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• Advance Directives (AD) • Back in 2004, the Law Reform Commission recommended the concept of AD to medical treatment. • The Government accepted the Concept of Advance Directives under the common law framework but was not prepared to make AD statutory. • AD’s implemented July, 2010 • A valid AD is legally binding, • Applicable across medical institutions if its validity can be ascertained on the spot. • A proxy health care directive does not have legal status in HK 42
• Operation of AD • Terminally ill • In a state of irreversible coma • Persistent vegetative state 43
Page 1 and 2: Case presentation Dr. W.S. Ng Dr. K
Page 3 and 4: • On arrival, vital signs • BP
Page 5 and 6: Proceed to RSI for mechanical venti
Page 7 and 8: • Approach by ABC • P/E • Tac
Page 9: Investigations • ECG • At Arter
Page 13 and 14: Sliding sign Comet tail artifact 13
Page 15 and 16: Now patient got Type 2 respiratory
Page 17 and 18: • RSI • Suxamethonium 75mg •
Page 19 and 20: Progress • Extubate on the same d
Page 21: • PHx. • Retired businessman
Page 26 and 27: Pulmonary Fibrosis 26
Page 28 and 29: Diagnosis • Progressive shortness
Page 30 and 31: Treatment • limited treatment opt
Page 32 and 33: Now you know the history and DNR Wi
Page 34 and 35: HAHO guideline on in-hospital resus
Page 36 and 37: DNR Ambulance Command Standing Orde
Page 40 and 41: • Ambulance Command Standing Orde
Page 44 and 45: • Advanced Care Plan (ACP) • A

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