Compelling Ethical Challenges in Critical Care and Emergency Medicine
Intro -- Foreword -- Preface -- Contents -- About the Editors -- Contributors -- Part I: Introduction -- 1: How Ethics Can Support Clinicians Caring for Critically Ill Patients -- 1.1 Introduction -- 1.2 Background -- 1.3 Vignettes -- 1.4 Conclusion -- References -- 2: Patients and Teams Caring for Them: Parallels Between Critical Care and Emergency Medicine -- 2.1 Introduction -- 2.2 Initial ED Care and Triage for ICU Admission -- 2.3 Ethical Challenges in the ED and ICU Settings -- 2.4 Vulnerable ED and ICU Patients -- 2.5 Challenges Associated with Surrogate Decision-Makers -- 2.6 Family Presence During Patient Care and Resuscitation -- 2.7 Advance Directives (AD), Advance Care Planning (ACP) -- 2.8 Shared Decision-Making -- 2.9 Equal Access to Best-Quality Care -- 2.10 Dignity and End-of-Life Care -- 2.11 Emergency/Critical Care Research Issues Besides Consent -- 2.12 Conclusions and Future Directions -- References -- Part II: Goal of Therapy, Teams and Patients -- 3: Indication and Prognostication -- 3.1 Introduction -- 3.2 Patient-Centered Indication and Prognostication -- 3.3 The Gap Between Attainable and Desirable Outcome -- 3.4 The Will of the Patient -- 3.5 Summary -- References -- 4: Consent, Advance Directives, and Decision by Proxies -- 4.1 Introduction -- 4.2 Legal Bases -- 4.3 Informed Consent -- 4.3.1 Decisional Capacity or Competence -- 4.3.1.1 Assessing Capacity -- 4.3.1.2 How to Proceed When Patients Lack Capacity -- 4.3.2 Voluntariness -- 4.3.3 Information -- 4.3.4 Documentation -- 4.4 Advance Directives and Power of Attorney -- 4.4.1 Advance Directives (ADs) -- 4.4.1.1 Physician's Orders for Life-Sustaining Treatment (POLST) -- 4.4.1.2 Advanced Care Planning (ACP) -- 4.4.2 Durable Medical Power of Attorney for Health Care -- 4.4.3 Are ADs Valid, Applicable, and Legally Binding?.