title: [Medical decision in a very elderly patient: a case report of application of the Leonetti law in emergency medicine].
abstract: Advanced care decision in emergency medicine is difficult for the elderly. How to be fair, avoiding an unreasonable obstinacy? Based on the case of very old person, we show how an optimal management can be decided in accordance with the spirit of the law.
authors.affiliation: Smur, hôpital Beaujon, hôpitaux universitaires Paris Nord Val-de-Seine, 100, boulevard du Général-Leclerc, 92110 Clichy, France; Unité de soins de supports et soins palliatifs, institut Curie, 75005 Paris, France. Electronic address: alexisburnod@gmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Burnod
authors.affiliation: Service d'accueil des urgences, hôpital Bichat, hôpitaux universitaires Paris Nord Val-de-Seine, 75018 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Choquet
authors.affiliation: Service d'anesthésie-réanimation chirurgicale, hôpital Bichat, hôpitaux universitaires Paris Nord Val-de-Seine, 75018 Paris, France.
authors.forename: H
authors.initials: H
authors.lastname: Houissa
authors.affiliation: Unité de soins de supports et soins palliatifs, institut Curie, 75005 Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Danis
authors.affiliation: Service de chirurgie vasculaire et thoracique, hôpital Bichat, hôpitaux universitaires Paris Nord Val-de-Seine, 75018 Paris, France.
authors.forename: Q
authors.initials: Q
authors.lastname: Pellenc
authors.affiliation: Smur, hôpital Beaujon, hôpitaux universitaires Paris Nord Val-de-Seine, 100, boulevard du Général-Leclerc, 92110 Clichy, France.
authors.forename: F X
authors.initials: FX
authors.lastname: Duchateau
mesh_terms: D000369:Aged, 80 and over; D004632:Emergency Medical Services / Q000941:ethics / Q000331:legislation & jurisprudence*; D005602:France; D006801:Humans; D007883:Legislation, Medical; D008297:Male; D010166:Palliative Care / Q000941:ethics / Q000331:legislation & jurisprudence; D028761:Withholding Treatment / Q000941:ethics / Q000331:legislation & jurisprudence*
keywords: Décision médicale; Emergency medicine; Limitation de traitement; Medical decision; Médecine d’urgence; Palliative care; Personne âgée; Soins palliatifs; Withholding