Futility in acute care surgery: first do no harm

The consequences of the delivery of futile or potentially ineffective medical care and interventions are devastating on the healthcare system, our patients and their families, and healthcare providers. In emergency situations in particular, determining if escalating invasive interventions will benef...

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Bibliographic Details
Main Authors: Bellal Joseph, Rosemary A Kozar, Nasim Ahmed, Vanessa Ho, Jody C DiGiacomo, Tasce Bongiovanni, Bryan Morse, Michael W Cripps, Sasha D Adams, Uzer Khan, Alexandra Briggs, Thaddeus J Puzio, Milad Behbahaninia, Melissa Hornor, Allyson Cook Chapman, Jennifer Knight-Davis, Alicia Mangram, Kristin Pokorney Colling, John Hwabejire, Adam Campman Nelson, Tanya Egodage, Molly Price Jarman, D’Andrea Joseph, Ryan Landis, Ida Molavi, Tyler Putnam, Elizabeth Gorman
Format: Article
Language:English
Published: BMJ Publishing Group 2023-11-01
Series:Trauma Surgery & Acute Care Open
Online Access:https://tsaco.bmj.com/content/8/1/e001167.full
Description
Summary:The consequences of the delivery of futile or potentially ineffective medical care and interventions are devastating on the healthcare system, our patients and their families, and healthcare providers. In emergency situations in particular, determining if escalating invasive interventions will benefit a frail and/or severely critically ill patient can be exceedingly difficult. In this review, our objective is to define the problem of potentially ineffective care within the specialty of acute care surgery and describe strategies for improving the care of our patients in these difficult situations.
ISSN:2397-5776