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* Ethics q1
 #841866  
  pinkunicorn - 06/18/17 13:42
 
  An 8 0 year old male i s brought to the emergency department after a syncopal event. He is hypoxic and has a waxing/waning consciousness. The decision is made to intubate the patient as he is not able to protect his airway and will likely go into cardiac arrest without the assisted ventilation. He is successfully intubated and thirty minutes later his grandson arrives with an advance directive signed by the patient indicating that he does not wish to be intubated. Which of the following is the most appropriate step?

A) Extubate the patient and provide supportive care
B) Attempt to contact the patient's spouse as she would be the primary decision maker
C) Utilizing substituted j udgment, maintain the intubation
D) Continue the intubation for now, as the pain of the procedure, the intubation itself, has already happened
E) Maintain the intubation until a family conference can be scheduled


Answer given is E. but my doubt is : Based on what they intubated patient on the first place? 2nd if patient consented before intubation then grandson's directive or having family conference is for what?

Please anyone help me with this .
 
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* Re:Ethics q1
#3341317
  tchops - 06/18/17 14:40
 
  I think it should be A....PT had waxing waning conscious when intubated...then advance directive is produced duly signed ...it holds more importance ..it should be honored...no need for a family conference..directives are clear  
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* Re:Ethics q1
#3341472
  drdab - 06/19/17 23:56
 
  i also feel it shud be a  
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