Today, I am joined by Kei Ouchi to disucss rapid code status discussions in Emergency Medicine and Critical Care. I came across Kei after he put up an amazing post on ALIEM with his co-author Naomi George. Conversation is the essence of palliative care–we need to be experts at them.
Kei Ouchi, MD
Kei's and Naomi George's Guide to Rapid Code Status Conversations
More to Read
- ALIEM Post
- Prognosis after intubation study by Kei
- Long-term prognosis after MV (Kei's new study)
- Functional trajectories of older adults after critical illness
- Worse than dying
- How patients experience LTACH
- Median survival is 8 months if older adults are transferred to LTACH
How Kei Trained in Palliative Care Conversations
Scott, I realized I’ve never told you anything about how I trained in palliative care communications skills. I keep a record of difficult communication cases from my practice, and I regularly hire actors/role play the encounters with Susan Block (mentor) to get coaching since 2014. She is a master communicator and has been teaching this internationally for the last 35 years. I also completed the following courses and now teach Vital Talk to our trainees with palliative care folks.
My ED code status conversation guide is an adaptation of the original Serious Illness Conversation Guide created by Susan Block: