A Model for Emergency Department End-of-life Communications After Acute Devastating Eventsu-Part II: Moving From Resuscitative to End-of-life or Palliative Treatment

被引：17
作者：
Limehouse, Walter E. [1 ]
Feeser, V. Ramana [2 ]
Bookman, Kelly J. [3 ]
Derse, Arthur [4 ,5 ]
机构：
[1] Med Univ S Carolina, Dept Med, Div Emergency Med, Charleston, SC 29425 USA
[2] Virginia Commonwealth Univ Med Ctr, Dept Emergency Med, Richmond, VA USA
[3] Univ Colorado, Dept Emergency Med, Aurora, CO USA
[4] Med Coll Wisconsin, Dept Emergency Med, Milwaukee, WI 53226 USA
[5] Med Coll Wisconsin, Ctr Bioeth & Med Humanities, Milwaukee, WI 53226 USA
来源：
ACADEMIC EMERGENCY MEDICINE | 2012年 / 19卷 / 11期
关键词：
DEAD-DONOR RULE; SPONTANEOUS INTRACEREBRAL HEMORRHAGE; INTENSIVE-CARE-UNIT; ORGAN DONATION; CRITICALLY-ILL; BRAIN-DEATH; ETHICS; ISSUES; PREDICTION; GUIDELINE;
D O I：
10.1111/acem.12018
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
The model for emergency department (ED) end-of-life communications after acute devastating events addresses decision-making capacity, surrogates, and advance directives, including legal definitions and application of these steps. Part II concerns communications moving from resuscitative to palliative and end-of-life treatments. After completing the steps involved in determining decision-making, emergency physicians (EPs) should consider starting palliative measures versus continuing resuscitative treatment. As communications related to these end-of-life decisions increasingly fall within the scope of emergency medicine (EM) practice, we need to become educated about and comfortable with them.
引用
收藏
页码：1300 / 1308
页数：9
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