EMCrit 276 – The Rapid Code Status Conversation with Kei Ouchi

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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 Ouchi is an assistant professor of emergency medicine at the Brigham and Women's Hospital in Boston. He splits his time between EM and palliative care research. [@KeiO97]

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.

* Vital Talk

* Harvard Pall Care Course

Vital Talk is adapted to EM by Corita Grudzen, who is now running a large, national study to see if this makes a difference in patient outcomes.

My ED code status conversation guide is an adaptation of the original Serious Illness Conversation Guide created by Susan Block:

Kei's Newest Article

* Kei New Article

Now on to the Podcast: