PubHawk
June 2015 PMID 25978438

An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units.

Gabriel T Bosslet, Thaddeus M Pope, Gordon D Rubenfeld, Bernard Lo, Robert D Truog, Cynda H Rushton, J Randall Curtis, Dee W Ford, Molly Osborne, Cheryl Misak, David H Au, Elie Azoulay, Baruch Brody, Brenda G Fahy, Jesse B Hall

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Mentions

69
Peak: 23 in Dec 2021
across 5 sources since Jun 2019

Extended reach

241,703
potential audience

Total likes

124

Video views

402

Mentions per month

Jun 2019 – Apr 2024

Where it's discussed

  • X / Twitter42 posts
  • News15 articles
  • Facebook5 posts
  • Blogs5 articles
  • YouTube2 videos

AI synopsis

What people are saying

The discussions reflect a thoughtful engagement with the policy, with examples like debates over 'futility' versus 'potentially inappropriate' care, and comments on trust and justice, which reveal how word choice and tone convey both support and critical reflection, emphasizing the policy's relevance in clinical decision-making and ethical discussions.

AgreementModerate agreement

Most comments acknowledge the importance of the policy and agree with its premise, as seen in statements like 'Excellent example' and references to previous policy statements emphasizing 'potentially inappropriate treatments.'

InterestHigh interest

The discussions demonstrate high curiosity, with many engaging in detailed reflections on terminology like 'futility' and 'potentially inappropriate,' indicating strong interest in the nuances of treatment decisions.

EngagementModerate engagement

Several posts show active participation, especially when debating definitions or implications, such as differentiating 'strictly futile' from 'potentially inappropriate,' highlighting a moderate level of deep engagement.

ImpactModerate impact

While some posts recognize the policy's significance, the overall emphasis appears on understanding and applying its principles rather than immediate widespread clinical or policy change, suggesting a moderate impact.

Abstract in brief

  • The statement discusses how hospitals and healthcare providers should handle situations where patients or their surrogates request treatments that clinicians believe are not appropriate, emphasizing the importance of communication and conflict resolution.
  • It recommends that healthcare institutions proactively prevent conflicts through clear communication and involve expert consultants early, instead of using the term "futile" and instead referring to these treatments as "potentially inappropriate."
  • When disagreements about treatment cannot be resolved through communication and negotiation, a fair conflict resolution process should be followed, which may include hospital review, seeking treatment elsewhere, or external review, especially when time constraints prevent full resolution.]
Read the full abstract

Top posts

Most liked on X and Bluesky
Matt Siuba
@msiuba · X

Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 4, 2021 · 89 likes · 22 shares · 16,989 followers View post →
Francesca Rubulotta
@frubulotta · X

An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units | American Journal of Respiratory and Critical Care Medicine https://t.co/QFWrHBUjl1

Aug 16, 2020 · 9 likes · 7 shares · 2,166 followers View post →
Brian Locke, MD MSCI
@doc_BLocke · X

@IM_Crit_ The situation you described is nowhere close to futile. https://t.co/qbfzpkbDuj I presume that’s why you used quotes, but commenters on the original thread are throwing that idea around far too loosely.

Apr 28, 2024 · 9 likes · 1,519 followers View post →
Critical Concepts
@critconcepts · X

@hraza222 @snakagawa_md @IM_Crit_ @ross_prager @PulmCrit @derwuk @pulmtoilet https://t.co/2UHsYDRsiE. I would try to have some humility with deciding what "no hope of a good quality of life" means. I am not sure we generally know what that means to ourselves, and much less what it would mean for another.

Feb 3, 2024 · 3 likes · 14,728 followers View post →
William F Parker, MD, PhD
@WF_Parker · X

@AamirNHussain @adamcifu @FutureDocs @jeannemfarnan The critical care community has come up with “potentially inappropriate treatments”, a helpful concept when approaching family meetings in the ICU. Not sure exactly how one would applying in an EOL conversation in the office. https://t.co/qJFPyqTfff

Jul 8, 2019 · 3 likes · 3,343 followers View post →
Ann L. Jennerich, MD MS ATSF
@aclong111 · X

@ShaunWinfield @ScholerinED An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units https://t.co/doVmEHMYy9

May 4, 2023 · 3 likes · 1,192 followers View post →

All mentions

Brian Locke, MD MSCI
@doc_BLocke · X

@IM_Crit_ The situation you described is nowhere close to futile. https://t.co/qbfzpkbDuj I presume that’s why you used quotes, but commenters on the original thread are throwing that idea around far too loosely.

