SIM for Palliative Care

Case

• 85 F witnessed choking event at care facility
• Loses consciousness
• DNR in place
• 911 called

ALS arrives

• Heimlich unsuccessful
• Laryngoscope-food contents removed
• Intubated

What to do now in the resus room?

How does one get better at talking to families about goals of care in the ED?

SIM for ED Palliative Care

Why SIm?

• technique to replace & amplify real experiences with guided ones
• develop skills without some of the risks
• provides a valuable tool to mitigate ethical tensions

Why do we need this?

"Better to trip with the feet than with the toungue"-Zeno