Journal
MEDIZINISCHE KLINIK-INTENSIVMEDIZIN UND NOTFALLMEDIZIN
Volume 113, Issue 3, Pages 208-211Publisher
SPRINGER
DOI: 10.1007/s00063-017-0329-2
Keywords
Emergency medicine; Medical ethics; Shared decision making; Palliative care; Geriatrics
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A 94-year-old patient with cardiogenic shock due tomyocardial infarction was admitted via the emergency room. A coronary angiography and intensive care were requested. The need for care due to dementia was known. After case discussion in the interdisciplinary and multiprofessional treatment team, the decision for a palliative care concept in the form of symptom control was made in the emergency room, taking into account the patient's medical history, the current situation, and the presumed patient consent. The integration of medical ethics aspects and palliativemedicine into geriatric emergency medicine will present a challenge in the future.
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