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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify a person's preferences for medical treatment in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients. However, in emergencies where patients are unable to communicate—due to severe illness or unconsciousness—advance directives guide medical professionals on whom to consult for decision-making, such as a spouse, sibling, or friend. The need for these documents arises from the potential lack of clarity about a patient's wishes in critical situations.