Palliative care course for health care professionals working in emergency medicine.

LEAP™ Emergency Department is an interprofessional course that provides health care professionals with the essential skills and competencies of the palliative care approach, with course modules and case studies contextualized to the emergency department setting. LEAP Emergency Department is taught by subject matter experts who are experienced palliative care clinicians and educators.


Delivery modes

LEAP™ Emergency Department can be delivered online or in a hybrid format.


Who is it for?

LEAP™ Emergency Department is ideal for any health care professional (e.g. physician, nurse, pharmacist, social worker, etc.) working in emergency departments or medical crisis units, whose primary focus of work is not palliative care but who provides care for patients with life-threatening and progressive life-limiting illnesses.


Course features

      • Interprofessional approach.
      • Built by Canadian palliative care experts.
      • Participants will receive a LEAP™ certificate of completion and an electronic copy of the Pallium Palliative Pocketbook.
      • 17 interactive, self-learning online modules completed at your own pace (approximately 8 hours of work).
      • 6 hours of online webinars or in-person sessions led by LEAP™ facilitators where learners will work through cases and discuss learnings from online modules.



LEAP™ Emergency Department will be submitted for accreditation.


Learning outcomes

Upon completion of LEAP™ Emergency Department, learners should be able to:

      • Identify patients who could benefit from a palliative care approach earlier in the illness trajectory.
      • Differentiate between advance care planning and goals of care discussions.
      • Assess and manage pain; delirium; dyspnea; and nausea, nutrition, and hydration.
      • Develop plans to address spiritual, religious, or psychosocial needs.
      • Initiate essential discussions related to palliative and end-of-life care in daily work.
      • Describe situations that are deemed to constitute emergencies in patients who are in the end-of-life phase of their illnesses.
      • Recognize the signs of imminent death and explain these to family members.
      • Identify quality improvement opportunities related to palliative care.


Topics covered include

      • Taking Ownership
      • Decision-Making
      • Pain
      • Essential Conversations
      • Symptoms
      • Psychosocial Distress
      • Palliative Emergencies
      • Care of the Imminently Dying Patient
      • Quality Improvement and Resources

Send us an Email

Have any questions? Email us anytime at:

Click to Chat

Connect one-on-one, in real-time, through live chat with a Pallium representative. Available Monday – Friday 9:00 AM – 4:30 PM ET.

Give us a Call

You can call us directly at
1-833-888-LEAP™ (5327).


LEAP™ courses are developed and peer-reviewed by volunteer pan-Canadian teams of subject matter experts who are committed to promoting the palliative care approach.

Course development & contributors
  • José Pereira, MBChB, CCFP(PC), MSc, FCFP Scientific Officer, Pallium Canada Clinical Professor, Division of Palliative Care, McMaster University Professor, Department of Family Medicine, University of Ottawa
  • Erin O’Connor, MSc, MD, FRCPC
  • Lisa M Fischer, MD, FRCP, Assistant professor, University of Ottawa, Department of Emergency Medicine, Department of Medicine, Division of Palliative Care, the Ottawa Hospital
  • David Williscroft, BSc, MD, CCFP(EM) FCFP, Clinical Associate Professor, University of British Columbia, Department of Emergency Medicine and Division of Palliative Care
  • Shona MacLaghlan, BScN, BSM, MD FRCPC EM, Assistant Clinical Professor, Department of Emergency Medicine, Assistant Clinical Professor, Department of Pediatrics, Emergency Medicine and Pediatric Palliative Care, University of Alberta Hospital & Stollery Children's Hospital
  • Jennifer Hughes, MD, CCFP (EM) (PC)
  • Christian La Rivière, MD, FRCPC, Medical Director, Palliative Care Program, Winnipeg Regional Health Authority, Assistant Professor, Max Rady College of Medicine, University of Manitoba, Emergency Medicine Physician, Palliative Medicine Physician
Peer Reviewers
  • Amit Arya, MD, CCFP, FCFP, Palliative Care Physician, Division of Supportive & Palliative Care, William Osler Health System, Lecturer, Division of Palliative Care, Department of Family & Community Medicine, University of Toronto, Assistant Clinical Professor, Division of Palliative Care, Faculty of Health Sciences, McMaster University
  • Judy Jones, Senior Social Worker, Saskatchewan Health Authority
  • Lisa Marie Rebello, RN, BScN, MN, Clinical Nurse Specialist, Palliative Care, University Health Network – Toronto General Hospital
  • Shayda Ziai, MD CCFP, Physician, Division of Supportive & Palliative Care, William Osler Health System: Brampton Civic Hospital
  • Francesco Mule, MD, FACEP, Emergency Medicine, Chief, Emergency Department Northumberland Hills Hospital