Critical Illness and the Emergency Room

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Author(s): R. K. Goyal (NY Presbyterian Hospital, USA), M. O’Neill (NY Presbyterian Hospital, USA), N. Agostinelli (NY Presbyterian Hospital, USA)and P. Wyer (Columbia University, USA)
Copyright: 2011
Pages: 12
Source title: User-Driven Healthcare and Narrative Medicine: Utilizing Collaborative Social Networks and Technologies
Source Author(s)/Editor(s): Rakesh Biswas (People’s College of Medical Sciences, India)and Carmel Mary Martin (Northern Ontario School of Medicine, Canada)
DOI: 10.4018/978-1-60960-097-6.ch005

Keywords: Health Information Systems / Medical Information Science Reference / Medicine & Healthcare

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Abstract

The care of the critically-ill patient in the acute setting, an ‘everyday’ occurrence in most urban emergency departments, often proceeds through the dictates of Parsonian paternalism: the Physician knows best. But through a discussion of three such ‘everyday’ encounters, we hope to complicate this notion and find a place for healthcare users in the decision making process while developing a language and analytic basis for thinking seriously about the clinical dyad and the construction of knowledge in relationship economies. Finally, we discuss the escalation and de-escalation (terms derived from the military industrial complex) of care as it relates to medical futility.

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Critical Illness and the Emergency Room

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