The rationale for the recommendations of the European Paediatric Fasting Guideline

ZusammenfassungDie Reanimation im Kindesalter ist ein seltenes Ereignis, das medizinisches Personal oft unvorbereitet trifft und mit großer emotionaler Belastung einhergeht. Im Gegensatz zur Rettungsmedizin bei Erwachsenen befindet sich die Standardisierung von Handlungsweisen bei der Wiederbelebung von Kindern noch im Aufbau. Studien belegen, dass eine vereinheitlichte Ausbildung mit Algorithmen in der Kinderreanimation, die Letalität von Notfällen im Kindesalter um mehr als 30% (8, 18, 24) senken kann. Mit dem European Paediatric Life Support-Kurs steht ein Ausbildungsmodell zur Verfügung, das mit nachgewiesenem Erfolg zu einer flächendeckenden Verbreitung von Standards in der Kinderreanimation beitragen kann.

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Covid-19 FAQ’s in Paediatric and Congenital Cardiology – AEPC position paper.

Cardiology in the Young ◽

10.1017/s1047951120005028 ◽

2021 ◽

pp. 1-21

Author(s):

Skaiste Sendzikaite ◽

Ruth Heying ◽

Ornella Milanesi ◽

Katarina Hanseus ◽

Ina Michel-Behnke

Keyword(s):

Health Care ◽

Decision Making ◽

Health Care Systems ◽

Scientific Data ◽

Position Paper ◽

Paediatric Cardiology ◽

European Paediatric ◽

Care Systems ◽

The Times ◽

Almost All

Abstract The Covid-19 pandemic has had a huge influence in almost all areas of life, affecting societies, economics and health care systems worldwide. The paediatric cardiology community is no exception. As the challenging battle with Covid-19 continues, professionals from the Association for the European Paediatric and Congenital Cardiology (AEPC) receive many questions regarding Covid-19 in a Paediatric and Congenital Cardiology setting. The aim of this paper is to present the AEPC position on frequently asked questions based on the most recent scientific data, as well as to frame a discussion on how to take care of our patients during this unprecedented crisis. As the times are changing quickly and information regarding Covid-19 is very dynamic, continuous collection of evidence will help guide constructive decision-making.

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Paediatric Residents and Fellows Ethics (PERFEct) survey: perceptions of European trainees regarding ethical dilemmas

European Journal of Pediatrics ◽

10.1007/s00431-021-04231-8 ◽

2021 ◽

Author(s):

M. C. den Boer ◽

A. Zanin ◽

J. M. Latour ◽

J. Brierley

Keyword(s):

Medical Education ◽

Medical Ethics ◽

Ethics Education ◽

Ethical Dilemmas ◽

Moral Dilemmas ◽

Ethics Training ◽

Healthcare Team ◽

Medical Ethics Education ◽

European Paediatric ◽

Future Practice

AbstractWith an increasingly complex healthcare environment, ethics is becoming a more critical part of medical education. We aimed to explore European paediatric trainees’ experiences of facing ethical dilemmas and their medical ethics education whilst assessing their perceptions of ethical dilemmas in current and future practice. The Young Sections of the European Academy of Paediatrics and European Society of Paediatric and Neonatal Intensive Care developed an explorative online survey covering demographics, ethical dilemmas faced and ethics training. The survey was made available in nine languages from November 2019 to January 2020 via newsletters and social media. Participants (n = 253) from 22 countries, predominantly female (82%) and residents (70%), with a median age of 29-years, completed the survey. The majority (58%) faced ethical dilemmas monthly or more frequently. Most ethics training was received by ethics lectures in medical school (81%) and on the job (60%). A disagreement between the healthcare team and patient/family was the most frequently faced moral dilemma (45%); the second was withholding/withdrawing life-prolonging measures (33%). The latter was considered the most challenging dilemma to resolve (50%). Respondents reported that ethical issues are not sufficiently addressed during their training and wished for more case-based teaching. Many have been personally affected by moral dilemmas, especially regarding withholding/withdrawing life-prolonging measures, and often felt inadequately supported.Conclusion: Paediatric trainees face many moral issues in daily practice and consider that training about managing current and future ethical dilemmas should be improved, such as by the provision of a core European paediatric ethics curriculum. What is Known:• Paediatric services are becoming more complex with an increase in ethical dilemmas asking for rigorous training in ethics.• Ethics training is often lacking or covered poorly in both pre- and postgraduate medical education curricula.• Existing ethics training for European paediatric trainees is haphazard and lacks standardisation. What is New:• The PaEdiatric Residents and Fellows Ethics (PERFEct) survey provides insight into the European paediatric trainees’ views regarding ethical dilemmas in their current and future practice.• European paediatric trainees report a lack of ethics training during paediatric residency and fellowship.• This study provides content suggestions for standardised medical ethics training for paediatric trainees in Europe.

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Global leadership in paediatric and congenital cardiac care: “Humility in Leadership – an interview with Katarina Hanséus, MD, PhD, President of the Association for European Paediatric and Congenital Cardiology (AEPC)”

Cardiology in the Young ◽

10.1017/s1047951121001669 ◽

2021 ◽

Vol 31 (5) ◽

pp. 689-695

Author(s):

Justin T. Tretter ◽

Jeffrey P. Jacobs

Keyword(s):

Cardiac Surgery ◽

Global Leadership ◽

University Hospital ◽

Cardiac Care ◽

Paediatric Surgery ◽

Cross Sectional ◽

Paediatric Cardiology ◽

Pediatric Society ◽

European Paediatric ◽

Paediatric Cardiac Surgery

AbstractDr. Katarina Hanséus is the focus of our fourth in a series of interviews in Cardiology in the Young entitled, “Global Leadership in Paediatric and Congenital Cardiac Care”. Dr. Hanséus was born in Malmö, Sweden. She attended undergraduate school in her home town in Malmö, Sweden, graduating in 1974. Dr. Hanséus then went on to complete medical school at University of Lund in Lund, Sweden, graduating in 1980, where additionally she completed a Doctoral Dissertation in the evaluation of cardiac function and chamber size in children using Doppler and cross-sectional echocardiography. Under the Swedish Board of National Welfare, Dr. Hanséus completed her authorisation as a paediatrician in 1986, followed by her authorisation as a paediatric cardiologist in 1988, at University of Lund. She was appointed head of Paediatric Cardiology in 2000 at the Children’s Heart Center, Skane University Hospital, Lund, Sweden. The programme at Lund serves as one of the two national referral centres for comprehensive paediatric and congenital cardiac care, including paediatric cardiac surgery, in Sweden. From 2006 to 2013, she served as the clinical and administrative head of the Department of Neonatology, Paediatric Surgery, Paediatric Intensive Care, Paediatric Cardiology, and Paediatric Cardiac Surgery, returning as the head of Paediatric Cardiology in 2013, for which she currently holds the position.Dr. Hanséus is a recognised leader in the field of Paediatric Cardiology and has been involved in leadership within the Swedish Pediatric Society, the Swedish Association for Pediatric Cardiology, and the Association for European Paediatric and Congenital Cardiology throughout her career. Within the Association for European Paediatric and Congenital Cardiology, she served as the Secretary General from 2011 to 2016, the President Elect in 2018, and is the current President serving from 2019 until 2022. This article presents our interview with Dr. Hanséus, an interview that covers her experience as a leader in the field of Paediatric Cardiology, including the history and goals of the Association for European Paediatric and Congenital Cardiology, and her role and vision as their current President.

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