Multiprofessional Critical Care Review: Pediatric 2024 (MCCRCP24ON)-Ethics

Video Transcription

Video Summary

Dr. Mike O'Shea, a professor of pediatrics, discusses ethical principles in pediatric intensive care at a conference. He humorously reflects on the futility of traveling during a hurricane at the Democratic National Convention. His talk delves into bioethical principles like autonomy, beneficence, non-maleficence, and justice, focusing on surrogate decision-making for incapacitated pediatric patients. He emphasizes shared decision-making between families and clinicians, the doctrine of double effect regarding pain medication, and the ethical guidelines from the American Academy of Pediatrics. Dr. O'Shea also highlights the Child Abuse Protection and Treatment Act and the importance of informed consent, including the differences between adult and pediatric consent. He addresses moral distress in healthcare and emerging ethical topics raised by the COVID-19 pandemic. Practical scenarios and questions are discussed, illustrating the application of these ethical principles in clinical practice.

Keywords

pediatric intensive care

bioethical principles

surrogate decision-making

shared decision-making

informed consent

COVID-19 ethics

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