In dubio pro REA: criminal liability risks in resuscitation

Can lifesaving be punishable? Performing resuscitation in an emergency places individuals under great pressure. Empirical studies indicate that potential helpers often hesitate to intervene for fear of legal consequences. However, this concern is unfounded. The article examines four scenarios: death despite resuscitation, harmful or unwanted resuscitation, and omission of aid. The conclusion is unequivocal: in case of doubt, initiating resuscitation ("in dubio pro REA") is legally safe. Only in cases where it is clearly established that resuscitation is not desired does the exception apply, meaning that no assistance should be rendered ("no means no"). This article analyses criminal liability risks in resuscitation based on Swiss law. Nevertheless, the findings are broadly transferable to other jurisdictions, as the relevant offences are universally codified.

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Publication Details

Journal
Swiss Medical Weekly
Published
2025-12-01
DOI
https://doi.org/10.57187/s.5033
Primary Topic
Healthcare Decision-Making and Restraints
Type
article
Field-Weighted Citation Impact
0.00
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article

In dubio pro REA: criminal liability risks in resuscitation

Marc Thommen
Swiss Medical Weekly
Healthcare Decision-Making and Restraints
article

In dubio pro REA: criminal liability risks in resuscitation

Marc Thommen
article en

Abstract

Can lifesaving be punishable? Performing resuscitation in an emergency places individuals under great pressure. Empirical studies indicate that potential helpers often hesitate to intervene for fear of legal consequences. However, this concern is unfounded. The article examines four scenarios: death despite resuscitation, harmful or unwanted resuscitation, and omission of aid. The conclusion is unequivocal: in case of doubt, initiating resuscitation ("in dubio pro REA") is legally safe. Only in cases where it is clearly established that resuscitation is not desired does the exception apply, meaning that no assistance should be rendered ("no means no"). This article analyses criminal liability risks in resuscitation based on Swiss law. Nevertheless, the findings are broadly transferable to other jurisdictions, as the relevant offences are universally codified.

Swiss Medical WeeklyVol. 155(12)
Max Planck Institute for the Study of Crime, Security and Law (DE)
Openalex Percentile: Top 50%
Healthcare Decision-Making and Restraints
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