کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3237269 1588806 2009 11 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Clinical Nihilism in Neuroemergencies
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Clinical Nihilism in Neuroemergencies
چکیده انگلیسی

Mortality and morbidity remain high from neurologic emergencies, such as acute stroke, traumatic brain injury, and hypoxic-ischemic encephalopathy after cardiac arrest. Decisions regarding initial aggressiveness of care must be made at the time of presentation, and perceived prognosis is often used as part of this decision-making process. These decisions are predicated on the accuracy of early outcome prediction, however. Decisions to limit treatment early after neuroemergencies must be balanced with avoidance of self-fulfilling prophecies of poor outcome attributable to clinical nihilism. This article examines the role of prognostication early after neuroemergencies, the potential impact of early treatment limitations, and how these may relate to communication with patients and surrogate decision makers in the context of these acute neurologic events.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Emergency Medicine Clinics of North America - Volume 27, Issue 1, February 2009, Pages 27–37
نویسندگان
, ,