Lead Sponsor

Wayne State University

Collaborators

Age

65 - No limit years

Sex

ALL

Healthy Volunteers

No

•Greater than or equal to 65 years old
•Treated in a resuscitation room for unstable vital signs or respiratory compromise
•One or more of the following:
•Advanced or metastatic solid organ cancer
•End stage organ failure of the heart, lung/COPD, kidney on dialysis, hepatic encephalopathy
•Suspected sepsis
•Advanced dementia, end-state multiple sclerosis or Parkinson's disease
•Status post cardiac arrest with coma (Glascow coma score \<7)
•Patient is from a skilled nursing facility

•Lack decision capacity and have no relative available during ED stay to consent to the study (legally authorized representative-LAR)
•Enrolled in hospice care prior to randomization
•A copy of a completed advance directive which names a designated proxy provided physically to the medical team prior to randomization
•Wearing a DNR bracelet
•Have been previously enrolled in this study

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