Dtsch med Wochenschr 2018; 143(08): 551-557
DOI: 10.1055/s-0043-115631
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© Georg Thieme Verlag KG Stuttgart · New York

(Early) Palliative Care in Rettungsdienst und Notaufnahme

(Early) Palliative Care in Emergency Medicine
Maximilian Spickermann
,
Philipp Lenz
Further Information

Publication History

Publication Date:
12 April 2018 (online)

Abstract

At the end of life patients with a life-limiting disease are often admitted to emergency departments (ED). Mostly, in the setting of an ED there may not be enough time to meet the needs for palliative care (PC) of these patients. Therefore, integration of PC into the ED offers a solution to improve their treatment. In the outpatient setting a cooperation between prehospital emergency services, the patient’s general practitioner and specialized outpatient PC teams may allow the patient to die at home – this is what most patients prefer at the end of life. Furthermore, due to the earlier integration of PC after admission the hospital stay is shortened. Also the number of PC consultations may increase. Additionally, a screening of PC hneeds among all patients visiting the ED may be beneficial: to avoid not meeting existing PC needs and to standardize the need of PC consultation. An example for such a screening tool is the “Palliative Care and Rapid Emergency Screening” (P-CaRES).

Im Zusammenhang mit der alternden Gesellschaft steigt der Bedarf an palliativmedizinischer Versorgung. Vor dem Hintergrund des rasanten medizinischen Fortschritts gestaltet sich jedoch das Abwägen von „Optimum“ und „Maximum“ an Therapie immer schwieriger. Der folgende Beitrag beleuchtet die Einbindung der Palliativmedizin in Notfallmedizin, Rettungsdienst und Notaufnahme.