Emergency care is focused on the treatment of acute illnesses, injuries or the stabilization of patients for ongoing treatment. Even the dying patient arrives in the emergency room, emergency staffs are requested to provide life-saving care. It is perceived that palliative care is not incorporated into the emergency medical treatment due to most emergency staffs think that providing palliative care in the emergency room have many practical difficulties and they are also lack of end of life care training on pain management, communication skills and legal issues related to advance directives. However, in order to have individualized treatment plan to meet the patient’s goal, all emergency staffs must have basic knowledge in palliative medicine, valuing patient needs, enhancing physician-patient communication and increasing the utility of advance directives for ensuring that individuals at the end of life experience a peaceful death.