I was pleasantly surprised to learn about Queensland's "Acute Resuscitation Plan." While the organizers explained that it was developed independently from POLST, it is remarkably similar. Still, there is at least one key difference. Failure to complete a section on a POLST triggers the default choice: the treatment will be provided. In contrast, failure to object on an ARP means, when determined not medically indicated, CPR will not be provided. This is, in essence, a reversal of the long-criticized CPR presumption in those cases in which the presumption is inappropriate.
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POLST in Australia
I was pleasantly surprised to learn about Queensland's "Acute Resuscitation Plan." While the organizers explained that it was developed independently from POLST, it is remarkably similar. Still, there is at least one key difference. Failure to complete a section on a POLST triggers the default choice: the treatment will be provided. In contrast, failure to object on an ARP means, when determined not medically indicated, CPR will not be provided. This is, in essence, a reversal of the long-criticized CPR presumption in those cases in which the presumption is inappropriate.
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