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Recognizing dying in patients with DNR: How to sort irreversible from reversible

Canadian Society of Palliative Care Physicians (CSPCP)

Session was held on February 8, 2023

This ECHO session is built around case examples of patients who had chosen to be do-not-resuscitate (DNR), but who had a reversible medical issue arise that was overlooked for a variety of reasons. We will present the cases, discuss factors that facilitate misjudgments, and discuss a method that can reduce the likelihood of missing reversible causes.


  • Dr. Romayne Gallagher, MD, CCFP(PC), FCFP Clinical Professor, Division of Palliative Care, UBC, Board Member, CSPCP
  • Dr. Dave Williscroft, MD, CCFP (EM/PC) FCFP FRCP(C) Clinical Associate Professor, UBC


  • Dr. Gordon McDonald, MD, CCFP(PC) Clinical Assistant Professor – Family Medicine Memorial University Board Member, CSPCP

The CSPCP Palliative Care Echo Sessions is a self-approved group learning activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada. CFPC members may claim 1 Mainpro+ Non-certified Group Learning credit