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首页> 外文期刊>Canadian Journal of Emergency Medicine >Advance directives and suicide attempts—ethical considerations in light of Carter v. Canada, SCC 5
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Advance directives and suicide attempts—ethical considerations in light of Carter v. Canada, SCC 5

机译：预先指示和自杀未遂-根据Carter诉加拿大案，SCC 5的道德考量

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A 56-year-old female presents to the emergency department after an intentional overdose of a large number oflong-acting verapamil tablets. She says she wants to dieand has come to the emergency department because shedoesn’t want to die alone. She is bradycardic at 40 BPM,hypotensive at 100/60 mm Hg, and has a first-degreeatrioventricular block on her electrocardiogram; findingsare consistent with her stated ingestion. She says she doesnot want treatment for her ingestion. She presents anadvance directive (AD) stating that she has chronic painsecondary to multiple endocrine tumors, and that shedoes not want life-sustaining treatments (such as intubation, ventilation, or cardiopulmonary resuscitation) underany circumstances. The document is signed, dated withinthe last 4 weeks, and notarized. Her level of consciousnessdecreases, and the treating team is unsure of theirethical and legal responsibilities in the face of her statedwishes and her AD.
机译：一名过量服用大量长效维拉帕米片的一名56岁女性出现在急诊室。她说她想死，并去了急诊室，因为她不想一个人死。她在40 BPM时心动过缓，在100/60 mm Hg时低血压，心电图上有一级房室传导阻滞。研究结果与她所说的摄入一致。她说她不希望因吞服而接受治疗。她提出了提前指令（AD），指出她患有继发于多发内分泌肿瘤的慢性疼痛，并且她在任何情况下都不希望进行维持生命的治疗（例如插管，通气或心肺复苏）。该文件已签名，日期应在最近4周内，并经过公证。她的意识水平下降了，面对她陈述的愿望和她的AD，治疗团队不确定他们的道德和法律责任。

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