Forgoing life-sustaining medical treatment in abused children: Committee on child abuse and neglect and committee on bioethics

S. W. Kairys, R. C. Alexander, R. W. Block, V. D. Everett, K. P. Hymel, C. Jenny, D. L. Corwin, G. A. Shelley, R. M. Reece, R. A. Kirschner, T. P. Hurley, R. M. Nelson, J. R. Botkin, E. D. Kodish, M. Levetown, J. T. Truman, B. S. Wilfond, A. Kazura, E. F. Krug, P. A. SchwartzG. K. Donovan, M. Fallat, J. E. Frader, D. S. Davis, D. Steinberg

Research output: Contribution to journalReview article

16 Citations (Scopus)

Abstract

A decision to forgo life-sustaining medical treatment (LSMT) for a critically ill child injured as the result of abuse should be made using the same criteria as those used for any critically ill child. The parent or guardian of an abused child may have a conflict of interest when a decision to forgo LSMT risks changing the legal charge faced by a parent, guardian, relative, or acquaintance from assault to manslaughter or homicide. If a physician suspects that a parent or guardian is not acting in a child's best interest, further review and consultation should be sought in hopes of resolving the conflict. A guardian ad litem who will represent the child's interests regarding LSMT should be appointed in all cases in which a parent or guardian may have a conflict of interest.

Original languageEnglish (US)
Pages (from-to)1151-1153
Number of pages3
JournalPediatrics
Volume106
Issue number5 I
DOIs
StatePublished - Jan 1 2000

Fingerprint

Bioethics
Child Abuse
Conflict of Interest
Critical Illness
Therapeutics
Homicide
Referral and Consultation
Physicians

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

Kairys, S. W. ; Alexander, R. C. ; Block, R. W. ; Everett, V. D. ; Hymel, K. P. ; Jenny, C. ; Corwin, D. L. ; Shelley, G. A. ; Reece, R. M. ; Kirschner, R. A. ; Hurley, T. P. ; Nelson, R. M. ; Botkin, J. R. ; Kodish, E. D. ; Levetown, M. ; Truman, J. T. ; Wilfond, B. S. ; Kazura, A. ; Krug, E. F. ; Schwartz, P. A. ; Donovan, G. K. ; Fallat, M. ; Frader, J. E. ; Davis, D. S. ; Steinberg, D. / Forgoing life-sustaining medical treatment in abused children : Committee on child abuse and neglect and committee on bioethics. In: Pediatrics. 2000 ; Vol. 106, No. 5 I. pp. 1151-1153.
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abstract = "A decision to forgo life-sustaining medical treatment (LSMT) for a critically ill child injured as the result of abuse should be made using the same criteria as those used for any critically ill child. The parent or guardian of an abused child may have a conflict of interest when a decision to forgo LSMT risks changing the legal charge faced by a parent, guardian, relative, or acquaintance from assault to manslaughter or homicide. If a physician suspects that a parent or guardian is not acting in a child's best interest, further review and consultation should be sought in hopes of resolving the conflict. A guardian ad litem who will represent the child's interests regarding LSMT should be appointed in all cases in which a parent or guardian may have a conflict of interest.",
author = "Kairys, {S. W.} and Alexander, {R. C.} and Block, {R. W.} and Everett, {V. D.} and Hymel, {K. P.} and C. Jenny and Corwin, {D. L.} and Shelley, {G. A.} and Reece, {R. M.} and Kirschner, {R. A.} and Hurley, {T. P.} and Nelson, {R. M.} and Botkin, {J. R.} and Kodish, {E. D.} and M. Levetown and Truman, {J. T.} and Wilfond, {B. S.} and A. Kazura and Krug, {E. F.} and Schwartz, {P. A.} and Donovan, {G. K.} and M. Fallat and Frader, {J. E.} and Davis, {D. S.} and D. Steinberg",
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Kairys, SW, Alexander, RC, Block, RW, Everett, VD, Hymel, KP, Jenny, C, Corwin, DL, Shelley, GA, Reece, RM, Kirschner, RA, Hurley, TP, Nelson, RM, Botkin, JR, Kodish, ED, Levetown, M, Truman, JT, Wilfond, BS, Kazura, A, Krug, EF, Schwartz, PA, Donovan, GK, Fallat, M, Frader, JE, Davis, DS & Steinberg, D 2000, 'Forgoing life-sustaining medical treatment in abused children: Committee on child abuse and neglect and committee on bioethics', Pediatrics, vol. 106, no. 5 I, pp. 1151-1153. https://doi.org/10.1542/peds.106.5.1151

Forgoing life-sustaining medical treatment in abused children : Committee on child abuse and neglect and committee on bioethics. / Kairys, S. W.; Alexander, R. C.; Block, R. W.; Everett, V. D.; Hymel, K. P.; Jenny, C.; Corwin, D. L.; Shelley, G. A.; Reece, R. M.; Kirschner, R. A.; Hurley, T. P.; Nelson, R. M.; Botkin, J. R.; Kodish, E. D.; Levetown, M.; Truman, J. T.; Wilfond, B. S.; Kazura, A.; Krug, E. F.; Schwartz, P. A.; Donovan, G. K.; Fallat, M.; Frader, J. E.; Davis, D. S.; Steinberg, D.

In: Pediatrics, Vol. 106, No. 5 I, 01.01.2000, p. 1151-1153.

Research output: Contribution to journalReview article

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T1 - Forgoing life-sustaining medical treatment in abused children

T2 - Committee on child abuse and neglect and committee on bioethics

AU - Kairys, S. W.

AU - Alexander, R. C.

AU - Block, R. W.

AU - Everett, V. D.

AU - Hymel, K. P.

AU - Jenny, C.

AU - Corwin, D. L.

AU - Shelley, G. A.

AU - Reece, R. M.

AU - Kirschner, R. A.

AU - Hurley, T. P.

AU - Nelson, R. M.

AU - Botkin, J. R.

AU - Kodish, E. D.

AU - Levetown, M.

AU - Truman, J. T.

AU - Wilfond, B. S.

AU - Kazura, A.

AU - Krug, E. F.

AU - Schwartz, P. A.

AU - Donovan, G. K.

AU - Fallat, M.

AU - Frader, J. E.

AU - Davis, D. S.

AU - Steinberg, D.

PY - 2000/1/1

Y1 - 2000/1/1

N2 - A decision to forgo life-sustaining medical treatment (LSMT) for a critically ill child injured as the result of abuse should be made using the same criteria as those used for any critically ill child. The parent or guardian of an abused child may have a conflict of interest when a decision to forgo LSMT risks changing the legal charge faced by a parent, guardian, relative, or acquaintance from assault to manslaughter or homicide. If a physician suspects that a parent or guardian is not acting in a child's best interest, further review and consultation should be sought in hopes of resolving the conflict. A guardian ad litem who will represent the child's interests regarding LSMT should be appointed in all cases in which a parent or guardian may have a conflict of interest.

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