Spickermann Maximilian, Lenz Philipp
Dtsch Med Wochenschr. 2018 Apr;143(8):551-557. doi: 10.1055/s-0043-115631. Epub 2018 Apr 12.
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).
患有生命有限疾病的患者在生命末期常常会被收治到急诊科。通常情况下，在急诊科的环境中，可能没有足够的时间来满足这些患者的姑息治疗需求。因此，将姑息治疗融入急诊科为改善他们的治疗提供了一种解决方案。在门诊环境中，院前急救服务、患者的全科医生和专门的门诊姑息治疗团队之间的合作可能会让患者在家中离世——这是大多数患者在生命末期所希望的。此外，由于入院后更早地融入姑息治疗，住院时间得以缩短。姑息治疗咨询的次数也可能会增加。此外，对所有前往急诊科就诊的患者进行姑息治疗需求筛查可能是有益的：避免无法满足现有的姑息治疗需求，并使姑息治疗咨询需求标准化。这样一种筛查工具的一个例子是“姑息治疗与快速急诊筛查”（P-CaRES）。
