Counselling in ICU - Practical Dos and Don'ts

Counselling in the ICU is not one conversation. In this lecture, we walk through each of them: admission, the daily update, breaking bad news, prognosis, goals of care, consent for procedures like tracheostomy, dialysis and ECMO, conflict, withdrawal of life support, and death and after - with practical dos and don'ts for every stage. Because most of our discomfort comes from using the shape of one conversation for another. Stay Connected with ESBICM: • Website: https://esbicm.org/ • Become a Lifetime Member (non-chargeable): https://esbicm.org/become-an-esbicm-m... • Instagram:   / theicuchannel   • WhatsApp: https://www.whatsapp.com/channel/0029... • Newsletter (Google Group): https://groups.google.com/g/ The MechVent Course: https://esbicm.org/the-mechvent-cours... Free eBook Download: Recent and Landmark Trials in Critical Care (1st Edition): https://esbicm.org/esbicm-books/ Disclaimer: The content provided on this channel is for medical education purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. DO READ THE FULL DISCLAIMER HERE https://esbicm.org/disclaimer/ #TheICUChannel #ESBICM #CriticalCare #IntensiveCare #MedicalEducation #ICU #CriticalCareMedicine #BedsideIntensiveCare #MedicalStudents #Nursing #EmergencyMedicine 0:00 Introduction and context 1:57 Challenges in communication 8:07 Nine key scenarios 12:38 Handling bad news and consent 18:23 The Ask-Tell-Ask technique 23:21 The NURSE protocol 27:34 Communication techniques 33:46 Frameworks: SPIKES and BREAKS 38:06 Team huddles and strategy 43:02 Managing conflict and expectations 49:05 Evidence-based interventions 52:37 Panel discussion and takeaways