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Review
. 2020 Mar 18;7(1):e497.
doi: 10.1002/ams2.497. eCollection 2020 Jan-Dec.

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

Naomi George  1   2 , Jason Bowman  2   3 , Emily Aaronson  3 , Kei Ouchi  2   4
Affiliations
Review

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

Naomi George et al. Acute Med Surg. .

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.

Keywords: Emergency medicine; geriatrics; palliative care.

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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.

Figures

Figure 1
Figure 1
Current and future palliative care in the emergency department (ED). Images created by Iconarray.com. Risk Science Center and Center for Bioethics and Social Sciences in Medicine, University of Michigan (Accessed 20 December 2019).
See this image and copyright information in PMC

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