[Medical decision in a very elderly patient: a case report of application of the Leonetti law in emergency medicine]

A Burnod; C Choquet; H Houissa; J Danis; Q Pellenc; F X Duchateau

doi:10.1016/j.annfar.2014.03.011

[Medical decision in a very elderly patient: a case report of application of the Leonetti law in emergency medicine]

Ann Fr Anesth Reanim. 2014 May;33(5):361-3. doi: 10.1016/j.annfar.2014.03.011. Epub 2014 May 10.

[Article in French]

Authors

A Burnod¹, C Choquet², H Houissa³, J Danis⁴, Q Pellenc⁵, F X Duchateau⁶

Affiliations

¹ Smur, hôpital Beaujon, hôpitaux universitaires Paris Nord Val-de-Seine, 100, boulevard du Général-Leclerc, 92110 Clichy, France; Unité de soins de supports et soins palliatifs, institut Curie, 75005 Paris, France. Electronic address: [email protected].
² Service d'accueil des urgences, hôpital Bichat, hôpitaux universitaires Paris Nord Val-de-Seine, 75018 Paris, France.
³ Service d'anesthésie-réanimation chirurgicale, hôpital Bichat, hôpitaux universitaires Paris Nord Val-de-Seine, 75018 Paris, France.
⁴ Unité de soins de supports et soins palliatifs, institut Curie, 75005 Paris, France.
⁵ Service de chirurgie vasculaire et thoracique, hôpital Bichat, hôpitaux universitaires Paris Nord Val-de-Seine, 75018 Paris, France.
⁶ Smur, hôpital Beaujon, hôpitaux universitaires Paris Nord Val-de-Seine, 100, boulevard du Général-Leclerc, 92110 Clichy, France.

PMID: 24821341
DOI: 10.1016/j.annfar.2014.03.011

Abstract

Advanced care decision in emergency medicine is difficult for the elderly. How to be fair, avoiding an unreasonable obstinacy? Based on the case of very old person, we show how an optimal management can be decided in accordance with the spirit of the law.

Keywords: Décision médicale; Emergency medicine; Limitation de traitement; Medical decision; Médecine d’urgence; Palliative care; Personne âgée; Soins palliatifs; Withholding.

Publication types

Case Reports
English Abstract

MeSH terms

Aged, 80 and over
Emergency Medical Services / ethics
Emergency Medical Services / legislation & jurisprudence*
France
Humans
Legislation, Medical*
Male
Palliative Care / ethics
Palliative Care / legislation & jurisprudence
Withholding Treatment / ethics
Withholding Treatment / legislation & jurisprudence*