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

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.