['End-of-life (EoL) care after geriatric burns (geri-burns) is understudied.', 'To examine the practices of burn surgeons for initiating EoL discussions and the impact of decisions made on the courses of geri-burn patients who died after injury.', 'This retrospective cohort study examined all subjects ≥65 years who died on our Level I burn service from April 1, 2009, to December 31, 2014. Measurements obtained were timing of first EoL discussion (EARLY <24 hours post-admission; LATE ≥24 hours post-admission), decisions made, age, total body surface area burned, and calculated probability of death at admission.', "The cohort consisted of 57 subjects, of whom 54 had at least one documented EoL care discussion between a burn physician and the patient/surrogate. No differences were seen between groups for the likelihood of an immediate decision for comfort care after the first discussion (p\u2009=\u20090.73) or the mean number of total discussions (p\u2009=\u20090.07). EARLY group subjects (n\u2009=\u200938) had significantly greater magnitudes of injury (p\u2009=\u20090.002), calculated probabilities of death at admission (p\u2009≤\u20090.001), shorter times to death (p\u2009≤\u20090.001), and fewer trips to the operating theater for burn excision and skin grafting (p\u2009≤\u20090.001) than LATE subjects (n\u2009=\u200916). LATE subjects' first discussion occurred at a mean of 9.3\u2009±\u200910.0 days."] Do characterizing End-of-Life Care after Geriatric Burns at a Verified Level I Burn Center?