At its annual conference a few weeks ago, the ACEP sponsored a panel on providing "medically futile" care in the emergency department. (Hospitalist News) Gregory Henry explained that while the default in EDs is to stabilize patients with poor prognoses, ED physicians should reflect on their role in starting a "cascade of expensive care rolling down the hill." Daniel Sullivan said we "need clear cut legislation."
Gregory Larkin said that "we docs provide this kind of care all the time, even though we don't believe in it. . . . Rationing is part of our job . . . try to be more affirmative about what you will do . . . and don't put [an intervention] on the menu if you don't think it's appropriate . . . . Don't even bring it up . . . ."
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