Context EMS providers frequently encounter patients in end-of-life situations. These
situations can become ethically challenging depending on the nature of the event,
availability of advance directives, and overall understanding of the situation by the patient
and caregivers. This is particularly true for patients who are enrolled in Hospice, a specific
form of end-of-life care available to patients with a terminal illness and expected lifespan of
less than six months. Objectives This study aimed to survey the state of Michigan's EMS …

Research Objectives This study aimed to survey Michigan EMS providers regarding
encounters with hospice patients to better understand challenges caring for this population
and any need for additional education. Methods An anonymous electronic survey was
distributed via a statewide listserv to Michigan EMS providers. Responses were collected via
RedCap. Descriptive statistics were calculated, and chi-square analyses performed. Results
A total of 706 responses were received. Most respondents were paramedics (55%) or EMT …