International Conference on Emergency Medicine. Sydney, AUS, 1996/11.
Some states have enacted legislation authorizing EMS providers to adhere to prehospital advance directives (ADs) in the terminally ill.
This study was conducted to assess EMS providers'knowledge of and experience with prehospital ADs.
An anonymous survey was conducted of 142 EMS providers employed by a local, private ambulance service in the northeastern United States.
The survey was administered during a 2-month period from January to March 1995.
Of 142 participating providers, 106 (74.6%) completed questionnaires.
Respondents included EMTs (61.3%), paramedics (33.9%), and chair van operators (4.8%). The majority (58.6%) had at least 5 years of field experience.
Almost all respondents (93.4%) were familiar with ADs, usually do-not-resuscitate orders.
Most providers (78.3%) consider ADs before implementing extraordinary life support measures in terminally ill patients.
Few (28.0%) have implemented prehospital ADs without medical control.
The most commonly reported objections to withholding life support measures were fear of legal consequences, personal difficulty withholding care they are trained to provide, and ambiguity in the ADs received.
Nearly all respondents (96.7%) support enactment of prehospital AD statutes.
Most prehospital care providers recognize the need to withhold resuscitative care in terminally ill patients who have prepared ADs. (...)
Mots-clés Pascal : Prise décision, Malade état grave, Instruction, Personnel sanitaire, Urgence, Agent santé, Période préhospitalière, Expérience professionnelle, Connaissance, Pratique professionnelle, Etats Unis, Amérique du Nord, Amérique, Evaluation, Homme
Mots-clés Pascal anglais : Decision making, Critically ill, Instruction, Health staff, Emergency, Health worker, Prehospital period, Professional experience, Knowledge, Professional practice, United States, North America, America, Evaluation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0027413
Code Inist : 002B30A05. Création : 31/05/1999.