Emerg Med J. 2020 May;37(5):273-278. doi: 10.1136/emermed-2019-208632. Epub 2019 Aug 13.
The importance of end of life care (EoLC) for patients and their families is well documented, however, the skills and knowledge of emergency clinicians in delivering EoLC is not widely understood but it is clear from the existing literature that we fall short in delivering consistently good EoLC although there is recognition of the need to improve. This paper will acknowledge the challenges of delivering good EoLC in the emergency department (ED) but more importantly consider practical ways of improving EoLC in the ED in line with best practice guidelines on EoLC.
生命终末期关怀(EoLC)对患者及其家属非常重要,这一点已有充分的文献记载。然而,急诊临床医生提供 EoLC 的技能和知识并未得到广泛理解,但现有文献清楚表明,尽管我们认识到需要改进,但在提供一致良好的 EoLC 方面仍存在不足。本文将承认在急诊科提供良好的 EoLC 所面临的挑战,但更重要的是,考虑根据 EoLC 的最佳实践指南,以切实可行的方式改善急诊科的 EoLC。