@MoJoShaw So far, no. MDs are not obliged to provide treatment that is not standard of care. But it’s a difficult line to walk. https://t.co/Qcx1xdOH1A
Do physicians require consent to withhold CPR that they determine to be nonbeneficial? https://t.co/LfXAFMjYIW
@jamesdownar timely commentary: https://t.co/hJuj4qoS9o Consider now: unwitnessed, asystole, COVID-19 Utilitarianism could examine the harm to caregivers as part of policy. Doesn't excuse the physician from engaging with POA.
@SGaibrie @shanxonline @JulianOwenEM_CC @Simon_Ocz @JoannaDionne @drfoxrob @shannontheune @MacCriticalCare Thank you for asking the excellent q. We have had some interesting discussions around @cpso_ca policy on CPR (could potentially extend to critical ca
Withholding CPR: Standard of Care VS Best Interest. When is CPR medically inappropriate? When is CPR not in the patient's best interest? Not straightforward... #ethics #CMAJ https://t.co/DzC2n0kyBQ
Great article here in @CMAJ by @jamesdownar on whether physicians can withhold CPR when we think it will be non-beneficial. Key points here: https://t.co/FV0tOLqwU8
Do physicians require consent to withhold CPR that they determine to be nonbeneficial? https://t.co/xl0WzwvfrB
@Rachbcooper Ooo! Give this a read! https://t.co/lXBbOPawzJ
RT @kmkokorelias: “Autonomy is a negative right: although patients can refuse treatment or insist that it be withdrawn, there is no right t…
RT @kmkokorelias: “Autonomy is a negative right: although patients can refuse treatment or insist that it be withdrawn, there is no right t…
RT @IMhotep2k12: Do physicians require consent to withhold CPR that they determine to be nonbeneficial? https://t.co/Z7OiS7StDx
“Autonomy is a negative right: although patients can refuse treatment or insist that it be withdrawn, there is no right to demand it.” Fantastic discussion of the new policies around withholding CPR by @jamesdownar in @CMAJ https://t.co/xl0WzwvfrB .
Nice to see so many former colleagues in the same room.
RT @StephenLap: Great multidisciplinary ICU fellows rounds @SinaiHealth discussing ethical and legal aspects of CPR given new legal precede…
Great multidisciplinary ICU fellows rounds @SinaiHealth discussing ethical and legal aspects of CPR given new legal precedents in Ontario. ICU, legal, ethics, palliative care present https://t.co/PzZhxReKkQ https://t.co/jfdbD1Ucuq
Do physicians require consent to withhold CPR that they determine to be nonbeneficial? #savinglives #cpr https://t.co/zN5pTBcawn
@bmj_latest @OttawasDofM @emergmedottawa @WhatsUp_Doc123 @Bram_Rochwerg @vaillancourt_c @ICNARC @kwadwo777 @mcisaac_d @OttawaHospital @American_Heart I have been asked by some about provision of CPR in IHCA cases where it is likely not beneficial, as indic
Food for thought on palliative care. Recent Canadian court case allowing doctors to refuse CPR even against family wishes, if not in interest of patient, is a step in the right direction https://t.co/uNMT08RyAc
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @kieranlquinn: “Autonomy is a negative right: although patients can refuse treatment or insist that it be withdrawn, there is no right t…
RT @OnLTCC: https://t.co/kFt3gqi8uH The Ontario Superior Courtdetermined that MDs do not require consent to withhold CPR that is medically…
If physicians in Ontario conclude that CPR is outside the standard of care in particular cases, they can issue a no CPR order despite the substitute decision-maker's choices. Note that this is about standard of care and NOT about any personal interest. Co
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @tingdan: Important ruling that may influence rest of the country. “the College of Physicians and Surgeons of Ontario has already revise…
This ruling and change in policy around the need for consent to withhold CPR is huge and much needed! - “Autonomy is a negative right: although patients can refuse treatment or insist that it be withdrawn, there is no right to demand it.”
