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Pediatric Collections: Ethics Rounds: A Casebook in Pediatric Bioethics

The ethical issues that arise in pediatrics are very different from those that arise in other clinical settings. The differences arise partly because young children cannot make decisions for themselves. Thus, the principle of autonomy, a principle that is so important in resolving the dilemmas that arise in the care of adults, is irrelevant in ethical dilemmas involving young children. It is partially relevant in older children and adolescents. Furthermore, autonomy is, essentially, a procedural principle. It doesn’t claim to determine what choice is right. It only specifies who should be empowered to make the decision about what is right. Without the ability to fall back on autonomy, doctors, parents, and ethicists who are caring for children must make substantive decisions about what is best for those children. To do so, they rely on a number of ethical considerations. This collection presents a series of cases that highlight some ethical dilemmas that arise in pediatrics.
Mary Anne Jackson, MD, FAAP; Gordon E. Schutze, MD, FAAP; COMMITTEE ON INFECTIOUS DISEASES
Doi: 10.1542/peds.2016-2706
H. Dele Davies, MD; Carrie L. Byington, MD; COMMITTEE ON INFECTIOUS DISEASES
Doi: 10.1542/peds.2016-1891
Aline B. Maddux, MD, MSCS; Laura Berbert, MS; Cameron C. Young, BS; Leora R. Feldstein, PhD; Laura D. Zambrano, PhD; Suden Kucukak, MD; Margaret M. Newhams, MPH; Kristen Miller, MS; Madyson M. FitzGerald, BS; Jie He, MS; Natasha B. Halasa, MD; Natalie Z. Cvijanovich, MD; Laura L. Loftis, MD; Tracie C. Walker, MD; Stephanie P. Schwartz, MD; Shira J. Gertz, MD; Keiko M. Tarquinio, MD; Julie C. Fitzgerald, MD, PhD; Michele Kong, MD; Jennifer E. Schuster, MD; Elizabeth H. Mack, MD; Charlotte V. Hobbs, MD; Courtney M. Rowan, MD, MScr; Mary A. Staat, MD; Matt S. Zinter, MD; Katherine Irby, MD; Hillary Crandall, MD, PhD; Heidi Flori, MD; Melissa L. Cullimore, MD; Ryan A. Nofziger, MD; Steven L. Shein, MD; Mary Glas Gaspers, MD; Janet R. Hume, MD, PhD; Emily R. Levy, MD; Sabrina R. Chen, BA; Manish M. Patel, MD; Mark W. Tenforde, MD, PhD; Edie Weller, PhD; Angela P. Campbell, MD, MPH; Adrienne G. Randolph, MD; for the Overcoming COVID-19 Investigators
Doi: 10.1542/peds.2022-057798
Maximilian Stich, MD; Louise Benning, MD; Claudius Speer, MD; Sven F. Garbade, PhD; Marie Bartenschlager; Heeyoung Kim, PhD; Florian Gleich, MSc; Kathrin Jeltsch, PhD; Bettina Haase, MSc; Aleš Janda, MD; Hanna Renk, MD; Roland Elling, MD; Paul Schnitzler, PhD; Tim Waterboer, PhD; Georg Friedrich Hoffmann, MD; Hans-Georg Kräusslich, MD; Barbara Müller, PhD; Ralf Bartenschlager, PhD; Burkhard Tönshoff, MD
Doi: 10.1542/peds.2022-057151
