Tuesday, 12 June 2012

Liverpool Care Pathway – Gang Aft Agley

Be Careful What You Wish For…

In The Journal of Emergency Medicine, Volume 42, Issue 5, May 2012, Pages 511-520, Ferdinando L. Mirarchi, Erin Costello, Justin Puller, Timothy Cooney and Nathan Kottkamp have published the following study which reaches a troublesome conclusion.

TRIAD III: Nationwide Assessment of Living Wills and Do Not Resuscitate Orders

  • Ferdinando L. Mirarchi, DO, FAAEM, FACEPCorresponding author contact information
  • Erin Costello, DO, 
  • Justin Puller, MD, FACEP, 
  • Timothy Cooney, MS, 
  • Nathan Kottkamp, JD, MA (Bioethics)
  • University of Pittsburgh Medical Center (UPMC) Hamot, Erie, Pennsylvania

Forward-thinking people thinking they may plan for every exigency and whatever circumstance their lives may confront them with are not at all accommodated by the very nature of existence that it is all quite uncertain and unpredictable! 

The best laid schemes… 

It may well prove to be accurate, it may not, but diagnosis is always a medical opinion. For those who have chosen and decided upon what course they will follow given that diagnosis, that is for them.

But God help those who are placed on the Liverpool Care Pathway for their course has been decided for them: it is both determination and termination!

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