In the case of an older patient with terminal illness in cardiac arrest, what action should the EMT take if documentation of the patient's wishes is not available?

In a situation involving an older patient with a terminal illness who is experiencing cardiac arrest, it is important for EMTs to consider the ethics and protocols surrounding resuscitation efforts, especially when documentation of the patient's wishes is unavailable. Opting to attempt resuscitation is based on the principle that emergency medical responders typically operate under the premise that every patient deserves an effort to save their life unless there is clear evidence of a do-not-resuscitate (DNR) order or advance directives that specify otherwise.

When documentation is lacking, EMTs often follow the guideline of preserving life until further direction is provided. This choice is rooted in the understanding that, in the absence of a DNR or specific patient instructions, there is a default assumption that resuscitative measures are warranted. It reflects the commitment to provide care and the responsibility to respect the inherent value of life.

Other options, such as contacting family members, providing comfort measures only, or notifying medical control, might not align with the immediate need to take definitive action in an emergency situation. While these steps could be important in other contexts, without clear documentation or prior knowledge of the patient's wishes, the most appropriate action is to attempt resuscitation, ensuring all efforts are made to provide the patient with a