People certified in CPR..here's a scenerio for you. WWYD?

[DawnCt1]

How about "Dear Emblamer, please try CPR one more time"?

Anyhoo..OP a healthy person CAN have a DNR (DH and MIL have one, and I have an order that says do not keep me on life supprt if I have no chance at recovery). The order is filed at our Doctor's office and with our lawyer.

Words I would like to hear at my funeral; "LOOK, SHE'S ALIVE!"

 

[Bren's Mom]

So basically, an otherwise healthy person could not have a DNR? I am sure if he went to his Dr. he may be commited for psych evaluation.

<snip>

I am not saying I want my friend to die, but I understand what he is saying. He doesn't want to be "brought back" if he is on his way out the door.

Your first statement there is NOT true. A healthy person CAN (and many do) have DNRs or Living Wills. Nothing crazy about that!

I totall get what you are saying and how your friend feels. He CAN have his wish granted.

This page will give him the info he needs to go about getting what he wants, I'm assuming he is also in Massachusetts:

http://www.endoflifecommission.org/end_pages/advance_care.htm

Requirements of the Massachusetts Comfort Care Protocols
Effective on January 1, 2000, the Massachusetts Department of Public Health’s Office of Emergency Medical Services (OEMS) adopted Comfort Care protocols that recognize out-of-hospital DNR orders. In Massachusetts, a Comfort Care/DNR verification form or bracelet that conforms to Comfort Care requirements is the only documentation of DNR status that EMS personnel may honor during a medical crisis in an out-of-hospital setting.

Comfort Care forms and bracelets must be obtained by a physician but can be distributed by a physician to an authorized physician assistant or nurse practitioner. The forms are sequentially numbered and must be signed and dated by either the physician or the authorized physician assistant or nurse practitioner in order to be valid.

If EMS personnel arrive to find an individual in cardiac or respiratory arrest with a valid DNR but no original Comfort Care/DNR verification form (copies are not acceptable) or bracelet, they are obligated to begin CPR. Even if the duly appointed healthcare proxy states that resuscitation is not warranted, resuscitation and transport must occur unless a Comfort Care/DNR verification form or bracelet is visible.

If there is any good faith basis to doubt the continued validity of the Comfort Care/DNR order, EMS personnel are instructed to resuscitate.

 

[Lisa loves Pooh]

Thanks for all your replies. So basically, an otherwise healthy person could not have a DNR? I am sure if he went to his Dr. he may be commited for psych evaluation.

I just think that some people have been dealt a crappy hand in life, and when you reach 60 years old, and things haven't gotten better, but you are not suicidal, you just start thinking that dropping dead would be a blessing. (That is how he feels). Kind of like "Oh, it's my turn? OK, I'm ready and willing. Good bye cruel world"

So, if you have that attitude, and you have lived your life, raised your kids, why couldn't you have a legal DNR for thinks like CPR? You shouldn't have to have a terminal illness.

I am not saying I want my friend to die, but I understand what he is saying. He doesn't want to be "brought back" if he is on his way out the door.

DNR doesn't just apply to terminal illness. They are papers to have in order even if you are healthy. You could be in a traffic accident, have a fall, have a stroke--any sudden event and a DNR would state how you wish to be treated and under what circumstances.

The goal is always to save your life. I have never heard of requiring a psych eval---

His tattoo however isn't adequate--he's getting CPR whether he likes it or not.

 

[princess momma]

Yeah, I just took CPR a month ago. No more rescue breathing, and it's 30 compressions now instead of 15.

CCR should be 100 compressions per minute, without rescue breathing. Hard and fast, while humming Staying Alive.

I'm healthcare provider certified and it's a bit more complicated than the laypersons CPR, but I won't go into that.

 

[GRUMPY PIRATE]

No post mortum exam. (no autopsy)

I would see "no post" and think it would mean "Post no bills"

 

[monkey68]

CCR should be 100 compressions per minute, without rescue breathing. Hard and fast, while humming Staying Alive.

I'm healthcare provider certified and it's a bit more complicated than the laypersons CPR, but I won't go into that.

Alternatively, you can also hum "Another One Bites the Dust", like these people http://www.youtube.com/watch?v=s0HNYmWLqdc

 

[manning]

From personal experience I don't think anyone would take the time to notice a DNR.

