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PEDIATRICS Vol. 106 No. 5 November 2000, pp. 1151-1153

AMERICAN ACADEMY OF PEDIATRICS:
Forgoing Life-Sustaining Medical Treatment in Abused Children

Committee on Child Abuse and Neglect and Committee on Bioethics

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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Statement of reaffirmation:

AAP Publications Retired or Reaffirmed, October 2006

Pediatrics 119: 405-405. [Full Text]



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