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Colorado Do Not Resuscitate Form

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The Colorado do not resuscitate form is provided by Colorado Emergency Medical Services.

Colorado Do Not Resuscitate Form
This summary provides information about the types of Do-Not-Resuscitate (DNR) requests that will be
honored in the field by paramedics, and emergency medical technicians ( EMTs) on fire engines and
ambulances. This information will also be helpful to physicians in the hospital if you do not want
resuscitative efforts.
The best resource for obtaining information is your own physician. Once you have read this summary
sheet, you may want to write down any questions and discuss them with your family and physician. For
general information, call Orange County Emergency Medical Services at (714) 834-3500.
1. What does DNR mean
DNR means, “Do Not Resuscitate,or, do not attempt to restart a heart or breathing once they
have stopped.
Generally, for paramedics and EMTs to honor a patients wishes not to have CPR or other
resuscitative efforts, a properly completed field DNR form must be present.
2. What happens when paramedics or EMTs respond to a person with a DNR order
If the persons heart or breathing has stopped and there is a valid DNR order, paramedics and
EMTs will not try to restart the heart or breathing.
The types of treatments that a patient with a DNR order WOULD NOT receive include
cardiopulmonary resuscitation (chest compressions and mouth-to-mouth breathing, or CPR),
electric shocks to the heart, assisted breathing with mechanical devices, or the use of medications
which are intended to artificially start the heart again. A person will not be placed on life
support, such as a ventilator or a breathing machine.
A DNR order only applies when the heart or breathing has stopped. It does not affect other care,
for example before the heart has stopped.
3. What will happen if I am in pain, or bleeding
Patient with DNR orders receive full treatment for conditions like pain, shortness of breath, and
bleeding. This is called comfort care.
The paramedic or EMT will always provide for patient comfort.
An airway obstruction or blockage in an awake patient will be treated.
4. What happens if I decide I no longer want to have a “DNR” order
At any time, if you decide that you want to receive full treatment (e.g., CPR), then the DNR order
will be disregarded. If you change your mind when the fire department or ambulance arrive,
simply tell the paramedics or EMTs that you do wish resuscitative efforts and that they should
ignore the DNR order.
Colorado Do Not Resuscitate Form