Who may request the discontinuation of resuscitation efforts for a pediatric patient in full arrest?

In situations involving a pediatric patient in full arrest, the request for the discontinuation of resuscitation efforts primarily rests with the parent or guardian. This is because parents and guardians have the legal authority and responsibility for the medical decisions concerning their children. Their emotional involvement and unique understanding of the child’s wishes, as well as their rights as caretakers, make their input critical during such a sensitive and traumatic scenario.

While medical personnel, such as the medical director, paramedic in charge, or emergency room physicians, can provide guidance and recommendations based on clinical judgment and protocols, the ultimate decision regarding stopping resuscitation efforts hinges on the consent and wishes of the parent or guardian. This respects both the ethical considerations and the legal context of medical decision-making for minors.