I think you should have an upper age limit- maybe 25 or in that ballpark or young adults you have followed until their 21st birthday. I had adult colleagues ask me to take a severely disabled 45 y/o woman with GI bleeding onto the peds unit - she had no previous relationship with us but only weighed about 25 kgs. She was better served on the adult service with adult subspecialists, etc. The adult service was not interested in caring for my 80 kg 10 year olds nor should they have been!
David F. Soglin, M.D. | Chief Medical Officer
La Rabida Children’s Hospital
6501 South Promontory Drive | Chicago, IL 60649
Phone: 773.256.5965 Fax: 773.363.6527
From: Pediatric Emergency Medicine Discussion List [mailto:[log in to unmask]] On Behalf Of Fernando G Mendoza, MD FAAP, FACEP
Sent: Tuesday, March 26, 2019 9:46 AM
To: [log in to unmask]
Subject: Caring for chronically ill 21yo & Older
Would like to get the groups opinion and any official hospital policy and DOP information on taking care of those chronic, complex pedi patients that graduate into adulthood (over 21yo).
Basically, genetic syndromes/chronic CP/technically dependent, etc.
Our hospital is an children's hospital within and adult hospital. We're looking to officially take care of these patients in our Pedi ED and PICU.
Patients would have to be under 50kg, (since all adult crash carts start at 50kg and greater). Not included would be the otherwise "normal" adult with chronic issues (like UC, cardiac, etc).
We're putting official hospital policy in place, checking with our med-mal carrier....any other issues? Concerns? Current practice?
Fernando G. Mendoza, MD
Baptist Children's Hospital
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The URL for the PED-EM-L Web Page is: