. 2020 Nov 24;61(1):e1–e10. doi: 10.1016/j.jpainsymman.2020.11.016

Appendix IV.

Clinical Reference Guide Subject Headings (as of June 2, 2020)^a

Reference Guide	Section Headings (and Select Descriptions)
Critical care wiki	• Resource library: links to national and hospital-specific guidelines for COVID-19 and ICU care • Critical care chart biopsy tips: how to rapidly extract key information from a patients electronic medical record • Vitals: explanation of some common vital sign findings in COVID-19 ICU patients • Infusions: quick = guide to key vasopressors, paralytics, continuous sedation, and analgesia • Respiratory failure: quick guide respiratory support options in the ICU, including ventilator basics • Renal replacement therapy • Nutrition • Specific COVID-19 treatment options and pathway • Transition to comfort measures only: step-by-step guide
Palliative care wiki	• Resource library: links to several lecture recordings, articles, and Web pages, including o Center to Advance Palliative Care COVID-19 resources hub: https://www.capc.org/covid-19/ o Ariadne Labs COVID-19 conversation guide for inpatient care: https://www.ariadnelabs.org/wp-content/uploads/sites/2/2020/04/1.-COVID-19-Conversation-Guide-for-Inpatient-Care-2.pdf o Oregon Health Sciences University Guide to POLST conversations Webinar: https://www.youtube.com/watch?v=8mJu0mGBTOw&feature=youtu.be • An introduction from the chair of palliative care medicine, describing the weight and potential of the role • Introduction to the concept of holding space: deferred judgment, active listening, and empathy • Medicolegal documents and issues: quick guide to health care proxy forms, living wills, medical orders for life-sustaining treatment forms. • Prioritizing goals-of-care discussions: how to seize opportunities to discuss topics of relevance to code status • Checklist to confirm proper execution of do-not-resuscitate wishes • General tips for challenging conversations with families • Specific situations that present greater challenges: May need to transition communication to palliative care and/or involve risk management if indicated • Considerations for religious families

Reference Guide

Section Headings (and Select Descriptions)

Critical care wiki

•
Resource library: links to national and hospital-specific guidelines for COVID-19 and ICU care
•
Critical care chart biopsy tips: how to rapidly extract key information from a patients electronic medical record
•
Vitals: explanation of some common vital sign findings in COVID-19 ICU patients
•
Infusions: quick = guide to key vasopressors, paralytics, continuous sedation, and analgesia
•
Respiratory failure: quick guide respiratory support options in the ICU, including ventilator basics
•
Renal replacement therapy
•
Nutrition
•
Specific COVID-19 treatment options and pathway
•
Transition to comfort measures only: step-by-step guide

Palliative care wiki

•
Resource library: links to several lecture recordings, articles, and Web pages, including
- o
  Center to Advance Palliative Care COVID-19 resources hub: https://www.capc.org/covid-19/
- o
  Ariadne Labs COVID-19 conversation guide for inpatient care: https://www.ariadnelabs.org/wp-content/uploads/sites/2/2020/04/1.-COVID-19-Conversation-Guide-for-Inpatient-Care-2.pdf
- o
  Oregon Health Sciences University Guide to POLST conversations Webinar: https://www.youtube.com/watch?v=8mJu0mGBTOw&feature=youtu.be
•
An introduction from the chair of palliative care medicine, describing the weight and potential of the role
•
Introduction to the concept of holding space: deferred judgment, active listening, and empathy
•
Medicolegal documents and issues: quick guide to health care proxy forms, living wills, medical orders for life-sustaining treatment forms.
•
Prioritizing goals-of-care discussions: how to seize opportunities to discuss topics of relevance to code status
•
Checklist to confirm proper execution of do-not-resuscitate wishes
•
General tips for challenging conversations with families
•
Specific situations that present greater challenges: May need to transition communication to palliative care and/or involve risk management if indicated
•
Considerations for religious families

COVID-19 = coronavirus disease 2019; ICU = intensive care unit; POLST = Portable orders for life-sustaining treatment.

These guides were constantly in flux throughout the program. Remote communication liaison program participants were all encouraged to contribute to these reference guides by continually adding and editing, using their experiences to refine the guides in real time, so that all participants could benefit from newly acquired knowledge shared as quickly as possible.