• Pediatr Crit Care Me · Aug 2018

    Death and Dying 1987-2017: The Destination Is the Same, the Journey Is Different.

    • Peter N Cox.
    • Critical Care Unit, The Hospital for Sick Children, Toronto, ON, Canada.
    • Pediatr Crit Care Me. 2018 Aug 1; 19 (8S Suppl 2): S55-S56.

    ObjectiveA personal reflection on the changing landscape with regard to case mix, care, and staffing and how mortality and expectations have evolved over the past 30 years in a multidisciplinary Pediatric Critical Care Unit in a Quaternary level academic institution in Canada.ConclusionsMany of the preventable deaths have been prevented with Public Health initiatives. Death now is increasingly in complex patients with complicated treatment regimes in a society that has increasingly unrealistic expectations of what modern medicine can do. Many of these complex children do not die but are dependent on our technology and skill set-something we are often ill prepared for.

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