Do not attempt CPR’ in the community: the experience of ambulance clinicians

Change log
Moffat, Suzanne 
Slowther, Anne-Marie 
Parry, Matthew 
Barclay, SIG 


Background. Ambulance clinicians must make time-critical decisions concerning treatment and resuscitation. Little is known concerning the impact of the presence (or absence) of Do-Not- Attempt-Cardiopulmonary-Resuscitation (DNACPR) decisions in the community.

Aims. To investigate ambulance clinician’s experiences of DNACPR documentation and views concerning potential future changes.

Methods. Multi-methods study comprising semi-structured face-to-face interviews (n=10) and on-line questionnaire (n=123).

Findings. Ambulance clinicians report a statistically significant increase in numbers of community DNACPR forms. Most state they have not had formal DNACPR education and experience difficulties making clinical judgements in patients at the end of life, reporting inappropriate cardiopulmonary resuscitation (CPR) attempts and poor communication among stakeholders.

Conclusion. Assessment of patients near the end of life with (and especially without) a DNACPR is challenging for ambulance clinicians. There is a need for 1. education about resuscitation recommendations to be integrated into training and 2. a national approach to decisions and their documentation.

4203 Health Services and Systems, 32 Biomedical and Clinical Sciences, 3202 Clinical Sciences, 42 Health Sciences, Clinical Research, 7.3 Management and decision making, 7 Management of diseases and conditions, 4 Quality Education
Journal Title
Journal of Paramedic Practice: the clinical monthly for emergency care professionals
Conference Name
Journal ISSN
Volume Title
MAG online
National Institute for Health Research (NIHR) (via Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) (unknown)