RT @CMAJ: Can doctors withhold CPR without consent? A recent Ontario Superior Court of Justice ruling has implications for practice across…
RT @tingdan: Important ruling that may influence rest of the country. “the College of Physicians and Surgeons of Ontario has already revise…
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @tingdan: Important ruling that may influence rest of the country. “the College of Physicians and Surgeons of Ontario has already revise…
Do physicians require consent to withhold CPR that they determine to be nonbeneficial? https://t.co/IhrkOTmCNe
a recent ruling by the Ontario Court of Justice - that physicians do not need consent to withhold CPR if medically inappropriate - calls for reflection on a clearer standard of care regarding CPR #CPR #patientcentered #endoflifecare https://t.co/wcFrxVqe9
RT @tingdan: Important ruling that may influence rest of the country. “the College of Physicians and Surgeons of Ontario has already revise…
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @kieranlquinn: “Autonomy is a negative right: although patients can refuse treatment or insist that it be withdrawn, there is no right t…
RT @tingdan: Important ruling that may influence rest of the country. “the College of Physicians and Surgeons of Ontario has already revise…
RT @kieranlquinn: “Autonomy is a negative right: although patients can refuse treatment or insist that it be withdrawn, there is no right t…
RT @tingdan: Important ruling that may influence rest of the country. “the College of Physicians and Surgeons of Ontario has already revise…
RT @tingdan: Important ruling that may influence rest of the country. “the College of Physicians and Surgeons of Ontario has already revise…
RT @tingdan: Important ruling that may influence rest of the country. “the College of Physicians and Surgeons of Ontario has already revise…
Important ruling that may influence rest of the country. “the College of Physicians and Surgeons of Ontario has already revised their policy to indicate that physicians are no longer obliged to provide CPR that is outside the standard of care.” @lskyec @ba
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @AmitAryaMD: Excellent article by @jamesdownar et. al. about recent changes to #CPR regulations in Ontario. If bedside physician assessm…
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @masood_sameer: A great example of when policies/law align with evidence based care. No provider should be asked to provide futile care,…
RT @IrfanDhalla: Short thread: Thanks @jamesdownar et al for your @CMAJ commentary about physicians no longer requiring consent to withhold…
“Autonomy is a negative right: although patients can refuse treatment or insist that it be withdrawn, there is no right to demand it.” Fantastic discussion of the new policies around withholding CPR by @jamesdownar in @CMAJ. https://t.co/yap1eLM0LC
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @OnLTCC: Physicians still have a professional responsibility to communicate honestly and compassionately about the limitations of CPR an…
RT @masood_sameer: A great example of when policies/law align with evidence based care. No provider should be asked to provide futile care,…
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @CMAJ: Can doctors withhold CPR without consent? A recent Ontario Superior Court of Justice ruling has implications for practice across…
RT @masood_sameer: A great example of when policies/law align with evidence based care. No provider should be asked to provide futile care,…
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @masood_sameer: A great example of when policies/law align with evidence based care. No provider should be asked to provide futile care,…
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @ElianaClose: Complex clinical, legal and ethical issues arise when medical practitioners believe resuscitation is inappropriate. Check…
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
@JerrySoucyRN @PallMedON @AmitAryaMD @CSPCP_SCMSP @LeonieHerx @palliumcanada @HPCOntario @PallMedEd @BCC4PC @UHNPalliative @drjdavidhender1 @drbobbell @NightShiftMD @DRouselle Hi Jerry, here's the article published in CMAJ: https://t.co/8rHQLhVtoT
Do physicians require consent to withhold CPR that they determine to be nonbeneficial? https://t.co/KfLIzMsrCC
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @AmitAryaMD: Excellent article by @jamesdownar et. al. about recent changes to #CPR regulations in Ontario. If bedside physician assessm…
RT @qutlaw: Do physicians require #consent to withhold #CPR that they determine to be nonbeneficial? @ElianaClose from @HealthLawQUT discus…
Excellent article by @jamesdownar et. al. about recent changes to #CPR regulations in Ontario. If bedside physician assessment indicates that CPR is nonbeneficial (usually the case with end-stage terminal illness), it would no longer have to be offered. #
RT @CMAJ: Can doctors withhold CPR without consent? A recent Ontario Superior Court of Justice ruling has implications for practice across…
This is huge. Curious to hear what people’s thoughts are on this
Not four hours after I read this the exact issue came up on the ward.
RT @ScottWooder: Important work. @jamesdownar @reasonablewlvrn @OntariosDoctors https://t.co/QyztZ8HXf5
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @masood_sameer: A great example of when policies/law align with evidence based care. No provider should be asked to provide futile care,…
Do physicians require consent to withhold CPR that they determine to be nonbeneficial? https://t.co/3GTmHNOqme
RT @masood_sameer: A great example of when policies/law align with evidence based care. No provider should be asked to provide futile care,…
The position does not excuse any of us from ploughing in the discussion with families. Yes, write the order. After the family meeting.
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
Do physicians require #consent to withhold #CPR that they determine to be nonbeneficial? @ElianaClose from @HealthLawQUT discusses the complex clinical, legal and ethical issues involved in new @CMAJ paper https://t.co/09GG6Sgo2O #QUTLaw #health https://t.
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @ElianaClose: Complex clinical, legal and ethical issues arise when medical practitioners believe resuscitation is inappropriate. Check…
RT @picardonhealth: Do physicians require consent to withhold #CPR that they determine to be non-beneficial? https://t.co/kp6rQ6pvbA https:…
a really sensible court ruling from canada that affirms what is already known to be the ethical standard. too common a situation that can often be solved with better doctor-patient/family communication
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @ElianaClose: Complex clinical, legal and ethical issues arise when medical practitioners believe resuscitation is inappropriate. Check…
RT @IrfanDhalla: Short thread: Thanks @jamesdownar et al for your @CMAJ commentary about physicians no longer requiring consent to withhold…
Do physicians require consent to withhold CPR that they determine to be nonbeneficial? https://t.co/LwgSNHAZo1. Still glad to be in Ontario with a patient centred framework for healthcare. See my response published online today.
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @ElianaClose: Complex clinical, legal and ethical issues arise when medical practitioners believe resuscitation is inappropriate. Check…
RT @CMAJ: Can doctors withhold CPR without consent? A recent Ontario Superior Court of Justice ruling has implications for practice across…
RT @gogentle_aus: Spoiler: it's complicated! Take home message: Physicians have a professional responsibility to communicate Great paper 👇…
Spoiler: it's complicated! Take home message: Physicians have a professional responsibility to communicate Great paper 👇 @HealthLawQUT
RT @jamesdownar: Check out our new paper in @CMAJ Do physicians require consent to withhold CPR that they determine to be nonbeneficial? @…
RT @CMAJ: Can doctors withhold CPR without consent? A recent Ontario Superior Court of Justice ruling has implications for practice across…