TCBF, It looks complete.
Excellent answers from everyone too.
Just to amplify a few points everyone else already hit;
The Military Health system is a separate system from the provinces.
Some provinces have various policy and legislation on DNR's.
BergDawg, for the specific question of
" whether the MO (or CFMS) would honour a Do Not Resuscitate order for an individual specifically "
To have a DNR in the military, there would need to be a policy
on DNR orders, not someone else's policy. Some sort of legal process
has to validate that "do not resuscitate" is the most current wish of the patient.
The advanced directive is the answer. It's the way for the member to express
their wishes for care (care plan).
Even
IF an advanced directive was so restrictive as to be similar to "don't touch me", the med docs
don't follow you around, and field triage doesn't include a check of the 2034
or electronic medical records.
The various points about life first, start resuscitation are right on the money.
Civy side, they get worked until that signed DNR order is produced. We'd look foolish
if we did nothing while someone checked around.
Here's a catch for you.
In Ontario, we currently have DNR validity forms for transferring patients between medical facilities only.
They do not apply to trauma and emergencies. There are changes coming to
allow paramedics and firefighters to honour DNR's in other situations. Here is a
link to an Ontario Fire Marshall Communique on the subject:
http://www.ofm.gov.on.ca/english/publications/Communiques/2007/2007-21.asp
There is a line in it -
If the patient is subsequently transported to a health care facility or other care setting, the care providers at the facility or other care setting will decide whether they will honour the form.
ie. even if the Paramedics in Ontario honour the DNR, it doesn't mean the next level
of care has too. A re-assessment is allowed.