Palliative care and prehospital emergency medicine: analysis of a case series.

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Version: Final published version
Serval ID
serval:BIB_51EAC8EAE23D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Palliative care and prehospital emergency medicine: analysis of a case series.
Journal
Medicine
Author(s)
Carron P.N., Dami F., Diawara F., Hurst S., Hugli O.
ISSN
1536-5964 (Electronic)
ISSN-L
0025-7974
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
93
Number
25
Pages
e128
Language
english
Notes
Publication types: Journal Article
Abstract
Palliative care, which is intended to keep patients at home as long as possible, is increasingly proposed for patients who live at home, with their family, or in retirement homes. Although their condition is expected to have a lethal evolution, the patients-or more often their families or entourages-are sometimes confronted with sudden situations of respiratory distress, convulsions, hemorrhage, coma, anxiety, or pain. Prehospital emergency services are therefore often confronted with palliative care situations, situations in which medical teams are not skilled and therefore frequently feel awkward.We conducted a retrospective study about cases of palliative care situations that were managed by prehospital emergency physicians (EPs) over a period of 8 months in 2012, in the urban region of Lausanne in the State of Vaud, Switzerland.The prehospital EPs managed 1586 prehospital emergencies during the study period. We report 4 situations of respiratory distress or neurological disorders in advanced cancer patients, highlighting end-of-life and palliative care situations that may be encountered by prehospital emergency services.The similarity of the cases, the reasons leading to the involvement of prehospital EPs, and the ethical dilemma illustrated by these situations are discussed. These situations highlight the need for more formal education in palliative care for EPs and prehospital emergency teams, and the need to fully communicate the planning and implementation of palliative care with patients and patients' family members.
Pubmed
Web of science
Open Access
Yes
Create date
27/12/2014 9:30
Last modification date
20/08/2019 14:07
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