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DNR or DNAR ? The Poll

Do not resuscitate or do not attempt resuscitation ? Does it matter?

Both terms are currently in use in the NHS. Both are frequently abbreviated.

When we are literally talking about a life and death scenario, shouldn’t we all be consistent in our jargon? The key to everyone’s understanding acronyms is standardisation.

DNR was the standard abbreviation. This is the one with which many clinicians are familiar. However, DNAR now also has wide acceptance.

Do not resuscitate and do not attempt resuscitation are generally taken to mean the same thing – do not try to get the patient breathing or their heart beating again. DNAR seems to have come about as a more accurate description - resuscitation does not work every time.

"Attempted CPR in hospital is successful in restarting the heart and breathing, so that about 2 out of 10 patients survive long enough to leave hospital. The figures are much lower for patients with serious underlying conditions." 

British Medical Association, Model Patient Information Leaflet – Decisions about cardiopulmonary resuscitation, April 2008

We have decided therefore to run a poll. As a member of the public, which do you feel should be used? As a medical professional, is DNR or DNAR the most appropriate term to use with patients?

Vote now

If you would like to tell us whether your organisation uses DNR or DNAR please use the comment box.

Below is a table showing some organisations by the term they currently use.

DNR DNAR
  • City Hospitals Sunderland NHS Trust
  • Gateshead Health NHS Foundation Trust
  • Medway NHS Foundation Trust
  • Doncaster & South Humber Healthcare NHS Trust
  • Birmingham East & North Primary Care Trust
  • South Western Ambulance Service NHS Trust
  • Great Ormond Street Hospital for Children NHS Trust
  • British Geriatrics Society
  • Sheffield Primary Care Trust
  • Portsmouth Combined NHS Trusts
  • Bradford District Care Trust
  • Westminster Primary Care Trust
  • London Ambulance Service NHS Trust
  • National Gold Standards Framework Team
  • Resuscitation Council (UK)