Ethics consultation services (ECS) are an essential resource for clinicians, staff, trainees, families, and patients. Despite advancements in technology, science, and evidence-based medicine, the daily clinical encounter continues to weigh value-laden decisions with moral implications.

ECSs serve to clarify ethical issues, facilitate discussion, and provide expertise and educational resources. Deliberations and recommendations are driven by respect for the values, needs, and interests of all participants, especially when there is a disagreement or uncertainty about treatment decisions.1,2  ECSs are widely recognized mechanisms for addressing ethical issues, facilitating communication, and easing moral distress,3,4  and have decreased costs and nonbeneficial treatment in adult intensive care units.

Pediatric ECSs have additional expertise on shared decision making, parental authority, and protecting what is in the child’s best interest balanced by evaluating harms and other factors. Issues such as assent and the mature minor might also be addressed by...

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