Division of Palliative Medicine, Scripps Health, San Diego, California.
Department of Emergency Medicine and Emory University School of Medicine, Atlanta, Georgia.
J Palliat Med. 2019 Dec;22(12):1597-1602. doi: 10.1089/jpm.2019.0251. Epub 2019 Jul 29.
Palliative principles are increasingly within the scope of emergency medicine (EM). In EM, there remain untapped opportunities to improve primary palliative care (PC) and integrate patients earlier into the palliative continuum. However, the emergency department (ED) differs from other practice environments with its unique systemic pressures, priorities, and expectations. To build effective, efficient, and sustainable partnerships, palliative clinicians are best served by understanding the ED's practice priorities. The authors, each EM and Hospice and Palliative Medicine board certified and in active practice, present these 10 high-yield tips to optimize the ED consultation by PC teams.
缓和医疗原则越来越多地涵盖了急诊医学（EM）的范畴。在 EM 中，仍然有未被开发的机会可以改善初级缓和医疗（PC），并使患者更早地融入缓和医疗连续体。然而，急诊科（ED）与其他实践环境不同，具有独特的系统性压力、优先级和期望。为了建立有效的、高效的和可持续的伙伴关系，缓和医疗临床医生最好通过了解 ED 的实践优先级来提供服务。作者均为急诊医学和姑息医学委员会认证的在职医生，他们提出了这 10 条高收益的建议，以优化 PC 团队对 ED 的咨询。
