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jueves, 2 de junio de 2016

Medical Assistance in Dying

An online community of practice for Canadian EM physicians
CanadiEM - June 1, 2016 - By Francis Bakewell
"Very soon, the law against assisted suicide in Canada will cease to exist, but exactly what happens next remains to be seen. On April 14th, the federal government tabled Bill C-14 in an attempt to legalize the process of medical assistance in dying (MAID). The bill is currently making its way through Parliament, but may not be ready in time for the June 6th deadline.
The legalization of MAID has been called a ‘sea change’ in medicine, and there are a lot of questions that need to be answered before it is implemented. Who will be eligible? Do patients need to have a ‘terminal’ illness? What about mental illness? Advanced directives? Should it be restricted to adults – if so, who is an adult? Which healthcare providers are going to assist, and how will it actually happen?
In this two-part series on MAID and the Emergency Department, I will outline the background, implementation and ramifications on assistance in dying in the Emergency Department. In part 1 I will briefly review how we got to where we are right now, and what might happen next. In Part 2 we will examine a question that, as of yet, has received comparatively little attention: what will the impact of MAID be on emergency medicine?..."