12 Challenges in shock management in the emergency department

Colin A Graham
2019 Keynote Lecture   unpublished
are also available in alerting clinicians to timing and need for palliative care, especially in older patients. 3 Evidence for benefit of early palliative care is emerging for structured palliative care services for HF. The PAL-HF randomised controlled trial shows that an interdisciplinary palliative care can yield greater benefits in quality of life, anxiety, depression, and spiritual well-being compared with usual care alone. 4 Challenges in withholding or withdrawing care options like with
more » ... options like with non-invasive ventilation, implantable defibrillators, left ventricular assistive devices will need to be further addressed. Serious illness conversation guide from Harvard University is available also in local Hong Kong Chinese setting to facilitate discussion. 5 Good HF care necessitates an integrated care programme, with palliative team working hand in hand with cardiologists.
doi:10.1136/heartasia-2019-apahff.12 fatcat:xjlshdv33nhejfi5jlbccphm4i