Palliative Skills for Frontline Clinicians

Rooted in everyday hospital medicine, Palliative Skills for Frontline Clinicians addresses the challenges of delivering complex care to patients living with serious illnesses. Spanning emergency medicine, internal medicine, surgery and various subspecialties, each chapter reads like a story, comparing usual care with a step-by-step palliative-based approach.

This case-based book features a multidisciplinary, palliative-trained authorship, including neurologists, nephrologists, emergency medicine physicians, surgeons, intensivists, and obstetricians. Divided into four parts, Palliative Skills for Frontline Clinicians outlines common clinical scenarios across settings and specialties to highlight unmet needs of patients with potentially terminal illnesses. Each case is broken down into the usual standard approach, and delves into detail regarding different palliative interventions that can be appropriate in those scenarios. These are meant to be practice changing; down to the actual words used to communicate with patients. In addition to the book’s focus on the principles of palliative care and the “art” of treating the patient, approaches to communication with the patient’s families for the best long-term outcomes are discussed.

Concise and pragmatic, Palliative Skills for Frontline Clinicians provides readers with both a new conceptual framework, as well as actual words to communicate with patients and medication doses for symptom management. It is an invaluable resource for non-palliative trained clinicians who wish to strengthen their palliative care skills.

COVID Toolkit: ED Goals of Care Discussions

Bedside discussions about goals of care are essential to align treatments and interventions with patient values. This has always been an important part of emergency department care, but even more so with the emergence of COVID, when older patients and those with severe or life l-limiting illnesses are at high risk for non-survival after intubation or CPR.

This video is intended for all emergency practioners and provides tools for holding these difficult discussions in the emergency department in a timely and efficient manner.

Download the EM Code Status Guide

For older adults with serious, life-limiting illness (i.e., terminal illness with less than one-year prognosis), the decision to initiate critical care/intubation is complex and emotional, especially during this COVID-19 pandemic. To help emergency physicians navigate this difficult decision, we have designed the rapid code status conversation guide.

Contact Kei Ouchi, MD, MPH with any questions about the above guide