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George N, Bowman J, Aaronson E, et al. Past, present, and future of palliative care in emergency medicine in the USA. Acute Med Surg. 2020;7(1):e497doi: 10.1002/ams2.497.
George, N., Bowman, J., Aaronson, E., & Ouchi, K. (2020). Past, present, and future of palliative care in emergency medicine in the USA. Acute medicine & surgery, 7(1), e497. https://doi.org/10.1002/ams2.497
George, Naomi, et al. "Past, present, and future of palliative care in emergency medicine in the USA." Acute medicine & surgery vol. 7,1 (2020): e497. doi: https://doi.org/10.1002/ams2.497
George N, Bowman J, Aaronson E, Ouchi K. Past, present, and future of palliative care in emergency medicine in the USA. Acute Med Surg. 2020 Mar 18;7(1):e497. doi: 10.1002/ams2.497. eCollection 2020. PMID: 32395248; PMCID: PMC7204801.
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Acute Med Surg. 2020 Mar 18;7(1):e497. doi: 10.1002/ams2.497. eCollection 2020.

Past, present, and future of palliative care in emergency medicine in the USA.

Acute medicine & surgery

Naomi George, Jason Bowman, Emily Aaronson, Kei Ouchi

Affiliations

  1. University of New Mexico Albuquerque New Mexico.
  2. Division of Critical Care Brigham and Women's Hospital Boston Massachusetts.
  3. Department of Emergency Medicine Massachusetts General Hospital Boston Massachusetts.
  4. Department of Palliative Care and Psychosocial Oncology Dana Farber Cancer Institute Boston Massachusetts.

PMID: 32395248 PMCID: PMC7204801 DOI: 10.1002/ams2.497

Abstract

The emergency department (ED) provides immediate access to medical care for patients and families in times of need. Increasingly, older patients with serious illness seek care in the ED, hoping for relief from symptoms and suffering associated with advanced disease. Until recently, emergency medicine (EM) clinicians have been ill-equipped to meet the needs of patients with serious illness, and palliative services have been largely unavailable in the ED. However, in the past decade, there has been growing recognition from within both the EM and palliative medicine communities on the importance of palliative care provision in the ED. The past 10 years have seen a surge in EM-palliative care training and education, quality improvement projects, and research. As a result, the practice paradigm within EM for the seriously ill has begun to shift to incorporate more palliative care practices. Despite this progress, substantial work has yet to be done in terms of identifying ED patients in need of palliative care, training EM clinicians to provide high-quality primary palliative care, creating pathways for ED referral to palliative care and hospice, and researching the outcomes and impact of palliative care provision on patients with serious illness in the ED.

© 2020 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.

Keywords: Emergency medicine; geriatrics; palliative care

Conflict of interest statement

Approval of the research protocol: N/A. Informed consent: N/A. Registry and registration no. of the study/trial: N/A. Animal studies: N/A. Conflicts of interest: None.

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