Apr 28, 2024 · 9 likes · 1,519 followers View post →
Critical Concepts
@critconcepts · X

@hraza222 @snakagawa_md @IM_Crit_ @ross_prager @PulmCrit @derwuk @pulmtoilet https://t.co/2UHsYDRsiE. I would try to have some humility with deciding what "no hope of a good quality of life" means. I am not sure we generally know what that means to ourselves, and much less what it would mean for another.

Feb 3, 2024 · 3 likes · 14,728 followers View post →
Ann L. Jennerich, MD MS ATSF
@aclong111 · X

@ShaunWinfield @ScholerinED An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units https://t.co/doVmEHMYy9

May 4, 2023 · 3 likes · 1,192 followers View post →
Alex Niven
@niven_alex · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 17, 2021 · 22 shares · 1,530 followers View post →
Syed Shahrul Naz
@drshahrul80 · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 12, 2021 · 22 shares · 6,932 followers View post →
Daniel Reynaud
@DrReynaud · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 6, 2021 · 22 shares · 136 followers View post →
Monica Vargas
@mopavar · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 5, 2021 · 22 shares · 32 followers View post →
e.mack
@emacksc · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 5, 2021 · 22 shares · 823 followers View post →
Yvelynne Kelly
@YvelynneKelly · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 5, 2021 · 22 shares · 711 followers View post →
Edgar Reyes
@edgarreyesgar · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 5, 2021 · 22 shares · 188 followers View post →
Hernando Cordero
@HernandoCordero · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 5, 2021 · 22 shares · 281 followers View post →
Ben Claxton, MD, MPH
@bclaxtonmd · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 5, 2021 · 22 shares · 914 followers View post →
Orlando RPN
@OrlandoRPN · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 5, 2021 · 22 shares · 93,635 followers View post →
David de Andrade Nunes
@daviddeanunes · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 5, 2021 · 22 shares · 1,131 followers View post →
Stella Navarro
@stella_navarro · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 5, 2021 · 22 shares · 20,820 followers View post →
Casey Albin, MD
@caseyalbin · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 5, 2021 · 22 shares · 22,297 followers View post →
Krishi Nunna, MD, FCCP
@KrishiNunna · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 5, 2021 · 22 shares · 147 followers View post →
Omar Andablo Marquez
@omar_and24 · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 4, 2021 · 22 shares · 178 followers View post →
Syed Shahrul Naz
@drshahrul80 · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 4, 2021 · 22 shares · 6,932 followers View post →
JB
@abd_jabbar · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 4, 2021 · 22 shares · 4,493 followers View post →
Jared Meeker
@jwmeekerDO · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 4, 2021 · 22 shares · 232 followers View post →
Alice Gallo, MD
@GallodeMoraesMD · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 4, 2021 · 22 shares · 9,002 followers View post →
Shai
@dr_shai · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 4, 2021 · 22 shares · 1,458 followers View post →
Anna Shengelia
@DrPulmCC · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 4, 2021 · 22 shares · 121 followers View post →
William F Parker, MD, PhD
@WF_Parker · X

RT @msiuba: Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 4, 2021 · 22 shares · 3,343 followers View post →
Matt Siuba
@msiuba · X

Always worth a reshare, thanks @gbosslet and company https://t.co/MlyLaxCrT6 https://t.co/hGV53KB1NX

Dec 4, 2021 · 89 likes · 22 shares · 16,989 followers View post →
Dale Needham, MD, PhD
@DrDaleNeedham · X

RT @ATSEthicsCOI: An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatme… http…

Nov 13, 2020 · 1 share · 11,596 followers View post →
ATSEthicsCOI
@ATSEthicsCOI · X

