Picu prometheus: Ethical issues in the treatment of very sick children in paediatric intensive care

Michael B. Gill
University of Arizona
Through a focus on one child’s extended stay in a Pediatric Intensive Care Unit, I raise four general questions about pediatric medicine: How should physicians communicate with parents of very sick children? How should physicians involve parents of very sick children in treatment decisions? How should care be coordinated when a child is being treated by different medical teams with rotating personnel? Should the guidelines for making judgments of medical futility and discontinuation of treatment differ when the patient is a child rather than an adult?
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