id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-034286-m1c98nv7	Wijdicks, Eelco F. M.	Communicating Neurocritical Illness: The Anatomy of Misunderstanding	2020-10-27		.txt	text/plain	3537	244	54	One starting point for those practicing acute neurology and neurocritical care is a new mnemonic TELL ME (Time course, Essence, Laboratory, Life-sustaining interventions, Management, Expectation), which will assist physicians in standardizing their communication skills before they start a conversation or pick up a phone. These include knowing the time course (new and "out of the blue" or ongoing for some time); extracting the essentials (eliminating all irrelevancies); communicating what tests are known and pending (computerized tomography and laboratory); relaying how much critical support will be needed (secretion burden, intubation, vasopressors); knowing fully which emergency drugs have been administered (e.g., mannitol, antiepileptics, tranexamic acid), when transport is anticipated, and what can be expected in the following hours. In any case, improved provider perceptions of transfer workflow efficiency and patient safety may not be enough; communication must also include solutions for active medical problems and an outline of anticipatory guidance ("what if-what then" scenarios) in the event an acute change in clinical condition occurs.	./cache/cord-034286-m1c98nv7.txt	./txt/cord-034286-m1c98nv7.txt