Category Archives: BLS Patient Care Standards

Question: Called to a nursing home for 90 year old male. On scene staff state patient has valid DNR but they are unable to produce it. The crew continues to resuscitate patient as per usual. Enroute to receiving facility, CACC advises the crew that family has phoned in and stated that they have the DNR and they do not want the patient resuscitated. The attendant phones the attending BHP and advises him of the situation. The BHP orders EMS to cease resuscitation efforts on patient. Is this right or wrong?

Question: I was on a call recently where I was instructed that all patients from a scene, where there has been a fatality, are CTAS 2. I had never heard of this so I asked our Quality Assurance and they said that all patients from the vehicle which had the fatality in it are CTAS 2. They also told me that Victoria Hospital (LHSC) is thinking about making them all CTAS 1. I asked around and not many people had heard about this. I looked through the original CTAS course module and could not find anything on this. I thought we were supposed to CTAS according to presenting condition. Some of these people are out walking around at the scene with no complaints.

Question: Patient has a FBAO and a valid DNR (ex. nursing home). Resuscitate or not?

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