End-stage Dilated Cardiomyopathy (ejection in Patient Safety, Preventive & Ethics — Case | Ethics | SMLE Q#11828

SMLE Question #11828

Patient Safety, Preventive & Ethics Ethics

Objective: OBJ-243

Last updated: February 2026
A 3-month-old boy with end-stage dilated cardiomyopathy (ejection fraction 10%) has been hospitalized for weeks on continuous inotropic support. Earlier today, prognosis and possible do-not-attempt-resuscitation status were discussed with his parents, who requested more time; no order was documented. Several hours later, he is found unresponsive, apneic, and pulseless, with no documented DNAR order in the chart. What is the most appropriate immediate action for the treating team?

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