• Acad Emerg Med · Nov 2012

    Review

    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.

    • Walter E Limehouse, V Ramana Feeser, Kelly J Bookman, and Arthur Derse.
    • Department of Medicine, Division of Emergency Medicine, Medical University of South Carolina, Charleston, SC, USA. wlimehouse@comcast.net
    • Acad Emerg Med. 2012 Nov 1;19(11):1300-8.

    AbstractThe 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.© 2012 by the Society for Academic Emergency Medicine.

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