S Trzeczak1. 1. HELIOS-Hanseklinikum Stralsund, Notaufnahme, Große Parower Str. 47-53, 18435, Stralsund, Deutschland, stefan.trzeczak@helios-kliniken.de.
Abstract
BACKGROUND: Increasingly more patients reaching our hospitals as an emergency are chronically ill or are in advanced stages of infaust, e.g., malignant, diseases. On the other hand, the treatment options for malignant diseases are improving. In an emergency, a decision must be made between life-sustaining treatment (in the context of a potentially poor prognosis) versus palliation. DEVELOPMENT OF A DECISION-MAKING MODEL: The current literature about this topic is heterogeneous. The aim of the present article is to present a method using four case reports to decide either for life-sustaining treatment or for palliation with the help of the following: (1) the prognosis of the chronic disease and (2) the association of the acute situation with the chronic disease. CONCLUSION: This method has an advisory role and cannot be taken as a guideline. Its usefulness can only be proven in practice.
BACKGROUND: Increasingly more patients reaching our hospitals as an emergency are chronically ill or are in advanced stages of infaust, e.g., malignant, diseases. On the other hand, the treatment options for malignant diseases are improving. In an emergency, a decision must be made between life-sustaining treatment (in the context of a potentially poor prognosis) versus palliation. DEVELOPMENT OF A DECISION-MAKING MODEL: The current literature about this topic is heterogeneous. The aim of the present article is to present a method using four case reports to decide either for life-sustaining treatment or for palliation with the help of the following: (1) the prognosis of the chronic disease and (2) the association of the acute situation with the chronic disease. CONCLUSION: This method has an advisory role and cannot be taken as a guideline. Its usefulness can only be proven in practice.
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