I had to do CPR on someone at a party once. He went down, a nurse at the party said "no pulse" and just went into doing CPR. It never occurred to us to check for a DNR. No one was thinking, the nurse and I were giving this guy CPR and yelling for someone to call 911. The reaction?.....duh huh? The nurse had to call.

Taking the time to check for a braclet probably would never happen.

 

[AshleyW]

Anyhoo..OP a healthy person CAN have a DNR (DH and MIL have one, and I have an order that says do not keep me on life supprt if I have no chance at recovery). The order is filed at our Doctor's office and with our lawyer.

It depends on the laws in your state. In Iowa, you can only get an out-of-hospital DNR order if you're terminally ill.

 

[DawnCt1]

And just a reminder; you don't have to be certified in CPR. If you are the only one there, you are that victim's best hope. Call for help and then begin CPR.

 

[lemondog]

A 60 year old man is walking down the street in front of you. He drops, not breathing. You are CPR certified so you start CPR. You open his shirt and discover he has DNR tatooed on his chest.

WWYD?

I have a friend who would not want to be resuscitated if he drops dead. He is 60 years old, but has had enough of this life. If he drops of a heart attack, he wants that to be it. He doesn't want someone bringing him back. He thinks if he has DNR tattooed on his chest, that will work. Would it? If not, are there medical bracelets that have DNR on them, for an otherwise healthy person?

I'd still do it. Who knows what DNR means? I mean, it COULD mean Do Not Rescusitate, but it could just as easily be initials for something.

 

[lemondog]

the nurse and I were giving this guy CPR and yelling for someone to call 911. The reaction?.....duh huh? The nurse had to call.

I have to get re-certified every 2 years for my job. Just took my class today. This is the reason they teach you to look someone directly in the eye, or better yet call them by name, and instruct them to call 911. If you just shout "someone call 911" then 9 times of 10 they all just stand around gawking and the call does not get made.

 

[*BTMRR*]

I have to get re-certified every 2 years for my job. Just took my class today. This is the reason they teach you to look someone directly in the eye, or better yet call them by name, and instruct them to call 911. If you just shout "someone call 911" then 9 times of 10 they all just stand around gawking and the call does not get made.

This is how we were taught. Our instructor said that once he had to do CPR on someone who had collapsed in a hotel lobby. He yelled at the bystanders to call 911 and no one moved. Finally a lady pulled out her cell phone and then she said, "What's the number for 911?"
It's very hard for people to keep their wits about them in an emergency.

 

[Judy from Boise]

Weird (and horrible) story about the most recent time i did bystander CPR. I was at a local restaurant for a business lunch, with a another two nurses who were trying to get our hospital to set up an account with their temporary staffing agency. At the next table was a family with an obviously developmentally delayed/ handicapped child. I was eating my lunch when I hear the mother say "she is gone", not with a lot of drama....but the words caught my attention so I glanced over. The child had obviously arrested, so I acted automatically and grabbed her, tried to ventilate, re-adjusted, sitll no chest movement, so I heimliched her, then was able to begin actual CPR. She roused after two rounds. Of course the restaurant starts clapping ....and i look at Mom's face and she is pissed! She never spoke to me, and tried to talk the paramedics out of transporting her after they arrived. The grandfather thanked me for saving her life....the mom spoke not a word. It was so sad that the mother was upset the child had not died.

 

[DawnCt1]

Weird (and horrible) story about the most recent time i did bystander CPR. I was at a local restaurant for a business lunch, with a another two nurses who were trying to get our hospital to set up an account with their temporary staffing agency. At the next table was a family with an obviously developmentally delayed/ handicapped child. I was eating my lunch when I hear the mother say "she is gone", not with a lot of drama....but the words caught my attention so I glanced over. The child had obviously arrested, so I acted automatically and grabbed her, tried to ventilate, re-adjusted, sitll no chest movement, so I heimliched her, then was able to begin actual CPR. She roused after two rounds. Of course the restaurant starts clapping ....and i look at Mom's face and she is pissed! She never spoke to me, and tried to talk the paramedics out of transporting her after they arrived. The grandfather thanked me for saving her life....the mom spoke not a word. It was so sad that the mother was upset the child had not died.

Wow, how heartless and what an incredible story. I wonder if she gave her food that she knew she wouldn't be able to "handle".

 

[Judy from Boise]

very possible.