Top Tweets for #CodeStatus
💬 How is your institution approaching code status discussions in pediatrics?
Let’s share strategies and learn from each other. 👇
#Pediatrics #MedicalComplexity #CodeStatus #QI #HospitalMedicine #FamilyCenteredCare #MedTwitter #MoreThanAJournal #howwehospitalist
9/9
👶🏽🩺 Let’s talk about #CodeStatus discussions in the pediatric population - original research at @JHospMedicine. 9/9
“Increasing timely code status discussions in hospitalized children with medical complexity”
@JamesBowenMD
#Tweetorial 🧵🪡: Tina Sanjar
DOI: 10.1002/jhm.70058
The Jury Got it Wrong: DNR by Deception — and 40 Hours Without an Advocate @Jodiomalleyrn @SuziEichinger #DNR #DNI #GraceSchara #PatientAdvocacy #InformedConsent #CodeStatus #NursingEthics #EndOfLifeCare #LetThemDieWithDignity #NursesOutLoud https://t.co/r3tG6CoPE2
#Hospitalists play a crucial role in complex care, patient-centered decisions, especially discussions on #codestatus and quality of life. Thank you @JHospMedicine for highlighting this important discussion. #CPR #HowWeHospitalist #PatientCare #QualityOfLife #DNR
@SocietyHospMed
This Cohort Study by @Michael_Detsky et al revealed that physicians often failed to document the goals/priorities of their pts when making treatment recs. Lots of room to improve in documenting #CodeStatus discussions and recommendations.
Read in #JGIM: https://t.co/emQrVYsPof
How do patients want their #CodeStatus discussed? In a new randomized study, most supported a values-centered approach, which focuses on what the clinician recommends based on a discussion of their #GoalsOfCare.
@KeiO97
Read in #JGIM: https://t.co/PjAFJmpdO3
I was so excited to have the absolutely fabulous @PulmPEEPs educator and host @david_furfaro as our poster modulator that I forgot to ask for a selfie! Grateful for your encouraging comments, Dr. Furfaro!
#ATS2024 #usdssomim #CodeStatus #QI
#codestatus Time is Brain for SE just like in AIS!
20 years ago @claassen_jan and I co-authored a systematic review of the relative benefits pentobarbital, midazolam and propofol for refractory status (RSE).
They all worked about the same.
This @NeurologyToday article highlights the clinical impact of a recent update on how we treat RSE.
Upshot:
1. Ketamine has joined the fray, joining midazolam (most common), propofol, and barbiturates (pento and thiopental) as the most common 1st line continuous IV therapies for RSE
2. Phenytoin (not levetiracetam) is still the most commonly used 3rd line agent after 1st line benzos
3. Effectiveness of any cIV-Anesthetic therapy is much worse in acute symptomatic as opposed to epilepsy-related SE.
My take is that the major unexamined issue is TIME TO TREATMENT. Let’s study this!
We have known for 30 yrs that any therapy for SE works beat when given as early as possible.
#CodeSTATUS
Why not? In works for #AIS and #ICH
?????
https://t.co/KpdEcE3Uc0
So proud to know @SaraInglisMBBCh an incredible resident @MayoMN_IMRES & future #cardiology fellow❤️
Her unique perspective training in 🇮🇪& 🇺🇸 has allowed her to examine the intricacies of #CodeStatus decisions including burden on pt, family & physicians
https://t.co/x0ZUKydnSS
“We need more of this prior to #medtransport of sick #ich patients. #ED needs to have #codestatus talks but #neurointensivist should also talk to pt/families to discuss realistic expectations of 🚑🏥 prior to accepting.” Via @rkchoi
https://t.co/0awXMx3WV4
We need more of this prior to #medtransport of sick #ich patients. #ED needs to have #codestatus talks but #neurointensivist should also talk to pt/families to discuss realistic expectations of 🚑🏥 prior to accepting. https://t.co/Xq1qNcuirm
Interesting letter and article
…mention it on the checklist day after day? It should be part of the presentation and if so we don’t need to repeat ourselves on the #checklist. Same with #codestatus - default is #fullcode for a reason & that’s what’s gonna happen if we fail to have the obvious discussion…
Excluding, Maintaining *and* Reversing DNR?? A treat to be able to talk with @AlexSmithMD @EWidera @cardskrish @GeriPalBlog
#AorticStenosis, #TAVRs, and #CodeStatus:
https://t.co/bJGEntQoFK
#AorticStenosis, #TAVRs, and #CodeStatus: Fascinating discussion about this topic with two amazing cardiologists and researchers - @Gwen_Bernacki and @cardskrish. And we discuss their mixed-method JAGS study.
Episode https://t.co/6ieXQrMeZP - hosts @AlexSmithMD | @EWidera
The latest @EMedHome #podcast from @amalmattu trains a laser focus on caring for the #LGBTQI+ community, conversations about #codestatus, and #geriatrictrauma. #FOAMed https://t.co/arY1yOjdzJ
Life expectancy has been falling while health expenditures are skyrocketing. Do you know your #codestatus? Does it matter? Stay out of the hospital #nevergetsick #nevergetadmitted seem to be best plans as either your health or savings is getting nuked. Why not BOTH? #CDC #WHO
@nestframework has a very super nice way of handling exceptions. It is really easy and straightforward to do.
Here is an example of some of the '#nestjs' built-in classes.
You will not even have to deal with #CodeStatus, they take care of that!
#nestjsLove
We leave it for last. No one teaches us how to do it. Found this @COREIMpodcast on #codestatus incredibly informative, from how deep to dive to how it’s okay sometimes and even helpful to just start with your recommendation >>> https://t.co/WkRZiH8EG2
#CodeStatus Compliance got you down? Check out our brand new @GalenEnginuITy for #MEDITECH #RuleKit for a full-proof way to get those numbers up! Reduce #Burnout, Increase #Compliance, Optimize your #EMR experience.
PSA: Not to sound morbid, but now would be a good time to make sure all family members have a current #Will.
Also, #CodeStatus:
1) Agree to intubation (having a breathing tube) or trach
2) Agree to having CPR?
3) Agree to having your heart shocked?
https://t.co/CdubhH6Ir1
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