Approaching the End of Their Lives Under Blue Lights and Sirens - Scoping Review

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F21%3A43921484" target="_blank" >RIV/00216208:11120/21:43921484 - isvavai.cz</a>

Alternative codes found

RIV/27235530:_____/22:N0000002

Result on the web

<a href="https://doi.org/10.1016/j.jpainsymman.2021.04.023" target="_blank" >https://doi.org/10.1016/j.jpainsymman.2021.04.023</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.jpainsymman.2021.04.023" target="_blank" >10.1016/j.jpainsymman.2021.04.023</a>

Result language

angličtina

Original language name

Approaching the End of Their Lives Under Blue Lights and Sirens - Scoping Review

Original language description

CONTEXT: Emergency medical services (EMS) are frequently responding to calls involving patients in advanced stages of incurable diseases. Despite the competencies and potential of EMS in supporting patients and their families facing symptoms of advanced progressive illnesses, the role of EMS in providing palliative care remains unclear. OBJECTIVE: The following research question was formulated: What is the role of ambulance EMS, EMS dispatch centres, paramedics and emergency medical physicians in the provision of palliative care to terminally ill patients? METHODS: Following PRISMA-ScR guidelines, online bibliographic databases CINAHL Complete, MEDLINE Complete (EBSCO), PubMed and MEDLINE (Ovid) were searched from the initial year of database to September 2019. No language restrictions were applied. RESULTS: 31 articles were included in the qualitative synthesis and 3 main roles and one contextual factor were identified: (1) Providing complex care; (2) Adjusting patient&apos;s trajectory; (3) Being able to make decisions in a time and information limited environment; (4) Health care professionals are insufficiently supported in palliative care. CONCLUSION: There are limited data on the incidence of EMS calls to the patients at the end-of-life and no data focusing on the EMS dispatch centres. Both paramedics and emergency physicians are aware of their role in the end-of-life care. EMS personnel are lacking special training and education in the palliative care. Cooperation between palliative care providers, the EMS providers and other out-of-hours services might improve the responsiveness of the health care system to needs and expectations of patients and their families, and possibly improve the overall health care system efficiency.

Czech name

—

Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30221 - Critical care medicine and Emergency medicine

Project

<a href="/en/project/TL03000205" target="_blank" >TL03000205: Personal learning environment of higher education medical students</a><br>

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Pain and Symptom Management

ISSN

0885-3924

e-ISSN

—

Volume of the periodical

62

Issue of the periodical within the volume

6

Country of publishing house

US - UNITED STATES

Number of pages

11

Pages from-to

1308-1318

UT code for WoS article

000727301200021

EID of the result in the Scopus database

2-s2.0-85110434186