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About ModulER.org

Modul-ER is a free web-based learning resource for commonly encountered palliative care topics in the Emergency Department.  The following material is for educational purposes only and is intended for use by medical professionals and does not constitute direct medical advice.

Some of the material on this site is relevant to palliative care practices in emergency medicine throughout the United States, and some information is specific to North Carolina and/or medical facilities within the Atrium Health Wake Forest Baptist Medical System.  Follow the applicable protocols and standards of care endorsed by your regional medical licensing authority and practice institution.

This educational material was developed in collaboration with the Wake Forest School of Medicine Hospice and Palliative Medicine Fellowship and was produced by current fellows for the 2022-2023 academic year: David Nguyen, DO and Ben Pare, DO; with oversight by the Fellowship Program Director, Rebecca Omlor, MD and Associate Program Director, Justin Brooten, MD.

Our Modules

Palliative Consult from ED

When do I consult Palliative from the ER?

Goals of Care

Having an efficient Goals of Care conversation.

Hospice Patient in ED

Hospice Patient in the Emergency Department

Comfort Care

Transitioning to Comfort Care.

Agitation & Delirium at End of Life

Agitation & Delirium at End of Life.

Modul-ER.org Opioid-Dosing-Charts-Including-Buprenorphine IMAGE

Example Emergency Department Opioid Dosing Charts

North Carolina Advanced Directives & Code Status

North Carolina Advance Directives & Code Status

Intubation & Extubation in the Seriously Ill

Respiratory failure and compassionate extubation in the ED.


Dyspnea Management at The End of Life.

Atrium Health

Atrium Health: Accessing Advance Directives in Code Status in EPIC.

Modul-ER.org Opiate Conversion and Equianalgesic Dosing Image

General Principles of Opiate Conversion and Equianalgesic Dosing.

Medical Education is Our Mission