A Palliative CareWay of Thinking and Handling During Medical Emergency Mission - a Survey Addressing Structure Quality

摘要

Purpose Depending on the researched region, the portion of patients with underlying palliative care disease during the overall emergency medicine mission amounts to 3-10% (approx. 1% in the terminal stage). Here, the spectrum is wide, and consists of symptomatic crises, socio-psychological strains of the environment, hence emergencies independent of the disease, up to emergencies requiring a resuscitation. Hereby exists an area of conflict between the curative approach of the medical emergency mission and the palliative care therapy in form of symptom control on the site. Under time pressure, an overall evaluation of the situation is required, and medical, legal and ethical aspects are to be considered in the interest of the patient. Therefore, a question has been posed, which structures and forms of aid are available to an emergency medicine physician during emergency cases affiliated with palliative care patients.