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[Ethical issues surrounding death in pre-hospital medicine]
Delphine Hugenschmitt1, Pierre Le Coz2, Hugues Lefort3
1Samu/Smur, Hôpital Édouard-Herriot, 5 place d'Arsonval, 69003 Lyon, France.
Revue De L'Infirmiere
|November 12, 2023
Summary
Mobile emergency teams face daily deaths at home, presenting complex ethical challenges. Caregiver experiences highlight moral burdens, fatigue, and the importance of presence over resuscitation outcomes.
Area of Science:
- Emergency Medicine
- Medical Ethics
- Qualitative Research
Context:
- Mobile emergency and resuscitation teams frequently encounter patient death in home settings.
- Managing death at home involves complex ethical dilemmas and can challenge personal or collective values.
Purpose:
- To explore the moral burden and challenges faced by caregivers managing death in home-based emergency care.
- To discuss the consequences of operational experience, including time, fatigue, emotions, and training.
Summary:
- A single-center qualitative survey questioned 64 caregivers about their experiences with death management in home emergency care.
- Findings indicate that operational factors like time, fatigue, and emotional toll significantly impact caregivers.
- The study suggests that the 'quality of presence' is a crucial factor, irrespective of resuscitation success.
Impact:
- Highlights the profound moral and emotional impact of death management on emergency care providers.
- Informs training and support strategies for mobile emergency teams dealing with home-based fatalities.
- Emphasizes a patient-centered approach focusing on presence and dignity in end-of-life care at home.
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