An Ethical and Practical Approach to Controversial End-of-Life Decisions in Pediatrics & Neonatology скачать в хорошем качестве

An Ethical and Practical Approach to Controversial End-of-Life Decisions in Pediatrics & Neonatology

Mark Mercurio, MD, MA, Chief of Neonatal-Perinatal Medicine at Yale School of Medicine and Director of the Yale Pediatrics Ethics Program, visits Quarterly Questions in Neonatal Ethics to discuss controversial end-of-life decisions in pediatrics and neonatology. ▶Share this video with others:    • An Ethical and Practical Approach to Contr...   ▶Subscribe to learn more about Cleveland Clinic: https://www.youtube.com/user/Clevelan... 0:00 Introduction 0:31 Pediatric ethics and the story of Mrs. Smith 3:48 Deciding for others 7:05 The role of the physician? 9:12 The role of the clinician? 10:40 Ethical decisions in pediatrics Shared decision-making should be our approach... 11:01 How to Decide Anything... Candidate method: standard of care 15:22 Fundamental question 16:56 Location on the line for any therapy is not static movement based on change in prognosis 19:59 Candidate justification for impermissibility: "It would be futile" 23:27 Ought implies can 25:00 Rights based analysis 28:36 ECMO in setting of Trisomy 21 29:01 Moral Status 31:45 Transparency 34:21 The self-fulfilling prophecy 36:37 Attempting resuscitation in the setting of extreme prematurity - the potential for injustice 37:55 Resuscitation in extreme prematurity based on GA alone - parental choice and the potential for injustice 41:33 Not every decision is life and death 45:10 Function as a team, and think ahead 45:47 What is needed to make the system work? 45:51 Professional humility 48:02 Final thought: moral agency