Question

A 78-year-old man with severe dementia and multiple comorbidities has an advance decision refusing cardiopulmonary resuscitation (CPR) documented, discussed previously with his GP and family. He is admitted with pneumonia and deteriorates, then sustains a cardiac arrest. His daughter begs the team to “do everything”. What is the most appropriate course of action?

Accepted Answer

Respect the valid advance decision and do not commence CPR

Answer

Ignore the advance decision and start full CPR

Answer

Ask the daughter to sign a consent form for CPR

Answer

Call the coroner to confirm whether CPR can be withheld

Answer

Attempt CPR for a short period to satisfy the family

Practice question