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/