Physicians in the emergency room should make a diagnosis for a patient who is near death. After this patient type was identified, invasive procedures (in this study, endotracheal intubation) should be avoided to improve quality of life because they had no beneficial effects on this group and increased discomfort. Endotracheal intubation, Near death, End of life, Palliative, Emergency, Invasive
Conditions
Interventions
Patients who died in 31 days after visit emergency department were recruit in this study. Management, included invasive procedure, in this group could be decided by physicians without formal protocol.
Treatment,Treatment
End of life patient who visited emergency room before protocol activation,End of life patient who visited emergency room after protocol activation
Sponsors
Faculty of Medicine, Chiang Mai University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients who are at least 18 years old and have been identified as having an incurable chronic illness, severe dementia, advanced cancer, or bedridden patients.
Exclusion criteria
Exclusion criteria: Patients with incomplete of important data Patients who presented with cardiac arrest Traumatic patients Patient with tracheotomy or intubation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intubation 31 days number of death case who was intubated in emergency room | — |
Secondary
| Measure | Time frame |
|---|---|
| Palliative team consultation 1 year Number of case who got Palliative team consultation | — |
Countries
Thailand
Contacts
Public ContactSiripat Patamaphassakul
Faculty of Medicine, Chiang Mai University
Outcome results
None listed