In cases of cardiac arrest where a patient’s wishes are for do not resuscitate (DNR) but no Ministry of Health DNR Confirmation Form is available, paramedics should consider patching to a Base Hospital Physician (BHP) to consult on the appropriateness of withholding further resuscitation.

Paramedics should read Medical Advisory 2023-03 on Acceptance of Verbal or Written Do Not Resuscitate Requests. Paramedics may also view the video message from RPPEO Associate Medical Director Dr. Mark Froats that supports this Medical Advisory. Contact the RPPEO at info@RPPEO.ca should you have any questions or concerns.