In adults, substituted judgment is based on knowing a patient's opinions and values and the surrogate acts on what they believe the adult patient would want
However, younger children do not typically have the ability to understand their medical options and make decisions
Instead, parents and surrogates practice what they interpret as best interests of the child, although "Best interest" is often difficult to determine, and may reasonably vary from one surrogate to another
Nonmaleficence ("do no harm") may be a more manageable way to judge surrogate decision making, in which the clinician should consider whether surrogate decision making risks significant child harm
Extensive updates to the Echocardiogram content with more to come after attending a 1 week course at GCUS
Eight new diagrams covering measurements, color-doppler and pulse-wave doppler added with more to come
Images: Related links to external sites (from Bing)
These images are a random sampling from a Bing search on the term "Family Practice Notebook Updates." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images
FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6777 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. Content is updated monthly with systematic literature reviews and conferences.
Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians.
This page was written by Scott Moses, MD, last revised on 6/4/2020 and last published on 6/4/2020.