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

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楼主: Cyclone
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Shared Decision-Making With Patients and Familiesed by the American College of Critical Care Medicine as “a collaborative process that allows patients, or their surrogates, and clinicians to make health care decisions together, taking into account the best scientific evidence available, as well as the patient’s values, goals, and preferences.” In
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Usage of Cutting-Edge Technology: ECMOn. It is indicated in patients with severe (reversible) respiratory failure, when conventional therapies fail, either as a rescue therapy or as a tool to reduce the invasiveness of mechanical ventilation in order to avoid further lung damage. Today, despite the lack of wtidely accepted evidence demo
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Limiting Life-Sustaining Therapiesd) life support. This chapter discusses the circumstances when limiting life-sustaining therapies may be permissible, advisable, or even imperative. Differences between withholding and withdrawing are commented on as well as the role of intensity- or time-limited treatment trials. We discuss strateg
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Advancing Palliative Care in Intensive Care and Emergency Medicineve high-stakes situations and significant stress for the patients, family members, and clinicians. By incorporating the principles of palliative care into daily practice in the ED and ICU, clinicians can facilitate patient- and family-centered care. Training and education in communication about valu
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Disproportionate Care, Ethical Climate, and Moral Distressncept. The authors discuss how disproportionate care is perceived, empirically measured, and sometimes accepted as part of everyday clinical practice when 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
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Robert Tanton,Kimberley L. Edwardsstill major contributors to challenges faced in critical care and emergency medicine practice, resulting in stress on clinicians and potentially detrimental impacts on patient care. Additionally, as technology continues to progress and evolve, so do the ethical questions that arise. In this chapter,
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