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PEDIATRICS Vol. 103 No. 4 April 1999, pp. 826-830

EXPERIENCE AND REASON:
Advance Directives in a Pediatric Emergency Department

Received Jun 15, 1998; accepted Sep 7, 1998.

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

* Emergency Department Children's Hospital of Wisconsin Milwaukee, WI 53226

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.

 Key words:  advance directives, do not resuscitate, pediatric emergency department.




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The Use of Pediatric Advance Directives: A Tool for Palliative Care Physicians
American Journal of Hospice and Palliative Medicine, December 1, 2009; 25(6): 427 - 430.
[Abstract] [PDF]