‘Do Not Attempt CPR’: how the pandemic changed perceptions and practice

In this article, the authors look at the current literature and studies around ‘Do Not Attempt Cardiopulmonary Resuscitation’ (DNACPR) discussions and decisions, and how the global coronavirus disease (COVID-19) pandemic brought increased focus on this area of practice. For patients with incurable, advancing illness, having discussions to ascertain their views about CPR, and suggesting and instituting advance care planning measures such as ‘Do Not Attempt CPR’ forms, is becoming part of normal practice in medical settings. Yet all decisions must be individualized to each patient. There was evidence of increased decision-making regarding DNACPR during the pandemic, with concerns raised in the press and on social media. Here, we discuss how this has changed with the global COVID-19 pandemic, where concerns about blanket decision-making and lack of candour in discussing DNACPR decisions with patients and those close to them were raised.