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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I went into emergency medicine to act. Why is that important in the emergency room?

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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

So elderly people who aspirated, got pneumonia, had an mi, didn’t get hauled off to the emergency room on an ambulance crew so they could die in the ER. And so I thought about it a while, called, and sure enough, they brought him up to the emergency room. That’s why we did it. And I had his address.

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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

And we would provide ongoing longitudinal care to them in the home, much like the Mount Sinai Visiting Doctors programs, and other programs like that. And the treatments are different than what hospice might provide in the home setting. And then, the patient can bypass the emergency room entirely. I trained at Hopkins.

Hospital 115
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What Lessons Have We Learned from the First COVID Surges? Jim Wright & Darrell Owens

GeriPal

Including, I think, a 24/7 palliative care intervention in the emergency room, an inpatient comfort care intervention for COVID-positive patients … doing a tremendous amount. So we anticipated, based on what was happening in Seattle, a pretty large influx of elders that were going to come through the emergency room.