In this episode, Drs. Agboola and Jubanyik discuss Palliative Care in the Emergency Department. They cover a wide range of subjects including: How to deliver “Bad News”, navigating surrogate decision makers, and the “Surprise Question”.

Host: Isaac Agboola, MD, MS

Yale New Haven School of Medicine, PGY-2

Guest: Karen Jubanyik, MD

Academic Advisor in the Dean of Student Affairs Office Past National Chair of SAEM Palliative Care Interest Group Associate Professor at Yale New Haven School of Medicine

Key Points:

“Treat bad news conversations,  just like you would a procedure” Palliative Care is an ER doctor’s responsibility because sometimes palliative care is an emergency In regards to code status, only offer what options you feel are medically indicated Empower surrogate decision makers to make the decision their loved one would want  There are over 130 ACGME Hospice and Palliative Care Fellowships that are available if you desire further education in the subject 

References/Resources:

EMRA Palliative Care Fellowship guide https://www.emra.org/books/fellowship-guide-book/18-palliative-care/ SAEM Palliative Care https://community.saem.org/communities/community-home?CommunityKey=fc4c2027-6ee3-4bfb-ada7-e1d9e84990ba Academic Life in Emergency Medicine- PV Card  http://www.aliem.com/pv-card-palliative-care-screening/