INTEGRATING PALLIATIVE CARE IN THE OUT-OF-HOSPITAL SETTING: FOUR THINGS TO JUMP-START AN EMS-PALLIATIVE CARE INITIATIVE

被引：26

作者：

Lamba, Sangeeta ^{[1
]}

Schmidt, Terri A. ^{[2
]}

Chan, Garrett K. ^{[3
,4
]}

Todd, Knox H. ^{[5
]}

Grudzen, Corita R. ^{[6
]}

Weissman, David E. ^{[7
]}

Quest, Tammie E. ^{[8
,9
]}

机构：

[1] Rutgers New Jersey Med Sch, Dept Emergency Med, Newark, NJ USA

[2] Oregon Hlth & Sci Univ, Dept Emergency Med & Palliat Care Serv, Portland, OR 97201 USA

[3] Univ Calif San Francisco, San Francisco, CA 94143 USA

[4] Stanford Hosp & Clin, Stanford, CA USA

[5] Univ Texas MD Anderson Canc Ctr, Dept Emergency Med, Houston, TX 77030 USA

[6] Icahn Sch Med Mt Sinai, Dept Emergency Med, Brookdale Dept Geriatr & Palliat Med, New York, NY USA

[7] Med Coll Wisconsin, Wisconsin Palliat Care Ctr, Milwaukee, WI 53226 USA

[8] Emory Univ, Sch Med, Dept Emergency Med, Atlanta, GA USA

[9] Emory Univ, Sch Med, Emory Palliat Care Ctr, Atlanta, GA USA

来源：

PREHOSPITAL EMERGENCY CARE | 2013年 / 17卷 / 04期

关键词：

Collaboration; emergency medical service; integration; out of hospital; palliative care; LIFE-SUSTAINING TREATMENT; NURSING FACILITY RESIDENTS; EMERGENCY-DEPARTMENT; PHYSICIAN ORDERS; PAIN MANAGEMENT; ADVANCE DIRECTIVES; TREATMENT POLST; PROGRAM; RESUSCITATION; EXPERIENCES;

D O I：

10.3109/10903127.2013.811566

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Emergency medical service (EMS) is frequently called to care for a seriously ill patient with a life-threatening or life-limiting illness. The seriously ill include both the acutely injured patients (for example in mass casualty events) and those who suffer from advanced stages of a chronic disease (for example severe malignant pain). EMS therefore plays an important role in delivering realistic, appropriate, and timely care that is consistent with the patient's wishes and in treating distressing symptoms in those who are seriously ill. The purpose of this article is to; 1) review four case scenarios that relate to palliative care and may be commonly encountered in the out-of-hospital setting and 2) provide a road map by suggesting four things to do to start an EMS-palliative care initiative in order to optimize out-of-hospital care of the seriously ill and increase preparedness of EMS providers in these difficult situations.

引用

页码：511 / 520

页数：10

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