Table 3.3.1
ABCD critical care intervention mnemonic

A

Advance directive:

 

Check available records or reports from paramedics or family

B

Better symptom control:

 

Attend to symptoms while avoiding invasive interventions to allow time to evaluate whether more invasive interventions would achieve intended goals

C

Caregivers:

 

Provide reassurance to patient

Contextualize patient goals and recent functional and medical changes to foster reasonable discussion of medical decision-making.

D

Decision-making capacity:

 

Assess patient’s ability to reliably engage in dialogue about medical goals and interventions.

A

Advance directive:

 

Check available records or reports from paramedics or family

B

Better symptom control:

 

Attend to symptoms while avoiding invasive interventions to allow time to evaluate whether more invasive interventions would achieve intended goals

C

Caregivers:

 

Provide reassurance to patient

Contextualize patient goals and recent functional and medical changes to foster reasonable discussion of medical decision-making.

D

Decision-making capacity:

 

Assess patient’s ability to reliably engage in dialogue about medical goals and interventions.

Adapted from
Education in Palliative and End-of-life Care (EPEC), Education in Palliative and End of Life Care: EPEC for Emergency Medicine, Copyright © 2010, with permission of the author.
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