An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatme… https://t.co/abhIxIu1ds

Nov 13, 2020 · 1 like · 1 share · 82 followers View post →
Mª Luisa Bordeje
@MLBORDEJE · X

RT @frubulotta: An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in I…

Aug 18, 2020 · 7 shares · 505 followers View post →
UCI - SMed Intensiva HU Miguel Servet. Zaragoza.
@UciServet · X

RT @frubulotta: An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in I…

Aug 17, 2020 · 7 shares · 375 followers View post →
MC Martín Delgado
@MCMartinDelgado · X

RT @frubulotta: An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in I…

Aug 17, 2020 · 7 shares · 2,163 followers View post →
veerappan
@veerappan91050 · X

RT @frubulotta: An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in I…

Aug 17, 2020 · 7 shares · 1,467 followers View post →
Shaylika Chauhan MD, FACP
@drshaylika · X

RT @frubulotta: An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in I…

Aug 16, 2020 · 7 shares · 116 followers View post →
critcarewomen
@Frubulotta1 · X

An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units | American Journal of Respiratory and Critical Care Medicine https://t.co/Re9Mc397B4

Aug 16, 2020 · 969 followers View post →
Bernard Maillet
@bernardmaillet · X

RT @frubulotta: An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in I…

Aug 16, 2020 · 7 shares · 102 followers View post →
Francesca Rubulotta
@frubulotta · X

An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units | American Journal of Respiratory and Critical Care Medicine https://t.co/QFWrHBUjl1

Aug 16, 2020 · 9 likes · 7 shares · 2,166 followers View post →
Thomas Bice, MD, MSc
@CritCareMD · X

@msiuba @Doclief @Utah_gimme_2 @virenkaul @accpchest @emily_fri @PulmCrit @laxswamy @psirides @OtisBRickman @Donicme @kari_jerge @medevidenceblog The state jurisdiction you are in can dictate many things, it’s true. However, the state cannot dictate futility, which is a medical judgment. Futility can have a very narrow definition, but at minimum, it means “unable to meet physiologic goals.” https://t.co/YwJBXwfooi

Apr 9, 2020 · 2 likes · 511 followers View post →
Manoj Mittal MD, MSc, Executive MBA
@StrokeNeurology · X

An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units | American Journal of Respiratory and Critical Care Medicine https://t.co/rWmeCDiedU

Apr 6, 2020 · 813 followers View post →
William F Parker, MD, PhD
@WF_Parker · X

Excellent example of the distinction between “strictly futile” and “potentially inappropriate care” https://t.co/qJFPyqTfff dialysis is not strictly futile in this case, it would achieve a very short term physiologic goal. However it’s potentially inappropriate https://t.co/4UpwStWbsd

Feb 24, 2020 · 3,343 followers View post →
Jonathan Marron MD MPH
@JonMarronMD · X

@sv1121 @ndyG83 @anandiyermd @laxswamy @eemoin @pallipulm Great point. Huge issues w trust, equity/justice if it appears policies aren’t applied similarly to all A few yrs ago, crit care societies put out policy statement along these lines. Focuses on “potentially inappropriate tx” but certainly applies to CPR: https://t.co/g1OVxXLcmH https://t.co/zuLOUUMVSC

Dec 29, 2019 · 1,436 followers View post →
William F Parker, MD, PhD
@WF_Parker · X

@AamirNHussain @adamcifu @FutureDocs @jeannemfarnan The critical care community has come up with “potentially inappropriate treatments”, a helpful concept when approaching family meetings in the ICU. Not sure exactly how one would applying in an EOL conversation in the office. https://t.co/qJFPyqTfff

Jul 8, 2019 · 3 likes · 3,343 followers View post →
Jonathan Marron MD MPH
@JonMarronMD · X

@DrNancyGlass1 @BettinaRyll @AmyGDalaMD I agree but assessing what is “futile” is not straightforward. It depends on clinical situation & patient/family goals, hence the term falling out of favor. We need procedures to navigate requests for such care. Important paper for all interested in this: https://t.co/XqGDQP4hqF

Jun 5, 2019 · 2 likes · 1,436 followers View post →