Medizinrechtliche Aspekte bei der notärztlichen Versorgung

Abstract

AHCDs appear to have an influence in the emergency medical decision process. However, it is presently unclear as to what a standardized and universally comprehensible AHCD should look like, in order to provide a framework that is both acceptable and necessary in a prehospital emergency medicine environment, ensuring medicolegal certainty for the parties involved.

Advance Directives and Powers of Attorney in Intensive Care Patients

“…In a questionnaire survey of physicians and relatives, Leder et al found that agreement about the practical meaning of advance directives containing widely used, prewritten wording was assessed as low, and that this form of advance directive therefore appeared unsuited to the intensive care setting (21). Similar findings have been reported by other groups (22,23). A retrospective cohort study of 477 patients who had died in intensive care showed that resuscitation was carried out less often in patients who had an advance directive (24).…”

Vorgehen und Verlauf bei außerklinischem Herzstillstand unter besonderer Berücksichtigung des Patientenwillens – Ergebnisse einer prospektiven Beobachtungsstudie

“…To satisfy the principles of medical ethics under the terms of emergency medicine and to provide more legal secu-Einleitung ! Notfallsituationen, insbesondere außerklinische Reanimationen, sind durch starken Zeitdruck in Kombination mit unzureichenden anamnestischen Informationen über den Patienten gekennzeichnet [1,2]. In dieser Lage müssen Entscheidungen schnell gefasst werden.…”