title: [Ethics in pediatric emergencies: Care access, communication, and confidentiality].
abstract: Children suffer most from today's increasing precariousness. In France, access to care is available for all children through various structures and existing measures. The support for foreign children is overseen by specific legislation often unfamiliar to caregivers. Pediatric emergencies, their location, organization, actors, and patient flow are a particular environment that is not always suitable to communication and may lead to situations of abuse. Communication should not be forgotten because of the urgency of the situation. The place of the child in the dialogue is often forgotten. Considering the triangular relationship, listening to the child and involving the parents in care are the basis for a good therapeutic alliance. Privacy and medical confidentiality in pediatric emergencies are governed by law. However, changes in treatments and medical practices along with the variety of actors involved imply both individual and collective limitations, to the detriment of medical confidentiality.
authors.affiliation: Groupe symposium d'Automne 2014 du DES de pédiatrie d'Île-de-France, France.
authors.forename: J
authors.initials: J
authors.lastname: Benoit
authors.affiliation: Groupe symposium d'Automne 2014 du DES de pédiatrie d'Île-de-France, France.
authors.forename: L
authors.initials: L
authors.lastname: Berdah
authors.affiliation: Groupe symposium d'Automne 2014 du DES de pédiatrie d'Île-de-France, France.
authors.forename: A
authors.initials: A
authors.lastname: Carlier-Gonod
authors.affiliation: Groupe symposium d'Automne 2014 du DES de pédiatrie d'Île-de-France, France.
authors.forename: T
authors.initials: T
authors.lastname: Guillou
authors.affiliation: Groupe symposium d'Automne 2014 du DES de pédiatrie d'Île-de-France, France.
authors.forename: C
authors.initials: C
authors.lastname: Kouche
authors.affiliation: Groupe symposium d'Automne 2014 du DES de pédiatrie d'Île-de-France, France.
authors.forename: M
authors.initials: M
authors.lastname: Patte
authors.affiliation: Groupe symposium d'Automne 2014 du DES de pédiatrie d'Île-de-France, France.
authors.forename: M
authors.initials: M
authors.lastname: Schneider
authors.affiliation: Groupe symposium d'Automne 2014 du DES de pédiatrie d'Île-de-France, France.
authors.forename: S
authors.initials: S
authors.lastname: Talcone
authors.affiliation: Urgences pédiatriques, université Pierre-et-Marie-Curie, hôpital Armand-Trousseau, 26, avenue du Docteur-Arnold-Netter, 75012 Paris, France. Electronic address: helene.chappuy@trs.aphp.fr.
authors.forename: H
authors.initials: H
authors.lastname: Chappuy
mesh_terms: D002648:Child; D003142:Communication; D003219:Confidentiality / Q000941:ethics / Q000331:legislation & jurisprudence; D004632:Emergency Medical Services / Q000941:ethics* / Q000331:legislation & jurisprudence; D004992:Ethics, Medical; D005602:France; D006297:Health Services Accessibility / Q000941:ethics*; D006801:Humans; D010343:Patient Admission / Q000331:legislation & jurisprudence; D010817:Physician-Patient Relations / Q000941:ethics; D011368:Professional-Family Relations / Q000941:ethics; D012036:Refugees / Q000331:legislation & jurisprudence; D019472:Universal Health Insurance / Q000941:ethics / Q000331:legislation & jurisprudence