Geriatrics Palliate Resuscitation 
GeriPal
APRIL 10, 2025
Summary Transcript CME Summary Early in my research career, I was fascinated by the (then) frontier area of palliative care in the emergency department. 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? They got feedback.
GeriPal
APRIL 4, 2024
She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. I remember there was an Archives article from, or Annals, I forget, it was probably called Archives back then, Resuscitating Advanced Directives. And we see that too in geriatrics.
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GeriPal
FEBRUARY 9, 2023
But when the doctor explained the choices between, you can either have CPR or have a do not resuscitate order, or you can have CPR or allow a natural death. When it was do not resuscitate, fewer people chose it. Summary Transcript Summary Amber Barnato is an expert in simulation studies. This is Eric Widera. Alex: This is Alex Smith.
GeriPal
OCTOBER 5, 2023
James Tulsky did a study in the late 80s looking at how residents at UCSF talked about code status, where the paradigmatic way was, if your heart stops, do you want us to resuscitate it? Alex: We are delighted to welcome Jacky Kruser, who’s a pulmonary critical care doctor and health services researcher at the University of Wisconsin.
GeriPal
AUGUST 31, 2023
I think this is actually bread and butter geriatrics. And then there’s this other time, and this gets to the geriatric patients, where you’re adapting to change and loss and then it’s a new normal that you’re trying to adapt to. Brad: I completely forgot about that. That’s great. Alex: That was great.
GeriPal
SEPTEMBER 5, 2024
Alex 00:15 We are delighted to welcome back Louise Aronson, who’s a geriatrician and author in the UCSF division of Geriatrics. Anyway, we resuscitated him as best we could, stayed in the ICU, and then ended up in a nursing home. We’ve resuscitated people. Eric 00:13 And, Alex, who do we have with us today?
GeriPal
DECEMBER 12, 2024
If you look at the recordings of discussions they have with their doctors and even sort of the intonation when they talked about resuscitation, maybe that gives you information you could use to predict. Now there’s looking at online behavior. Teva has this really nice paper. For any MOC questions, please email moc@ucsf.edu.
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