TY  - CHAP
M1  - Book, Section
TI  - End-of-Life Issues in Emergency Critical Care
A1  - Lamba, Sangeeta
A2  - Farcy, David A.
A2  - Chiu, William C.
A2  - Marshall, John P.
A2  - Osborn, Tiffany M.
PY  - 2016
T2  - Critical Care Emergency Medicine, 2e
AB  - The  majority  of  patients  who  are  admitted  to  medical  and  surgical  intensive  care  units  (ICUs)  often  begin  their  hospital  course  in  the  emergency  department  (ED).  Thus,  ED  clinicians  set  the  stage  for  the  future  management  trajectory,  usually  initiating  aggressive  life-saving  measures,  with  a  curative  and  resuscitative  approach  to  care.1,2  Due  to  advances  in  technology,  deaths  in  most  critically  ill  patients  now  often  result  from  limitation  of  life-supporting  measures  as  opposed  to  a  natural  decline  from  disease  or  age.3  Since  the  majority  of  critically  ill  patients  spend  the  last  few  days  of  their  life  in  a  hospital,  this  has  resulted  in  an  expansion  of  the  mission  of  critical  care  to  include  provision  of  the  best  care  available  for  dying  patients  and  their  families.4  In  2003,  an  International  Consensus  Conference  was  convened  to  discuss  some  of  these  end-of-life  challenges  and  to  address  the  issues  related  to  optimal  care  for  dying  critical  care  patients.5  In  order  to  achieve  the  best  quality  of  life  desired  by  the  patient  rather  than  just  an  emphasis  on  the  quantity  of  life  regardless  of  disease  or  symptom  burden,  it  has  become  clear  that  we  need  to  focus  on  patient  values,  beliefs,  and  comfort  from  the  onset  of  care,  regardless  of  their  diagnosis.2,4,5  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/16
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=1135704432
ER  -