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A Model for Emergency Department End‐of‐life Communications After Acute Devastating Events—Part II: Moving From Resuscitative to End‐of‐life or Palliative Treatment
Author(s) -
Limehouse Walter E.,
Ramana Feeser V.,
Bookman Kelly J.,
Derse Arthur
Publication year - 2012
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/acem.12018
Subject(s) - medicine , emergency department , palliative care , resuscitation orders , medical emergency , emergency medicine , end of life care , life support , resuscitation , intensive care medicine , cardiopulmonary resuscitation , nursing
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 ( EP s) 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.