EMS, Suicide, and the Out-of-Hospital DNR Order David M. Sine, MA SafetyLogic Systems. dsine@austin.rr.com. Abstract Patient autonomy may be placed at odds with the ârescue mentalityâ of EMS personnel when they are summoned and an out-of-hospital do not resuscitate order (DNR) is in place.he chief goal of this paper will be to explore the two medical ethics principles of autonomy and beneficence which are placed at risk when a valid out-of-hospital DNR, a patient attempt at suicide, and a call to 911 intersect in the same temporal period.