Department of Palliative Medicine, Scripps Health, San Diego, California, USA.
Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
J Palliat Med. 2023 May;26(5):704-710. doi: 10.1089/jpm.2022.0537. Epub 2023 Jan 6.
Emergency medical services (EMS) clinicians increasingly encounter seriously ill patients and their caregivers in times of distress. When crises arise or care coordination falls short, these high-stakes interactions highlight opportunities to improve care experience and outcomes. Efforts must address wide educational gaps, absence of specialized care protocols, and systematic fragmentation leading to hyperlocal practice. The authors represent cross-sectional expertise in palliative care and EMS. This article describes unmet needs at the EMS-palliative interface, challenges with collaboration, and where directional progress exists.
紧急医疗服务（EMS）临床医生越来越多地在困难时期遇到病重患者及其护理人员。当危机出现或护理协调不力时，这些高风险的互动突显了改善护理体验和结果的机会。必须解决广泛的教育差距、缺乏专门的护理协议以及导致局部实践的系统性碎片化问题。作者在姑息治疗和 EMS 方面具有代表性的跨学科专业知识。本文描述了 EMS-姑息治疗界面上未满足的需求、合作方面的挑战以及存在方向性进展的地方。
