ArticleDer Anaesthesist2011
[Palliative care and end-of-life patients in emergency situations. Recommendations on optimization of out-patient care].
Article in Der Anaesthesist, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- [Symptom control and emergency management in geriatric palliative care : Pharmacological and nonpharmacological approaches].Zeitschrift fur Gerontologie und Geriatrie · 2026Article
- Validation of the Palliative Care and Rapid Emergency Screening (P-CaRES) Tool in Germany.Journal of clinical medicine · 2025Article
- [End-of-life care in the emergency department-Indications for admission and spectrum of care-State of the art].Die Anaesthesiologie · 2024Article
- [Survey on the presence of palliative care knowledge and palliative care structures in German emergency departments].Die Anaesthesiologie · 2023Article
- [PARPACT: Paramedic Palliative Care Test : Validation of a questionnaire to assess palliative care knowledge and self-efficacy expectations of paramedics].Schmerz (Berlin, Germany) · 2022Article
- Healthcare Received in the Last Months of Life in Portugal: A Systematic Review.Healthcare (Basel, Switzerland) · 2019Review
- Challenges Faced by Prehospital Emergency Physicians Providing Emergency Care to Patients with Advanced Incurable Diseases.Emergency medicine international · 2019Article
- [Palliative medicine in emergency medical services].Der Anaesthesist · 2018Review
- [Outpatient palliative medicine : Attitudes in the care of palliative emergencies. Prospective questionnaire-based investigation].Der Anaesthesist · 2018Review
- [Ethics in intensive care and euthanasia : With respect to inactivating defibrillators at the end of life in terminally ill patients].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2017Review
- [Medicolegal aspects in emergency medical care : Analysis of the frequency of advance health care directives and the influence on decision making in emergency medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2017Article
- [Patients' declared intentions and emergency medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2016Review
- [The palliative patient as an emergency patient: A model for decision making in life-threatening situations using 4 case reports].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2015Article
- [Advance directives in prehospital emergency treatment : prospective questionnaire-based analysis].Der Anaesthesist · 2014Article
- International recommendations for outpatient palliative care and prehospital palliative emergencies - a prospective questionnaire-based investigation.BMC palliative care · 2013Article
- [Palliative care oriented therapy for all patients : recommendations of an expert circle].Der Anaesthesist · 2012Article
- A Literature Review on Care at the End-of-Life in the Emergency Department.Emergency medicine international · 2012Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAt the end of life acute exacerbations of medical symptoms (e.g. dyspnea) in palliative care patients often result in emergency medical services being alerted. The goals of this study were to discuss cooperation between emergency medical and palliative care structures to optimize the quality of care in emergencies involving palliative care patients.
methodsFor data collection an open discussion of the main topics by experts in palliative and emergency medical care was employed. Main outcome measures and recommendations included responses regarding current practices related to expert opinions and international literature sources.
resultsAs the essential points of consensus the following recommendations for optimization of care were named: (1) integration of palliative care in the emergency medicine curricula for pre-hospital emergency physicians and paramedics, (2) development of outpatient palliative care, (3) integration of palliative care teams into emergency medical structures, (4) cooperation between palliative and emergency medical care, (5) integration of crisis intervention into outpatient palliative emergency medical care, (6) provision of emergency plans and emergency medical boxes, (7) provision of palliative crisis cards and do not attempt resuscitation (DNAR) orders, (8) psychosocial aspects concerning palliative emergencies and (9) definition of palliative patients and their special situation by the physician responsible for prior treatment.
conclusionsPrehospital emergency physicians are confronted with emergencies in palliative care patients every day. In the treatment of these emergencies there are potentially serious conflicts due to the different therapeutic concepts of palliative medical care and emergency medical services. This study demonstrates that there is a need for regulated criteria for the therapy of palliative patients and patients at the end of life in emergency situations. Overall, more clinical investigations concerning end-of-life care and unresponsive palliative care patients in emergency medical situations are necessary.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.