Shefaly Shorey, PhD; Esperanza D. Ng, BPsySc (Hons); Evelyn C. Law, MD; John C.M. Wong, MBBS, MMed (Psych); Kah Yin Loke, MBBS, MMed (Paeds); Wilson W.S. Tam, PhD
Doi: 10.1542/peds.2022-056540
James W. Antoon, MD, PhD, MPH; Matt Hall, PhD; Leigh M. Howard, MD, MPH; Alison Herndon, MD, MPH; Katherine L. Freundlich, MD; Carlos G. Grijalva, MD, MPH; Derek J. Williams, MD, MPH
Doi: 10.1542/peds.2022-058167
Stephen G. Flynn, MD, FAAP; Mary Lyn Stein, MD, FAAP; John E. Fiadjoe, MD
Doi: 10.1542/peds.2022-057567
Nicole K. Yamada, MD, MS; Christopher JD McKinlay, PhD, MBChB; Bin Huey Quek, M. Med, MRCP; Georg M. Schmölzer, MD, PhD; Myra H. Wyckoff, MD; Helen G. Liley, MB, ChB, FRACP; Yacov Rabi, MD; Gary M. Weiner, MD
Doi: 10.1542/peds.2022-056568
Kourosh Sabri, MB ChB, FRCOphth, FRCSC; Anna L Ells, MD, FRCSC; Elizabeth Y. Lee, MD; Sourabh Dutta, MD, PhD; Anand Vineker, MD, FRCS, PhD
Doi: 10.1542/peds.2021-053924
Scott M. Sutherland, MD; Alexis S. Davis, MD; Diana Powell, RN; Jennifer Tanaka, RN; Mayna Woo, RN; Shellie Josephs, MD; Cynthia J. Wong, MD
Doi: 10.1542/peds.2022-056570
Debra K. Katzman, MD; Tim Guimond, MD, PhD; Wendy Spettigue, MD; Holly Agostino, MD; Jennifer Couturier, MD, MSc; Mark L. Norris, MD
Doi: 10.1542/peds.2022-057494
Rayzel Shulman, MD, PhD; Meranda Nakhla, MD, MSc; Christina Diong, MSc; Therese A. Stukel, PhD; Astrid Guttmann, MDCM, MSc
Doi: 10.1542/peds.2022-058349
Emanuele Amodio, MD, PhD; Dario Genovese, MD; Luca Mazzeo, MD; Luca Martino, MD; Vincenzo Restivo, MD, PhD; Giuseppe Vella, MD; Giuseppe Calamusa, MD; Francesco Vitale, MD
Doi: 10.1542/peds.2022-057394
Ashley G. Sutton, MD; Hunter G. Smith, MD, MPH; Melanie Edwards Dawes, RN, MBA, MHA, NE-BC; Megan O’Connor, DNP, RN, NE-BC; Andrea A. Hayes, MD; John P. Downs, MD, MBA; Michael J. Steiner, MD, MPH
Doi: 10.1542/hpeds.2021-006390
Jori F. Bogetz, MD; Anna Revette, PhD; Lindsay Partin, BS; Danielle D. DeCourcey, MD, MPH
Doi: 10.1542/hpeds.2022-006596
Daniel J. Shapiro, MD; Ann Chen Wu, MD, MPH
Doi: 10.1542/peds.2022-057926
Anne Kotaniemi-Syrjänen, MD; Timo Klemola, MD; Petri Koponen, MD; Outi Jauhola, MD; Henrikka Aito, MD; Kristiina Malmström, MD; L. Pekka Malmberg, MD; Eero Rahiala, MD; Seppo Sarna, PhD; Anna S. Pelkonen, MD; Mika J. Mäkelä, MD
Doi: 10.1542/peds.2021-055860
Kathleen E. Hannan, MD, MSCS; Sunah S. Hwang, MD, MPH, PhD; Stephanie L. Bourque, MD, MSCS
Doi: 10.1542/peds.2022-058043
Hilary K. Brown, PhD; Simon Chen, MPH; Astrid Guttmann, MDCM, MSc, FRCPC; Susan M. Havercamp, PhD; Susan L. Parish, PhD; Joel G. Ray, MD, MSc, FRCPC; Simone N. Vigod, MD, MSc, FRCPC; Lesley A. Tarasoff, PhD; Yona Lunsky, PhD, C.Psych
Doi: 10.1542/peds.2021-055318
Vanessa N. Madrigal, MD, MSCE, HEC-C; Kara Curry, MA, RN
Doi: 10.1542/hpeds.2022-006734
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