#May2025 Emergency clinician perceptions of end- of- life care in Irish emergency departments: a cross- sectional survey "Education and infrastructure are potentially modifiable barriers to the provision of EoLC in Irish EDs as shown in this study, but the findings are likely similar to international EDs. Targeted improvements are likely to improve not only the standard of care but also the confidence of clinicians providing this care." 1. Confidence Improves with Experience 🧠 Only 32% of clinicians with less than 5 years’ experience were comfortable discussing EoLC. 📈 In contrast, 80% of those with more than 10 years’ experience felt comfortable. 2. Communication Gaps Exist 💬 Less experienced clinicians struggle with addressing family questions and discussing spiritual beliefs. 🧑‍⚕️ Confidence in supporting decision-making increases significantly with years in emergency medicine. 3. Infrastructure is Inadequate 🏥 Only 11.6% of clinicians agreed the ED physical environment is conducive to good EoL care. 🚪 Just 23.5% agreed that suitable rooms are allocated for dying patients. 4. Limited Access to Training 📚 Only 20% of EM clinicians reported receiving formal training in EoL care. 📉 75% reported little to no knowledge in this area. 5. Debrief and Support Are Rare 🧑‍🤝‍🧑 Only 32.2% agreed that routine debriefing and feedback occurred after a patient death. 💔 Emotional support services like pastoral care were often unavailable or unknown. 6. Strong Desire for Education 🎓 Clinicians expressed a clear need for further training in communication, symptom control, and advance care planning—regardless of experience or site size. Read here 📖 emj.bmj.com/content/42/5/292 #EMResearch #PalliativeCare #MedEd #EndofLife #EmergencyMedicine @RCollEM @ITERN_