In some cases, clinicians may determine that continued care of a trauma patient is unlikely to prolong survival. In other cases, clinicians, families, or patients may determine that the burdens of treatment outweigh the benefits. In these cases clinicians and surrogates should engage in
discussions surrounding withdrawal or withholding of lifesustaining treatment and provision of comfort care. The maintenance of biological life and the initiation or continuation of treatment without regard for pain, suffering,or discomfort of the patient is not morally or ethically
required