AMA Journal of Ethics®

Illuminating the art of medicine

Journal of Ethics Header

AMA Journal of Ethics®

Illuminating the art of medicine

Virtual Mentor. October 2012, Volume 14, Number 10: 755-820.

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October 2012 Contents

Pediatric Critical Care and Emergency Medicine

Ethics Poll

Physicians sometimes call for a “slow code”–less aggressive resuscitative measures carried out slowly–when they believe that a patient will die of his or her injuries or illness and that attempts at a “full code” would harm the patient unnecessarily. Which of the following best represents your opinion of this practice?
In most states minors can consent to medical care for reproductive matters, addiction, and some mental health conditions without the involvement of a parent or guardian. They can also consent to emergency medical services when delaying to get parental consent would increase the risk of harm. Do you think the list of services to which minors can consent on their own should be expanded and, if so, to what degree?
How can physicians in pediatric residency programs become competent in performing life-saving procedures such as endotrachael intubation without practicing the procedures on critically ill or injured children?

From the Editor

Competent and Compassionate Care for the Sickest of Children
Jay R. Malone
Full Text | PDF
Virtual Mentor. 2012; 14:757-758.

Educating for Professionalism

Ethics Cases

Why Not a Slow Code?
Commentary by Edwin N. Forman and Rosalind E. Ladd
Full Text | PDF
Virtual Mentor. 2012; 14:759-762.

Can a Minor Refuse Assent for Emergency Care?
Commentary by Philip J. Rettig
Full Text | PDF
Virtual Mentor. 2012; 14:763-766.

Pediatric End-of-Life Decisions when Abuse Is Suspected
Commentary by Jalayne J. Arias and Kathryn L. Weise
Full Text | PDF
Virtual Mentor. 2012; 14:767-770.

Medical Education

Teaching Trainees to Perform Procedures on Critically Ill Children: Ethical Concerns and Emerging Solutions
Traci A. Wolbrink and Jeffrey P. Burns
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Virtual Mentor. 2012; 14:771-777.

The Code Says

The AMA Code of Medical Ethics’ Opinion on Confidential Services for Children and Adolescents
Full Text | PDF
Virtual Mentor. 2012; 14:778-779.

Journal Discussion

Titration of Medication and the Management of Suffering at the End of Life
Wynne Morrison
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Virtual Mentor. 2012; 14:780-783.

State of the Art and Science

Off-Label Use of Therapeutic Hypothermia for Infants with Hypoxic-Ischemic Encephalopathy
Naomi T. Laventhal, John D.E. Barks, and Scott Y.H. Kim
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Virtual Mentor. 2012; 14:784-791.

Law, Policy, and Society

Health Law

Minors’ Refusal of Life-Saving Therapies
Valarie Blake
Full Text | PDF
Virtual Mentor. 2012; 14:792-796.

Policy Forum

Legal and Ethical Policies Regarding Research Involving Critically Ill Children
Tracy Koogler
Full Text | PDF
Virtual Mentor. 2012; 14:797-800.

Ethical Issues in Pediatric Emergency Medicine’s Preparation for and Response to Disasters
Armand H. Matheny Antommaria and Brent D. Kaziny
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Virtual Mentor. 2012; 14:801-804.

Medicine and Society

Adolescents’ Right to Consent to Reproductive Medical Care: Balancing Respect for Families with Public Health Goals
Margaret Moon
Full Text | PDF
Virtual Mentor. 2012; 14:805-808.

Resources

Suggested Readings and Resources
PDF
Virtual Mentor. 2012; 14:809-817.

About the Contributors
Full Text | PDF
Virtual Mentor. 2012; 14:818-820.