Article A233232
Author(s): Safanah Siddiqui, MD, Gabriel Lutz, MD, PhD, Ali Tabatabai, MD, Rachel Nathan, MD, Megan Anders, MD, MS, Miranda Gibbons, BS, Marguerite Russo, PhD, CRNP, Sarah Whitehead, CRNP, Peter Rock, MD, MBA, Thomas Scalea, MD, and Raya E. Kheirbek, MD, MPH
Contact Hours 1.00
CERP B 1.00
Expires May 01, 2026
Topics: COVID-19, ECMO, Palliative/End-of-life Care, Family-Centered Care
Population: Adult, Geriatric
Required reading for all learners: Implicit Bias impacts patient outcomes
Extracorporeal membrane oxygenation (ECMO) is used as a bridge to recovery in patients with acute reversible conditions, to transplantation in patients with irreversible cardiac or respiratory failure, and to ventricular assist device therapy in some patients with cardiac failure. The World Health Organization has recommended considering the use of ECMO for patients with COVID-19 hypoxemia refractory to mechanical ventilatory support. Given the critical frailty of patients who require the complex support that ECMO provides, realistically managing families’ expectations for potential recovery can be difficult. This difficulty increases as time passes for patients receiving ECMO whose clinical status fails to improve. Palliative care supports seriously ill patients and their families with high-level communication and symptom management skills. Studies have shown that palliative care consultation improves the quality and quantity of communication with family members.Learners must complete the entire activity and the associated evaluation AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.
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