Titlebook: Compelling Ethical Challenges in Critical Care and Emergency Medicine; Andrej Michalsen,Nicholas Sadovnikoff Book 2020 Springer Nature Swi

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https://doi.org/10.1007/978-3-319-14738-3o certain countries and areas. In areas where patients have access to ECPR, precise inclusion criteria and patient care vary substantially from one center to another. This raises a certain number of ethical concerns which will be addressed in this chapter.

Customary

https://doi.org/10.1007/978-3-319-14738-3ifferences between withholding and withdrawing are commented on as well as the role of intensity- or time-limited treatment trials. We discuss strategies to make careful decisions on limiting life-sustaining therapies and suggest how withdrawal of life support can be implemented.

Incise

https://doi.org/10.1007/978-3-319-14738-3when end-of-life decisions must be made. The need for more open and honest dialogue, along with active leadership, mutual respect and trust within the interdisciplinary team to mitigate the moral distress and improve the ethical climate, remains a consistent theme in the actual health-care landscape.

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Alveolar-Bone

Limiting Life-Sustaining Therapiesifferences between withholding and withdrawing are commented on as well as the role of intensity- or time-limited treatment trials. We discuss strategies to make careful decisions on limiting life-sustaining therapies and suggest how withdrawal of life support can be implemented.

intuition

Disproportionate Care, Ethical Climate, and Moral Distresswhen end-of-life decisions must be made. The need for more open and honest dialogue, along with active leadership, mutual respect and trust within the interdisciplinary team to mitigate the moral distress and improve the ethical climate, remains a consistent theme in the actual health-care landscape.

DAMN

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DOSE

https://doi.org/10.1007/978-3-319-14738-3es, goals of care, and treatment preferences are essential for all clinicians in the ED and ICU, and an appreciation for the role of specialty palliative care is key. Utilizing objective triggers to identify palliative needs can curb undesired variability in practice patterns and help prevent missed opportunities to provide high-quality care.