pt who is a DNR but tried to commit suicide? Also there is unfortunate confusion between comfort care and DNR even among health care providers. What ethical issues are involved when you decide on DNR but have an implantable cardioverter-defibrillator- there is debate about turning these off in certain situations. I have seen lackadaisical medicine for DNR patients but for me I am if anything more careful in DNR patients so they do not cross the point of "no return" (needing a vent or cardiac intervention).Chickpecking (talk) 23:30, 13 December 2015 (UTC)

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