Ethical Dilemmas in the Care of Minors in the Emergency Department

Emergency Medicine Clinics of North America

Volumn 24, Issue 3, 2006, Pages 619-631

  Baren, Jill M ^a,b,c  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

^c CHILDREN S HOSPITAL OF PHILADELPHIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ALCOHOL CONSUMPTION; CHILD CARE; CONFIDENTIALITY; DRUG USE; EMERGENCY PHYSICIAN; EMERGENCY WARD; ETHICS; HEALTH CARE POLICY; INFORMED CONSENT; MEDICAL CARE; MEDICAL DECISION MAKING; PATIENT SATISFACTION; PREGNANCY; PRIORITY JOURNAL; PRIVACY; REVIEW; SEXUAL ABUSE; SEXUAL CRIME; SEXUALLY TRANSMITTED DISEASE;

EID: 33746732295     PISSN: 07338627     EISSN: 07338627     Source Type: Journal    
DOI: 10.1016/j.emc.2006.05.002     Document Type: Review

References (37)

1. Boonstra H., and Nash E. Minors and the right to consent to health care. Guttmacher Rep Public Policy 3 (2000) 4-8
2. Treloar D.J., Peterson E., Randall J., et al. Use of emergency services by unaccompanied minors. Ann Emerg Med 20 (1991) 297-301
3. American Academy of Pediatrics, Committee on Pediatric Emergency Medicine. Consent for emergency medical services for children and adolescents. Pediatrics 111 (2003) 703-706
4. Ziv A., Boulet J.R., and Slap G.B. Emergency department utilization by adolescents in the United States. Pediatrics 101 (1998) 987-994
5. Wilson K.M., and Klein J.D. Adolescents who use the emergency department as their usual source of care. Arch Pediatr Adolesc Med 154 (2000) 361-365
6. Clark L.R., and Ginsburg K.R. How to talk to your teenage patients. Contemp Adolesc Gynecol winter (1995) 23-27
7. Cohen E., Mackenzie R.G., and Yates G.L. HEADSS, a psychosocial risk assessment instrument: implications for designing effective intervention programs for runaway youth. J Adol Health 12 (1991) 539-544
8. Melzer-Lange M., and Lye P.S. Adolescent health care in a pediatric emergency department. Ann Emerg Med 27 (1996) 633-637
9. AMA Council on Scientific Affairs. Confidential health services for adolescents. JAMA 269 (1993) 1420-1424
10. American College of Obstetricians and Gynecologists. ACOG statement of policy: confidentiality in adolescent health care (1988), American College of Obstetricians and Gynecologists, Washington (DC)
11. American Academy of Pediatrics. Guidelines for health supervision III (1997), American Academy of Pediatrics, Elk Grove Village (IL)
12. American College of Emergency Physicians. Patient confidentiality. Ann Emerg Med 24 (1994) 1209
13. Larkin G.L., Moskop J., Sanders A., et al. The emergency physician and patient confidentiality: a review. Ann Emerg Med 24 (1994) 1161-1167
14. Schmidt M.R., and White L.K. Internists and adolescent medicine. Arch Intern Med 162 (2002) 1550-1556
15. Ford C.A., Millstein S.G., Halpern-Felsher B.L., et al. Influence of physician confidentiality assurances on adolescents' willingness to disclose information and seek future health care: a randomized controlled trial. JAMA 278 (1997) 1029-1034
16. Tsai A.K., Schafermeyer R.W., Kalifon D., et al. Evaluation and treatment of minors: reference on consent. Ann Emerg Med 22 (1993) 1211-1217
17. Society for Adolescent Medicine. Confidential health care for adolescents. Position paper of the Society for Adolescent Medicine. J Adolesc Health 21 (1997) 408-415
18. Kassutto Z., and Vaught W. Informed decision making and refusal of treatment. Clin Pediatr Emerg Med 4 (2003) 285-291
19. Guertler A.T. The clinical practice of emergency medicine. Emerg Med Clin N Am 15 (1997) 303-313
20. Jacobstein C.R., and Baren J.M. Emergency department treatment of minors. Emerg Med Clin N Am 17 (1999) 341-352
21. Kuther T.L. Medical decision-making and minors: issues of consent and assent. Adolescence 38 (2003) 343-358
22. American Academy of Pediatrics, Committee on Bioethics. Informed consent, parental permission, and assent in pediatric practice. Pediatrics 95 (1995) 314-317
23. American Academy of Pediatrics, Committee on Substance Abuse. Testing for drugs of abuse in children and adolescents. Pediatrics 98 (1996) 305-307
24. English A. Treating adolescents: legal and ethical considerations. Med Clin N Am 74 (1990) 1097-1112
25. American Academy of Pediatrics, Committee on Adolescence. Sexually transmitted diseases. Pediatrics 94 (1994) 568-572
26. American Academy of Pediatrics, Committee on Adolescence. Counseling the adolescent about pregnancy options. Pediatrics 101 (1998) 938-940
27. American Academy of Pediatrics, Committee on Child Abuse and Neglect. Guidelines for the evaluation of sexual abuse of children. Pediatrics 87 (1991) 254-260
28. Children's International Project on Palliative/Hospice Services (ChIPPS) Administrative/Policy Workgroup of the National Hospice and Palliative Care Organization. A call for change: recommendations to improve the care of children living with life-threatening conditions. National Hospice and Palliative Care Organization. Available at: www.nhpco,org. Accessed May 3, 2002.
29. Wolfe J., Grier H.E., Klar N., et al. Symptoms and suffering at the end of life in children with cancer. N Engl J Med 342 (2000) 326-333
30. American Academy of Pediatrics and Canadian Paediatric Society. Prevention and management of pain and stress in the neonate. Pediatrics 105 (2000) 454-461
31. American Academy of Pediatrics and American Pain Society. The assessment and management of acute pain in infants, children, and adolescents. Pediatrics 108 (2001) 793-797
32. Aherns W.R., and Hart R.G. Emergency physicians' experience with pediatric death. Am J Emerg Med 15 (1997) 642-643
33. World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Available at: http://www.wma.net/e/policy/. Accessed June 25, 2005.
34. Belmont report. Available at: http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.htm. Accessed June 23, 2005.
35. 45 CFR 46 Subpart D: Additional DHHS protections for children involved as subjects in research. Available at: http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.htm. Accessed June 30, 2005.
36. Burns J.P. Research in children. Crit Care Med 31 (2003) S131-S136
37. Chesney R.W. Children as clinical research subjects. J Pediatr 146 (2005) 579-580