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Some of those laws are more recent, I believe. I got CPR certified in the 90s and the police officer instructing the course did indeed warn us to be careful about saving people as we could possibly get sued.
If I had to guess, it was a symptom of the sue-everyone-for-everything craze in those days, crossed with state laws that didn’t yet provide explicit protections for good samaritans because you generally don’t try to harm someone who went out of their way to save your life.
FYI if you look at the actual numbers, that frivolous lawsuit situation was manufactured by the media. Lawsuits have been in near continuous decline since that narrative started.
I'm currently certified and we are told that unconscious means consent and once you determine they're not breathing (only criteria) then you perform cpr. I've been certified for over 7 years as a dispatcher and we often provide these exact instructions. Since we deal with the whole of the US we use national protocols which are valid throughout the country (emd epd protocols) and unless you know for SURE they are breathing you perform CPR every time. Doesn't matter if they have a DNR. Unless of course they just had a seizure then you wait. But if you can't confirm breathing or you say they're snoring we are going straight to chest compressions. I've been trained by some of the most knowledgeable people who I was lucky to have the privilege to learn from. This training has served me very well.
The course I took this summer gave similar guidance, and dispelled any worries about getting sued for helping.
Interestingly though, the instructor said we should not provide breaths mouth to mouth without a guard if we suspect drug use, or even just don’t know the person. Apparently fentanyl has changed that landscape.
Uhhh, what's the point of a DNR then? Let me die if I want to, ffs.
Someone calling 911 for a person with a DNR isn't going to be a good source of information on said DNR. A dispatcher isn't going to attempt to verify the DNR is valid through the phone with someone that's panicked, so "just do CPR" is the safe course of action.
If you get a DNR it needs to explained to your family what it means so they at least know what to do. And even if they freak out EMS/a nurse/etc will see the DNR and not continue resuscitation.
DNR is for the hospital staff who are legally trained and have time to figure out if it is valid. When seconds count nobody has time to check for fraudulent DNR tags.
It's fully possible that the cop instructing the course didn't know the law at all, especially a federal law.
Do you have expiring CPR qualifications, or are they valid for life?
CPR qualifications expire, but they don’t “mean” anything legally. They’ll get your company an insurance discount if enough employees are certified. But that’s pretty much it. If you know how to do CPR, it’s not going to change too much from year to year. The compressions/breaths count may change, but a 911 operator will know the updated counts anyways, and you should already have them on speakerphone next to you if you’re doing CPR.
Basically, don’t let an out-of-date CPR certification stop you from providing first aid. Because as long as you give a reasonable best effort, Good Samaritan laws will protect you regardless of what date is written on a CPR certificate.
Oh yeah, I'm from Australia so I was just wondering what the situation in the States is.
I needed to be certified because we provide cpr instructions to callers. We must do our best to convince callers to provide CPR when necessary and we need to know what we are doing and not just know how to read them the instructions in case they're in an unusual position or situation.
I don’t recall specifically, but it was a requirement for a job with the city and taught by the police and county EMTs, so I’d guess the more formal Red Cross one. I didn’t keep it up after I left that job so I’m sure if there was an expiration date, it passed long ago.
I did another one this summer and it expires in two years.