When asked, most people express the wish to dieat home rather than being transported to a hospital at the end of life (Bell,Somogyi-Zalud, & Masaki, 2010; Gruneir et al., 2007), yet 77 percent of people over age 65 die in a hospital (National Vital Statistics System, 2012). Emergency 911 calls are often made when the end stage of an advanced illness is accompanied by alarming symptoms and substantial anxiety for family caregivers, particularly when an approaching death is not anticipated. How prehospital providers (Paramedics and Emergency Medical Technicians [EMTs]) manage emergency calls near death influences how and where people will die, if their end-of-life choices are upheld and how appropriately healthcare resources areutilized. Legally binding documents (e.g. Non-hospital Do Not Resuscitate [NHDNR] and Medical Orders for Life Sustaining Treatment [MOLST]) can provideguidance but can also be a source of conflict on end-of-life emergency calls.