Reflections on the ICMR 2020 Consensus Guidelines on Do Not Attempt Resuscitation.

Pooja Thaware, Anshu Priyanka Lakra, Saurabh Trivedi, Ankita, Jitendra Kushwaha, Md Yunus

Abstract read

In one paragraph

Article in Indian journal of palliative care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Pooja ThawareDepartment of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.

Anshu Priyanka LakraDepartment of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0009-0002-8752-9996

Saurabh TrivediDepartment of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.

AnkitaDepartment of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.

Jitendra KushwahaDepartment of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0003-0667-7947

Md YunusDepartment of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0003-4374-9583

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Indian Council of Medical Research's 2020 Consensus Guidelines on Do Not Attempt Resuscitation filled a critical gap in Indian clinical practice by introducing standardized protocols, documentation, and legal clarity. Prior inconsistencies like futile CPR, slow codes, and ethical uncertainty often prolonged patient suffering despite poor prognosis. The guidelines emphasize shared decision-making with surrogates, continued compassionate care, and maintenance of patient dignity. However, limited dissemination hampers awareness and uniform adoption. Hospitals must promote education via training and policies. A revised edition incorporating field insights and barriers is essential for ethical, equitable end-of-life care nationwide.

Indexed as

Cardiopulmonary ResuscitationDo Not Attempt ResuscitationDo Not ResuscitateResuscitation Orders

Identifiers

PMID42233147

DOI10.25259/IJPC_416_2025

PMCPMC13224307

What OpenQuestion holds

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LicenceCC BY-NC-SA

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.