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I'm currently certified and we are told that unconscious means consent and once you determine they're not breathing (only criteria) then you perform cpr. I've been certified for over 7 years as a dispatcher and we often provide these exact instructions. Since we deal with the whole of the US we use national protocols which are valid throughout the country (emd epd protocols) and unless you know for SURE they are breathing you perform CPR every time. Doesn't matter if they have a DNR. Unless of course they just had a seizure then you wait. But if you can't confirm breathing or you say they're snoring we are going straight to chest compressions. I've been trained by some of the most knowledgeable people who I was lucky to have the privilege to learn from. This training has served me very well.
The course I took this summer gave similar guidance, and dispelled any worries about getting sued for helping.
Interestingly though, the instructor said we should not provide breaths mouth to mouth without a guard if we suspect drug use, or even just don’t know the person. Apparently fentanyl has changed that landscape.
Uhhh, what's the point of a DNR then? Let me die if I want to, ffs.
DNR is for the hospital staff who are legally trained and have time to figure out if it is valid. When seconds count nobody has time to check for fraudulent DNR tags.
Someone calling 911 for a person with a DNR isn't going to be a good source of information on said DNR. A dispatcher isn't going to attempt to verify the DNR is valid through the phone with someone that's panicked, so "just do CPR" is the safe course of action.
If you get a DNR it needs to explained to your family what it means so they at least know what to do. And even if they freak out EMS/a nurse/etc will see the DNR and not continue resuscitation.