<p>Any medical intervention requires a&#xa0;clear clinical indication and must align with the patient’s wishes. In emergency situations, however, information is often incomplete, which may lead to overtreatment, when interventions are initiated, which either have little chance of improving outcome or are not consistent with patient’s wishes, particularly at the end of life. Integrated emergency planning as a&#xa0;result of an advance care planning process, offers a&#xa0;potential solution by allowing patients to record emergency-specific treatment preferences based on their personal values, thereby supporting care that respects patient autonomy. To implement this concept on a&#xa0;broad scale and ensure its long-term viability, further development is needed toward a&#xa0;comprehensive framework that includes standardized documentation, structured training, and digital integration with the electronic health record, alongside broad stakeholder consensus. This paper provides corresponding recommendations.</p>

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Die Integrierte Notfallplanung – Chancen und Grenzen in der Akut- und Notfallmedizin

  • L. Böhm,
  • E. Diehl-Wiesenecker,
  • P. Gretenkort,
  • S. Grautoff,
  • C. Wiese,
  • C. Scheltz,
  • M. Stanley,
  • J. Eggardt,
  • M. Klein,
  • A. Scherg,
  • M. Neukirchen

摘要

Any medical intervention requires a clear clinical indication and must align with the patient’s wishes. In emergency situations, however, information is often incomplete, which may lead to overtreatment, when interventions are initiated, which either have little chance of improving outcome or are not consistent with patient’s wishes, particularly at the end of life. Integrated emergency planning as a result of an advance care planning process, offers a potential solution by allowing patients to record emergency-specific treatment preferences based on their personal values, thereby supporting care that respects patient autonomy. To implement this concept on a broad scale and ensure its long-term viability, further development is needed toward a comprehensive framework that includes standardized documentation, structured training, and digital integration with the electronic health record, alongside broad stakeholder consensus. This paper provides corresponding recommendations.