Emergency care plans at the end of life

When a person’s heart or breathing stops and the cause is reversible, immediate cardiopulmonary resuscitation (CPR) offers a chance of life. However, when a person is dying—for example, from organ failure, frailty, or advanced cancer—and his or her heart stops as a final part of a dying process, CPR will not prevent death and may do harm. But conversations around that distinction are difficult. In a this podcast, we explore the ways in which these conversations go wrong, and give some practical advice on carrying them out better. Joining Helen Macdonald are Zoe Fritz, consultant acute physician, and Wellcome Fellow, David Pitcher, former president of the Resuscitation Council, and Kate Masters, whose mothers death led to a change in the law around DNACPR orders. Read the articles discussed in this podcast: Emergency care and resuscitation plans http://www.bmj.com/content/356/bmj.j876 Resuscitation policy should focus on the patient, not the decision http://www.bmj.com/content/356/bmj.j813 My mum’s care means that decisions not to resuscitate must now be discussed with patients http://www.bmj.com/content/356/bmj.j1084