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This joint webinar between ERS and the European Society of Intensive Care Medicine (ESICM) tackles different aspects of end-of-life care. For ‘terminal’ patients not admitted to the ICU, the palliation of ARF symptoms should be one of the “must” for physicians facing the dilemma of end-of-life decisions. In the ICUs, interprofessional teams can decide to forgo life-sustaining therapies. The overall incidence of these practices varies widely from centre to centre. As a result, meeting the needs of patients and their families has become a significant challenge.