West Coast EMT Block One Exam

You respond to an unconscious patient with terminal brain cancer whose family states there is a DNR order but cannot locate it. What should you do?

1. Decide on further action once the DNR order is produced.

2. Honor the patient's wishes and withhold all treatment.

3. Transport the patient without providing any treatment.

4. Begin treatment and contact medical control as needed.

The correct answer is: Begin treatment and contact medical control as needed.

The best course of action in this scenario is to begin treatment and contact medical control as needed. When encountering a situation involving a patient who is unconscious and has a medical condition like terminal brain cancer, it is important to assess the situation carefully. In the absence of a visible DNR order, emergency medical personnel are generally required to provide treatment to preserve life. The law typically favors patient safety and life preservation, meaning that unless a valid DNR order is confirmed, the standard procedure is to initiate care. Additionally, contacting medical control is critical as it allows for guidance from a physician or medical professional who can clarify any uncertainties regarding treatment protocols or the validity of the DNR order once it is found. This ensures the patient's medical care is aligned with their wishes while adhering to legal and ethical obligations. Honoring the patient's wishes is paramount, but without the DNR in hand, starting treatment aligns with standard emergency protocols until more information can be obtained. This approach prioritizes the patient's well-being while also respecting their family's intentions and the possibility of a DNR existing.