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Pre-hospital emergency medicine (abbreviated PHEM), also referred to as pre-hospital care, immediate care, or emergency medical services medicine (abbreviated EMS medicine), is a medical subspecialty which focuses on caring for seriously ill or injured patients before they reach hospital, and during emergency transfer to hospital or between hospitals.
A POLST form turns a person's treatment wishes outlined in an advance directive into medical orders. [25] The POLST Form provides explicit guidance to healthcare professionals under predictable future circumstances based on the individual's current medical condition. [1] The POLST form is reviewed more frequently compared to an advance ...
Advance directives were created in response to the increasing sophistication and prevalence of medical technology. [3] [4] Numerous studies have documented critical deficits in the medical care of the dying; it has been found to be unnecessarily prolonged, [5] painful, [6] expensive, [7] [8] and emotionally burdensome to both patients and their families.
A do-not-resuscitate order (DNR), also known as Do Not Attempt Resuscitation (DNAR), Do Not Attempt Cardiopulmonary Resuscitation (DNACPR [3]), no code [4] [5] or allow natural death, is a medical order, written or oral depending on the jurisdiction, indicating that a person should not receive cardiopulmonary resuscitation (CPR) if that person's heart stops beating. [5]
Advance care directives may be written on specifically designed forms, but can also take the form of a written letter or statement. [48] Inclusion of a doctor in the completion of an advance care directive will assist in ensuring that an individual's wishes are clear and written in a manner that is easy for substitute decision makers and/or ...
Tactical Combat Casualty Care (TCCC or TC3), formerly known as Self Aid Buddy Care, [1] is a set of guidelines for trauma life support in prehospital combat medicine published by the United States Defense Health Agency. They are designed to reduce preventable deaths while maintaining operational success.
Prehospital Emergency Care is a peer-reviewed medical journal that covers the practice, educational advancement, and investigation of pre-hospital emergency medicine and emergency medical services. It is published in collaboration with the National Association of EMS Physicians , [ 1 ] National Association of State EMS Officials , [ 2 ...
Some people choose to avoid aggressive measures at the end of life. A do not resuscitate order (DNR) in the form of an advance health care directive makes it clear that in the event of cardiac arrest, the person does not wish to receive cardiopulmonary resuscitation. [128]
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