Great Minds in Medicine: Dr. Elaine Chen

What would someone who is BOTH a Critical Care and Palliative Care Doctor say about palliative care in the ICU? I asked one. 

 

Links from the show: 

The Coleman Palliative Medicine Training Program: https://colemanpalliative.org/

 

Research Articles referenced in the episode: 

Norton SA, Hogan LA, Holloway RG, Temkin-Greener H, Buckley MJ, Quill TE. Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high-risk patients. Crit Care Med. 2007;35(6):1530-1535. doi:10.1097/01.CCM.0000266533.06543.0C
https://journals.lww.com/ccmjournal/toc/2007/06000

Braus N, Campbell TC, Kwekkeboom KL, et al. Prospective study of a proactive palliative care rounding intervention in a medical ICU. Intensive Care Med. 2016;42(1):54-62. doi:10.1007/s00134-015-4098-1
https://link.springer.com/article/10.1007/s00134-015-4098-1

Ma J, Chi S, Buettner B, et al. Early Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial. Crit Care Med. 2019;47(12):1707-1715. doi:10.1097/CCM.0000000000004016
https://journals.lww.com/ccmjournal/fulltext/2019/12000/early_palliative_care_consultation_in_the_medical.5.aspx

Campbell JL, Piscitello GM. Does Reframing Do Not Resuscitate to Beneficial Care Only Increase Acceptance of No-CPR Orders?. Chest. 2025;167(1):211-221. doi:10.1016/j.chest.2024.08.027
https://www.sciencedirect.com/science/article/pii/S0012369224050748?via%3Dihub

Hochberg CH, Gersten RA, Aziz KB, et al. The Real-World Effect of Early Screening for Palliative Care Criteria in a Medical Intensive Care Unit: An Instrumental Variable Analysis. Ann Am Thorac Soc. 2025;22(2):247-254. doi:10.1513/AnnalsATS.202407-702OC
https://www.atsjournals.org/journal/doi/full/10.1513/AnnalsATS.202407-702OC

Piscitello GM, Lamadrid VJ, Post Z, et al. The Effect of Triggered Palliative Medicine Consults on Nurse Moral Distress in the Medical Intensive Care Unit. Am J Hosp Palliat Care. 2022;39(9):1039-1045. doi:10.1177/10499091211049398
https://journals.sagepub.com/doi/full/10.1177/10499091211049398