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Palliative Care in Emergency Medicine: A Perspective from a Trainee
Joao Carlos Geber-Junior1, Daniel Neves Forte2
1Center for Oncologic Intercurrence Care (CAIO), Cancer Institute of the State of São Paulo (ICESP), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Annals of Emergency Medicine
|June 18, 2026
Summary
Palliative care in emergency medicine means addressing patient needs early, even without a diagnosis. This approach improves communication and decision-making during uncertain situations.
Area of Science:
- Emergency Medicine
- Palliative Care
- Clinical Communication
Background:
- Emergency medicine decisions often occur before diagnostic certainty.
- Palliative care is commonly viewed as a late intervention, not an approach for uncertainty.
Purpose of the Study:
- To reframe palliative care as an early intervention in emergency settings.
- To explore the role of "staying" with patients during uncertainty.
Main Methods:
- Qualitative reflection from a palliative care physician's experience.
- Analysis of communication and decision-making in acute care.
Main Results:
- Palliative care in the emergency department involves early need recognition and communication under uncertainty.
- Deliberate clinical presence and "staying" with patients are key components.
Conclusions:
- Palliative care is a valuable clinical stance applicable during uncertainty in emergency medicine.
- Integrating palliative care principles enhances emergency care and decision-making.
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