Advanced do-not-attempt-resuscitation directives and emergency medical services for out-of-hospital cardiopulmonary arrest patients in Japan: a pilot study.

Takaaki Maruhashi Marina OiSadataka AsakumaRika KotohHirotaka ShibuyaYutaro KuriharaYasushi Asari

Published in: Acute medicine & surgery (2021)

Our analyses indicate the under-utilization of DNAR advance directives and advance care planning (which are important for better end-of-life care) in Japan. Currently, an emergency medical team could be required to attempt resuscitation against an individuals' clear DNAR order. In the future, legal arrangements regarding the handling of DNAR directives on site may be required to respect patients' wishes.

Keyphrases

end stage renal disease
emergency medical
ejection fraction
newly diagnosed
chronic kidney disease
cardiac arrest
healthcare
primary care
palliative care
emergency department
advance care planning
cardiopulmonary resuscitation
cell cycle
acute care
septic shock