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Palliative Care and Prehospital Emergency Medicine: Analysis of a Case Series
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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4616376/ https://www.ncbi.nlm.nih.gov/pubmed/25437023 http://dx.doi.org/10.1097/MD.0000000000000128 |
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author | Carron, Pierre-Nicolas Dami, Fabrice Diawara, Fatoumata Hurst, Samia Hugli, Olivier |
author_facet | Carron, Pierre-Nicolas Dami, Fabrice Diawara, Fatoumata Hurst, Samia Hugli, Olivier |
author_sort | Carron, Pierre-Nicolas |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4616376 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-46163762015-10-27 Palliative Care and Prehospital Emergency Medicine: Analysis of a Case Series Carron, Pierre-Nicolas Dami, Fabrice Diawara, Fatoumata Hurst, Samia Hugli, Olivier Medicine (Baltimore) 3900 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. Wolters Kluwer Health 2014-11-28 /pmc/articles/PMC4616376/ /pubmed/25437023 http://dx.doi.org/10.1097/MD.0000000000000128 Text en © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the Creative Commons Attribution-NonCommercial License, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be used commercially. http://creativecommons.org/licenses/by-nc/4.0 |
spellingShingle | 3900 Carron, Pierre-Nicolas Dami, Fabrice Diawara, Fatoumata Hurst, Samia Hugli, Olivier Palliative Care and Prehospital Emergency Medicine: Analysis of a Case Series |
title | Palliative Care and Prehospital Emergency Medicine: Analysis of a Case Series |
title_full | Palliative Care and Prehospital Emergency Medicine: Analysis of a Case Series |
title_fullStr | Palliative Care and Prehospital Emergency Medicine: Analysis of a Case Series |
title_full_unstemmed | Palliative Care and Prehospital Emergency Medicine: Analysis of a Case Series |
title_short | Palliative Care and Prehospital Emergency Medicine: Analysis of a Case Series |
title_sort | palliative care and prehospital emergency medicine: analysis of a case series |
topic | 3900 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4616376/ https://www.ncbi.nlm.nih.gov/pubmed/25437023 http://dx.doi.org/10.1097/MD.0000000000000128 |
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