[Indications, consent and treatment limitation in emergency medicine].

4区医学 Q3 Medicine

Anaesthesist Pub Date : 2022-02-01 Epub Date: 2021-12-09 DOI:10.1007/s00101-021-01052-0

Christina Schumann, Stephanie Wiege

引用次数: 1

Abstract

Physicians in acute and emergency medicine are increasingly confronted by geriatric, multimorbid or oncology patients with advanced stages of disease. Lacking further information or specification about the patient's will may result in overtreatment. An increasing part of the German population has advance directives; however, there is still uncertainty among physicians when dealing with advance directives and health care proxies. Misinterpretation may entail civil and criminal consequences or may lead to a withdrawal of the license to practice. Advance directives for instance are not equivalent to a general waiving of treatment and therapy. Besides life support, terminal care and its legal aspects must also be considered in acute medicine.

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[急诊医学的适应症、同意和治疗限制]。

急诊科医生越来越多地面对老年、多病或肿瘤晚期患者。缺乏关于病人意愿的进一步信息或说明可能导致过度治疗。越来越多的德国人有预先指示;然而，医生在处理预先指示和卫生保健代理时仍然存在不确定性。误解可能会导致民事和刑事后果，或者可能导致吊销执业许可证。例如，预先指示不等于一般放弃治疗和治疗。除了生命支持，临终关怀及其法律方面也必须考虑在急性医学。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anaesthesist 医学-麻醉学

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： Der Anaesthesist is an internationally recognized journal dealing with all aspects of anaesthesia and intensive medicine up to pain therapy. Der Anaesthesist addresses all specialists and scientists particularly interested in anaesthesiology and it is neighbouring areas. Review articles provide an overview on selected topics reflecting the multidisciplinary environment including pharmacotherapy, intensive medicine, emergency medicine, regional anaesthetics, pain therapy and medical law. Freely submitted original papers allow the presentation of relevant clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.