I tried to be very careful in my wording. Notice that I didn't say her end of life needs. IMO, the people being treated and needing care are the living, talking, family members at the bedside, not the shell of a sweet little girl not allowed to go.
I think a mature E.R. doc knows the stages of grief. I believe he can guide them to acceptance if they trust him, which I think they do.
And, since it all started with her, remembrances to Dr. Elisabeth Kubler- Ross for teaching health care professionals what the stages of grief are and how grief is processed ( usually).
So he's acting as a mental health care professional for the family? Do they know that?
eta: I want to add that this isn't directed at you, personally, Jana. I'm sure you're a perfectly lovely compassionate person. And I think this doc probably is, too. I just can't abide what's going on here.