Why is it important for EMS to establish DNR/advanced directives upon arrival?

Establishing DNR (Do Not Resuscitate) orders and advanced directives upon arrival is crucial for streamlining medical decision-making. When EMS personnel are aware of a patient's wishes regarding end-of-life care, they can make informed decisions that align with those wishes without prolonging suffering or subjecting the patient to unwanted interventions. This clarity helps in managing the situation efficiently, allowing medical staff to focus on appropriate care based on the patient's predetermined desires, ultimately enhancing patient-centered care.

While informing family members, providing volunteers with information, or reducing hospital transfers may have some relevance in EMS operations, they do not address the core function of DNR and advanced directives. The primary aim of these directives is to facilitate quick, clear, and effective decision-making in critical situations, ensuring the patient's autonomy and preferences are respected, which is why streamlining medical decisions is the most appropriate reason for their establishment.