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Critical Illness and the Emergency Room

Critical Illness and the Emergency Room

R. K. Goyal, M. O’Neill, N. Agostinelli, P. Wyer
Copyright: © 2011 |Pages: 12
ISBN13: 9781609600976|ISBN10: 1609600975|EISBN13: 9781609600990
DOI: 10.4018/978-1-60960-097-6.ch005
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MLA

Goyal, R. K., et al. "Critical Illness and the Emergency Room." User-Driven Healthcare and Narrative Medicine: Utilizing Collaborative Social Networks and Technologies, edited by Rakesh Biswas and Carmel Mary Martin, IGI Global, 2011, pp. 63-74. https://doi.org/10.4018/978-1-60960-097-6.ch005

APA

Goyal, R. K., O’Neill, M., Agostinelli, N., & Wyer, P. (2011). Critical Illness and the Emergency Room. In R. Biswas & C. Martin (Eds.), User-Driven Healthcare and Narrative Medicine: Utilizing Collaborative Social Networks and Technologies (pp. 63-74). IGI Global. https://doi.org/10.4018/978-1-60960-097-6.ch005

Chicago

Goyal, R. K., et al. "Critical Illness and the Emergency Room." In User-Driven Healthcare and Narrative Medicine: Utilizing Collaborative Social Networks and Technologies, edited by Rakesh Biswas and Carmel Mary Martin, 63-74. Hershey, PA: IGI Global, 2011. https://doi.org/10.4018/978-1-60960-097-6.ch005

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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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