Abstract
AbstractPrehospital providers’ (Emergency Medical Technicians and Paramedics) scope of practice involves responding to life-threatening situations and saving lives. Yet, increasingly they are called to see people who are dying in later life from multiple chronic conditions rather than acute events. The purpose of the study was to identify how prehospital providers are prepared for end-of-life calls and their perspectives on improving training for this work. Surveys (N=239) explored training about Do Not Resuscitate and Medical Orders for Life Sustaining Treatment (MOLST), how frequently these documents are encountered and comfort with honoring expressed wishes. Formal education was provided on DNR (86%) and MOLST (80%). 79% said that MOLST provided clear instructions about patient preferences. However, 75% endorsed the need for more end-of-life care curriculum in prehospital provider education and 79% identified the need for on-the-job training. The results suggest the importance of real-time training about the complexities of emergency end-of-life calls.
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