LEADER 05494nam 22007335 450 001 9910411943003321 005 20220516124745.0 010 $a3-030-43127-4 024 7 $a10.1007/978-3-030-43127-3 035 $a(CKB)4100000011354706 035 $a(DE-He213)978-3-030-43127-3 035 $a(MiAaPQ)EBC6273663 035 $a(PPN)269148841 035 $a(EXLCZ)994100000011354706 100 $a20200722d2020 u| 0 101 0 $aeng 135 $aurnn#008mamaa 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aCompelling Ethical Challenges in Critical Care and Emergency Medicine /$fedited by Andrej Michalsen, Nicholas Sadovnikoff 205 $a1st ed. 2020. 210 1$aCham :$cSpringer International Publishing :$cImprint: Springer,$d2020. 215 $a1 online resource (XIX, 170 p. 10 illus. in color.) 311 $a3-030-43126-6 327 $aForeword -- Preface -- Part I Introduction -- How ethics can support clinicians caring for critically ill patients -- Patients and teams caring for them: parallels between critical care and emergency medicine -- Part II Goal of therapy, teams and patients -- Indication and prognostication -- Consent, advance directives, and decisions by proxies -- Cultural diversity -- Inter-professional shared decision-making -- Shared decision-making with patients and families -- Part III Extent of treatment -- Triage -- Usage of cutting edge technology: eCPR -- Usage of cutting edge technology: ECMO -- Limiting life-sustaining therapies -- Advancing palliative care in intensive care and emergency medicine -- Organ donation and transplantation -- Part IV Disproportionate care -- Disproportionate care, ethical climate and burnout -- Part V The way ahead -- Chapter 15.To treat or not to treat: How to arrive at an appropriate decision under critical circumstances? -- Epilogue. 330 $aThis book addresses the ethical problems that physicians have to face every day while caring for critically ill patients. Advances in medical technology, ageing societies worldwide, and their increased demands on health care systems have, on the one hand, led to better care and remarkable longevity in many parts of the world. On the other hand, however, improved treatments in many medical fields, amongst others in emergency and critical care, have resulted in more patients surviving with reduced quality of life. This entails tradeoffs for many patients, their families, and the teams caring for them. At the same time, health care expenditures have risen dramatically and have to be balanced against costs for other public goods. Finally, the humane aspects of care have often failed to keep pace with the remarkable technological strides made in recent years. In this book, experts in their respective fields describe compelling ethical challenges resulting from these discrepancies and discuss potential solutions. The book is primarily intended for clinicians who care for two of the most vulnerable patient subpopulations ? those being treated in ambulances or emergency rooms, and those being treated at intensive care units ? due in part to the fact that they may be temporarily or permanently incapacitated. Core medical skills, such as diagnosis and predicting outcomes, as well as implementing treatment, remain challenging. However, without adequate communication and collaboration both within the inter-professional treatment teams and between the teams and the patients/their families, delivering excellent care is difficult at best. Therefore, the so-called ?soft skills? are given the attention they deserve in order to overcome the gap between technological progress and interpersonal standstill. 606 $aCritical care medicine 606 $aEmergency medicine 606 $aInternal medicine 606 $aAnesthesiology 606 $aBioethics 606 $aIntensive / Critical Care Medicine$3https://scigraph.springernature.com/ontologies/product-market-codes/H3100X 606 $aEmergency Medicine$3https://scigraph.springernature.com/ontologies/product-market-codes/H22000 606 $aInternal Medicine$3https://scigraph.springernature.com/ontologies/product-market-codes/H33002 606 $aAnesthesiology$3https://scigraph.springernature.com/ontologies/product-market-codes/H13001 606 $aBioethics$3https://scigraph.springernature.com/ontologies/product-market-codes/E14010 606 $aMedicina intensiva$2thub 606 $aMedicina d'urgència$2thub 606 $aÈtica mèdica$2thub 608 $aLlibres electrònics$2thub 615 0$aCritical care medicine. 615 0$aEmergency medicine. 615 0$aInternal medicine. 615 0$aAnesthesiology. 615 0$aBioethics. 615 14$aIntensive / Critical Care Medicine. 615 24$aEmergency Medicine. 615 24$aInternal Medicine. 615 24$aAnesthesiology. 615 24$aBioethics. 615 7$aMedicina intensiva 615 7$aMedicina d'urgència 615 7$aÈtica mèdica 676 $a174.2 702 $aMichalsen$b Andrej$4edt$4http://id.loc.gov/vocabulary/relators/edt 702 $aSadovnikoff$b Nicholas$4edt$4http://id.loc.gov/vocabulary/relators/edt 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910411943003321 996 $aCompelling Ethical Challenges in Critical Care and Emergency Medicine$92057303 997 $aUNINA