885

• DOI: 10.1097/01.ccm.0000425100.12521.4a
• Publication Date: 2016-03-04T20:59:13Z
• Authors: Niels Martin; Anthony Stefanelli; Laura Methvin; Charles Fischer; Dean Laganosky; Vanessa Mazandi; May Counsilman; Alec Beekley; Michael Weinstein
• Keywords: 03 medical and health sciences; 0302 clinical medicine

Introduction: With an aging population, End of Life decision making (EoLDM) during critical illness and injury is important in facilitating compassionate care that congruent with patient, family, societal expectations. Hypothesis: Herein, we evaluate factors influence practitioner EoLDM, particularly years practice, use advanced directives cost consideration. Methods: An anonymous, online survey was offered to trauma & surgical practitioners via the active membership Eastern Association for Surgery Trauma (n=1359) June 2012. Both demographic information a series relevant questions dealing common motivational were included. Responses reported using five-point Likert scale. Results: 375 responses received (27.6%). Ninety-two percent respondents physicians, 70% male; 77% from level 1 centers. Sixty-six rely on family members EoLDM most or all time, yet 80.7% feel are rarely only sometimes appropriate emotional states make such decisions. Seventy more than 15 practice families look them direction time as compared 59.6% less experienced practitioners, p=0.05. A significant minority felt comfortable decisions without input, commonly (38.2%) (24.1%) p<0.01. Sixty advance (AD) agree AD’s useful. Only 56.3% follow their loved one’s ADs time. patient’s support ability pay aftercare never considered by 80.1% despite 85.1% reporting quality life post-illness/injury Conclusions: have evolving comfort experience level. Advance not uniformly helpful considered. Societal education protocols should be implemented guide future practices.