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- W1625963162 abstract "To the Editor.—At the impending birth of a marginally viable fetal infant, optimistic rescuers focus on auspicious probabilities (to take an example, odds for intact survival are 5 to 1 in favor). However, terrified parents look at the future through the opposite end of the telescope: They focus on the less-likely poor outcome with its lifetime of prolonged pain, suffering, and financial disaster. How can we dismiss the latter pessimistic view when it is so realistic? Robertson's recent outrageous proposal for decision-making in extreme prematurity1 (abrogation of parents' right to refuse mandatory resuscitation) has focused attention on gambling that takes place in modern delivery rooms.In the game of Russian roulette, played with a 6-shooter, the odds are 5 to 1 in favor of the daring player, but rational persons refuse the gamble because outcome of the less-likely event is so devastating (and in the form of Russian roulette played in the delivery room, the odds in favor of an intact end result are often much smaller than 5 to 1).Basic decency demands that when rescuers and hospital administrators insist on playing Russian roulette in the delivery room (overriding parents' request for comfort care only), the gun must be pointed directly at the bank accounts of the activists. Self-appointed gamesters should be required to sign a contingency document: They should agree, in advance, to personally pay the full lifetime costs of a disabled survivor. Although this drastic approach to restrain unwanted medical action may seem unrealistic, it is certainly fairer than the post facto remedy involving greedy tort lawyers and endless legal wrangling." @default.
- W1625963162 created "2016-06-24" @default.
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- W1625963162 date "2005-01-01" @default.
- W1625963162 modified "2023-09-23" @default.
- W1625963162 title "Russian Roulette in the Delivery Room" @default.
- W1625963162 cites W1970607929 @default.
- W1625963162 doi "https://doi.org/10.1542/peds.2004-2117" @default.
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