Abstract
Emergency physicians and intensivists are increasingly faced with situations requiring them to care for patients for whom no curative treatment options are available. This is due to the epidemiologic evolution as well as the trend to delegate end-of-life decisions to emergency services and intensive care units. Difficult decisions under time pressure in emergency medicine frequently induce a response to use the full potential of feasible actions but without consideration of palliative treatment options. In intensive care the issue of palliative care might arise during decisions about admission of a patient as well as limiting treatment in the intensive care unit. In fact palliative care can be seen as a constant part of intensive care medicine. Palliative treatment concepts should be recognized as an expansion of the spectrum of emergency medicine and an essential goal in intensive care medicine. This is a task for daily practice and the further development of both medical specialities.
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