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  • Title: End-of-life decision making in the ICU.
    Author: Siegel MD.
    Journal: Clin Chest Med; 2009 Mar; 30(1):181-94, x. PubMed ID: 19186289.
    Abstract:
    A large proportion of deaths, particularly in the developed world, follows admission to an ICU. Therefore, end-of life decision making is an essential facet of critical care practice. For intensivists, managing death in the critically ill has become a key professional skill. They must be thoroughly familiar with the ethical framework that guides end-of-life decision making. Decisions should generally be made collaboratively by clinicians partnering with patients' families. Treatment choices should be crafted to meet specific, achievable goals. A rational, empathic approach to working with families should encourage appropriate, mutually satisfactory outcomes.
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