Close
More
 
 

Join Now

It's Free - Always

First Name
 
Last Name
 
Zip/Postal Code
 
Country of Practice
 
 
 
Specialty
Email
 
Password
 
Confirm Password
 
Terms
I have read and agree to the Participant Terms and Conditions
 
 
 

is already registered on QuantiaMD

Is this you? Enter your password to continue.
The password you entered is incorrect. Please try again or choose a different option.
Forgot your password? Click here and password reset instructions will be sent to the above email address.
Need more help? Contact Member Support
 
 

is already registered on QuantiaMD

 
 
Instructions to reset your password have been sent to the following email address:

For further assistance, please Contact Member Support
Thank you for registering on QuantiaMD.

Forgot your password?

Please enter your email address below, and we will send you a link to reset your password.

Submit
Earn this Certificate
0%
0 out of 4 completed
Understanding Advance Directives

Advance Directive documents are underutilized and poorly understood by both patients and physicians. The majority of US doctors & clinicians do not have any directives in place for themselves, nor are they provided the education & training needed to accurately interpret these legal documents when encountered during patient care. Join us here to learn the ins and outs of Advance Directives: Improve patient safety and ensure that you and your patients receive the end-of-life care you want.

Moderated By:
Ferdinando L. Mirarchi, DO, FAAEM, FACEP
Medical Director, Department of Emergency Medicine, UPMC Hamot Medical Center
Start the next presentation
You've completed 0 out of 4 presentations
 
Expert Practice Series Presentations
Nathan A. Kottkamp, JD, MA
National Healthcare Decisions Day, Founder & Chair, McGuireWoods, LLP, Partner
(1,785)
438 Comments
Ferdinando L. Mirarchi, DO, FAAEM, FACEP
Medical Director, Department of Emergency Medicine, UPMC Hamot Medical Center
(2,345)
678 Comments, last 24 days ago
Ferdinando L. Mirarchi, DO, FAAEM, FACEP
Medical Director, Department of Emergency Medicine, UPMC Hamot Medical Center
(3,117)
691 Comments, last 17 hours ago
Ferdinando L. Mirarchi, DO, FAAEM, FACEP
Medical Director, Department of Emergency Medicine, UPMC Hamot Medical Center
(2,317)
687 Comments, last 15 days ago
Latest Comments
"I know the presentation is formally  medico-legal perspective, however unless there is a financial incentive for the family - then who would want their (relative term) dead family member kept alive on machines etc. I know this occurs (having been there and done that while trying to ascertain DNR and Living Will status while running a resuscitation). We need to have more discussions with family in ED and sacrifice the  facilities Press Ganey or HCAPs scores (and others)  so we do not perform needless interventions on individuals who clearly had end of life decisions in place (that includes the vague PCP or state proffered living wills). We need to be proactive in palliative care and end of life issues in the ED as we are often the front line in this area. Until it is mandated that all PCP's and others address and document with family complete discussions with family that all ED physicians have access to then we need to be the person(s) that have discussion based upon presentation and anticipated outcomes based upon what we are doing, seeing and patient PMHx.

Doing less than this despite what else is going our department is failing our patients and families.

Palliative care in department whether in house or on call should be the standard of care. Perhaps in the future when one is too weak or for other reasons (religion or personal experience not able to do this, undecided, stress and too many questions from family) we will have this to alleviate an EM physician from decision making process.

I fully understand those folks who are truly afraid to approach this issue for fear of lawsuit as exists in many states including Florida, BUT what would you want for your family member in this situation and how would you discuss this with the family (if an any present at bedside or by phone if available). Now think about this as working locums in Florida, I have seen some ridiculous decisions made by new grads (last 3 to 5 years) about end of life and self stated as all due to legal climate and fear of lawsuit. What a waste of money....So wake up, have discussions and smell the flowers."
Robin Garelick, MD
R.B. Garelick MD PLC.
691 Comments, last 17 hours ago
"I would probably not use the phrase, "withdraw care and treatment."  I'd rather say direct the care and treatment to focus on comfort measures... We continue to care for the patient and treat symptoms..."
Howard Homler, MD, FACP
Internist, Sutter Roseville Medical Center, VITAS Hospice
687 Comments, last 15 days ago
 
Terms | Privacy | FAQ | support@quantiamd.com | 1-800-773-4162
©2015 Quantia, Inc. All Rights Reserved.
 
Version 2.10.260.35