Multiprofessional Critical Care Review: Pediatric (2023)-Ethics

Video Transcription

Video Summary

In this video, Dr. Mike Ushay discusses ethical issues in pediatric critical care medicine. He covers various topics including core principles of medical ethics, ethical and legal principles regarding futile and potentially inappropriate care, and principles of consent and assent in decision-making for children. He presents case scenarios to illustrate these ethical issues and provides answers to questions related to decision-making and patient autonomy. Dr. Ushay also highlights the historical context of bioethics in pediatrics, mentioning cases such as Baby Doe and Baby Jane Doe which influenced the practice of providing or withholding life-sustaining treatments for infants with disabilities. He discusses the principle of double effect, which justifies administering pain medication to dying patients even if it may hasten death, and the fair process approach to reviewing futility cases. Dr. Ushay emphasizes the importance of shared decision-making and informed consent in pediatric care, as well as the role of assent by older children in research participation. He also briefly mentions moral distress and the impact of the COVID-19 pandemic on ethical considerations in healthcare.

Keywords

ethical issues

pediatric critical care medicine

medical ethics

futile care

informed consent

decision-making for children

bioethics in pediatrics

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