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, You work in: a medical intensive care unit (ICU)/ a surgical ICU/ a medico surgical ICU Question 4: Number of unit bed: less than 10/ 10 to 15/ more than 15, vol.3

, Question 5: In what kind of hospital: University center/ General Hospital/ Private hospital/ Private hospital with public interest -EOL decision

, Question 6: In your unit, for how many patients do your take decision of withdrawal or withholding sustaining life therapy by month? 1-2/ 2-5/>5

, The decision is taken after a collective meeting: yes/ no/ sometimes Question 9: Do you include a medical third in the EOL decision? Yes/ no/ sometimes Question 10: Do you collect advances directives for conscious patients at the admission time in ICU? Yes/ no/ sometimes Question 11: Do you involve family or, Do you use standardized sheet reported in the medical record? Yes/no Question, vol.7

, Do you take account about religious belief patient in your EOL decision? Yes/ no/ sometimes -In case of withholding or withdrawal life sustaining therapies Question 13: Do you authorize free access to family patient in case of EOL? Yes/ no Question 14: Do you have a psychologist available daily in your unit for families, Question, vol.12

, After collegial meeting you decide a withholding life treatment. Question 19: You decide to maintain a mechanical ventilation: yes/no Question 20: Do you extubate the patient? Question 21: Do you think this patient need: sedation (hypnotic)?/ Analgesia? (morphine)/Both?/ Nothing? Question 22: By witch administration, Continuous?/ Iterative administration as required?/ Both?/ Nothing? Scenario 2: You have in charge a 35 years old patient with chronic kidney failure on a serious meningeal hemorrhage caused by aneurysm rupture with persisting right hemiplegia, tendinous retraction and severe denutrition, vol.18

, On day 42, he is breathing by himself, on dialysis and opponent to nurse care

, By witch administration?: Continuous?/ Iterative administration as required?/ Both?/ Nothing? Question 25: Your patient is suffering of respiratory distress, you: intubate him/ do not intubate him Question 26: In this case, do you set up or increase sedation? Yes/ no -Evaluation Question 27: How do you monitor comfort patient in EOL care in case of unconscious patient? Family opinion/ caregivers opinion/ Vegetative reflex (tachycardia, blood pressure, respiratory rate)/ sedation and analgesia scale/ monitoring equipment, / Analgesia? (morphine)/Both?/ Nothing? Question, vol.24

, Are you satisfied of your comfort care in case of EOL? From 1 "totally unsatisfied" to 9 "totally satisfied" Question 29: Do you wish more monitoring way for these patients? Yes/ No Question 30: Do you believe that this supplementary monitoring way could change your medical practices? From 1 "not at all" to 9 "totally" Survey sent to residents -Demographic data Question, Question, vol.28

, You work in: a medical intensive care unit (ICU)/ a surgical ICU/ a medico surgical ICU Question 4: Number of unit bed: less than 10/ 10 to 15/ more than 15, vol.3

, Question 5: In what kind of hospital: University center/ General Hospital/ Private hospital/ Private hospital with public interest -EOL decision

, Do you think that your opinion matter? Yes/no Question 10 : Do you have a psychologist available daily in your unit for you? Yes/ no Question 11: Are you present during ad consultation with your chief? Yes/ no/ sometimes -In case of withholding or withdrawal life sustaining therapies Question 12: Do you have a sedation and analgesia protocol in your unit to be autonomous in care of these patients? Yes/ no Question 13 : Are you disappointed by extubation of these patients? Yes/no Question 14: Do you always call your supervisor if patient seems to be uncomfortable? Yes/ no Question 15: You have already felt disappointed about the care of these patients? Yes/ no Question 16: Have you sometimes the feeling to precipitate death patient? Yes/ no -Sedation management and poursuit care: Scenario 1: You take care of a 75 years old patient with an evaluate Parkinson disease in your service for a serious brain injurie, The decision is taken after a collective meeting: yes/ no/ sometimes Question 7: Are you present during EOL decision meeting? Yes/ no/ sometimes Question, vol.6

, Au moment d'être admise à exercer la médecine, je promets et je jure d'être fidèle aux lois de l'honneur et de la probité

, Mon premier souci sera de rétablir, de préserver ou de promouvoir la santé dans tous ses éléments, physiques et mentaux, individuels et sociaux

, Je respecterai toutes les personnes, leur autonomie et leur volonté, sans aucune discrimination selon leur état ou leurs convictions. J'interviendrai pour les protéger si elles sont affaiblies

, Même sous la contrainte, je ne ferai pas usage de mes connaissances contre les lois de l'humanité

, Je ne tromperai jamais leur confiance et n'exploiterai pas le pouvoir hérité des circonstances pour forcer les consciences. Je donnerai mes soins à l'indigent et à quiconque me les demandera

, Je ne me laisserai pas influencer par la soif du gain ou la recherche de la gloire

, Admise dans l'intimité des personnes, je tairai les secrets qui me seront confiés

, Reçue à l'intérieur des maisons, je respecterai les secrets des foyers et ma conduite ne servira pas à corrompre les moeurs

, Je ferai tout pour soulager les souffrances. Je ne prolongerai pas abusivement les agonies

, Je ne provoquerai jamais la mort délibérément

, Je préserverai l'indépendance nécessaire à l'accomplissement de ma mission

, Je les entretiendrai et les perfectionnerai pour assurer au mieux les services qui me seront demandés

, J'apporterai mon aide à mes confrères ainsi qu'à leurs familles dans l'adversité

, Que les hommes et mes confrères m'accordent leur estime si je suis fidèle à mes promesses