Topics Discussed: brain death; ethics; withholding treatment.
Sections: Withholding or Terminating Resuscitation, Brain Death, References.
- A patient with an advance directive to not resuscitate (a DNR order) may be treated but not resuscitated in the ED.
- Lacking advance directives, all children including those who are terminally ill must be provided with resuscitation. Rarely is there time or resources in the ED to initiate a conversation that would lead to a sound DNR order.
- There is no standard of care that dictates the duration of resuscitation for infants, children, or adolescents. The duration of resuscitation is at the discretion of the treating physicians.
- Brain death in infants and children typically cannot be determined in the ED because of the observation period required. To diagnose brain death, a set of criteria must be met that includes a compatible clinical history, a physical exam consistent with brain death, and may require supportive studies to definitively establish this diagnosis.
The content above is only an
excerpt. For full access, log into an existing user account below, purchase an annual subscription, or
purchase a short-term subscription to the complete website.
offers pediatrics students,
educators, and practioners access to leading McGraw-Hill texts, interactive imaging
content, exclusive multimedia, and flexible curricular tools.
Timed access to all of AccessPediatrics
24 hours for $29.95
48 hours for $49.95