Advance Directives in a Pediatric Emergency Department

Author:

Walsh-Kelly Christine M.1,Lang Kellie R.,Chevako Jane,Blank Ellen L.,Korom Nancy,Kirk Kristi,Gray Amanda

Affiliation:

1. Emergency Department

Abstract

Parents of children with terminal illnesses are not always present when a life-threatening event occurs. For many of these children, an advance directive specifying alternate code orders has been written by the parent or legal guardian (hereafter the use of parent is to be interpreted as parent/legal guardian) and the patient's attending physician. Implementing a pediatric advanced directive presents significant problems for emergency personnel if the parent is not present to identify the existence of the directive and interpret the contents in the context of the current medical crisis.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

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