Patient Hopsitalized in Internal Medicine Unit Clinical Trial
Official title:
Study of the Consequences of Infection on Compliance of Modalities of Decisions of Limitations and Stops of Treatments
This survey is performed to examine if during the Covid's crisis, the practitionner's have respected the modalities of the law about the end of life, in particular concerning limitations and stop of therapeutics
In the current legislativ context notably the Clayes Leonetti law, a very large majority of
ICU (Intensive Care Unit) patients die with the establishement of a procedure for the
limitation and cessation of therapeutics (LAT). During a viral pandemic, medical resources
can be saturated, limiting reflexive abilities in favour of binary decisions. This sorting of
patients leads to LAT that could be performed without the elementary modalities stated by the
law. Thus, arbitrary medical decisions made alone could expose patients to unjustified " loss
of luck ". Increasing the resources mobilized during a pandemic must not make us forget the
quality of care provided for the benefit of quantity. In therefore seems legitimate to keep
the LAT modalities to ensure our ethical principles. No work in the literature based on
actual facts explores the impact of a pandemic on compliance with and maintenance of ethical
principles and the legisltaive framework, in particular as regards the procedures of the
application of LAT.
The purpose of this study is to assess whether the terms of the LAT are being complied during
a pandemic for patients with or without Covid.
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