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welcome back im the intensemd a double board certified intensivist here to give you an inside look into the intensive care unit today were going to discuss who would make your medical decisions if youre not able to many times in the intensive care unit will have a patient who comes in already on life support sometimes they might have been found collapsed or they just you know come in alone and get worse in the emergency room and then need to be placed on life support before i put somebody on the ventilator if theyre able to talk to me i ask them you know if you cant talk to me whos going to make your medical decisions but theres many cases where we cant have this conversation beforehand because things are so emergent so theres two different ways of going about this the first is finding out if the patient has a medical power of attorney this means that they filled out legal paperwork that designated someone to be their medical decision maker in the event that they cannot make t