id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-339474-tsdq1rgz	Rosen, Tony	Managing Older Adults with Presumed COVID‐19 in the Emergency Department: A Rational Approach to Rationing	2020-07-13		.txt	text/plain	3276	162	43	These include discussing goals of care, creating triage teams devoted to operationalizing rationing decision-making, and using a multi-factor strategy to assess both in-hospital mortality and conditions that would limit life regardless of the acute illness in the primary triage scoring algorithm. Despite challenges, interdisciplinary care teams working collaboratively in the ED should make every effort to obtain additional information about an older adult to guide decision-making especially if rationing is required. The AGS position statement advocates for triage teams who are not involved in clinical care to support and assist with the decision making if rationing is necessary. The AGS position statement recommends that widespread and urgent advance care planning discussions are critical, and if possible, should be initiated before patients are exposed to or contract COVID. Providers should also consider discussing goals of care with older adults with mild illness, even those who do not require hospital admission, as many may experience deterioration of clinical trajectory.	./cache/cord-339474-tsdq1rgz.txt	./txt/cord-339474-tsdq1rgz.txt