• Am J Hosp Palliat Care · Mar 2015

    Prehospital providers' perceptions of emergency calls near life's end.

    • Deborah Waldrop, Brian Clemency, Eugene Maguin, and Heather Lindstrom.
    • University at Buffalo School of Social Work, Buffalo, NY, USA dwaldrop@buffalo.edu.
    • Am J Hosp Palliat Care. 2015 Mar 1; 32 (2): 198-204.

    AbstractThe nature of emergency end-of-life calls is changing as people live longer and die from chronic illnesses. This study explored prehospital providers' perceptions of (1) end-of-life 911 calls, (2) the signs and symptoms of dying, and (3) medical orders for life sustaining treatment (MOLST). The exploratory-descriptive pilot study was survey based and cross-sectional. Calls to nursing homes occur most often, (47.8% every shift). The MOLST was seen infrequently (57.9% rarely never). The most frequent signs and symptoms of dying were diagnosis (76%), hospice involvement (82%), apnea (75%), mottling (55%), and shortness of breath (48%). The MOLST identifies wishes about intubation (74%), resuscitation (74%), life-sustaining treatment (72%), and cardiopulmonary resuscitation (70%). Synergy exists between the fields of prehospital, hospice, and palliative medicine which offers potential for improved education and care. © The Author(s) 2014.

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