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Grand Rounds: End-of-Life Management by Palliative Care: Who Receives it? Who needs it?


By Sky Dean, DO, and Michelle Sergi-Littman, MD , Pediatric Palliative Care Fellows, Akron Children's Hospital, Akron, OH

Palliative Care

Objectives (Educational Content) :

1. Summarize two of the current scholarly activity areas in the Palliative Care Division at Akron Children’s Hospital. 2 Identify three characteristics distinguishing deaths managed by palliative care compared to other service. 3. Outline individual decision-making roles of ECMO and palliative care clinicians for patients with a suspected or diagnosed genetic disorders who are considered for ECMO.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

End of life management can be provided by the primary provider but for complex critically ill patients including ECMO patients, pediatric palliative care specialists can be invaluable in coordinating and managing the intricacies of end-of-life care for these patients.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:


Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.


The following presenters have identified that they have no financial relationships with any ineligible companies: Michelle Sergi-Littman, DO Sky Dean, MD

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


Furlong-Dillard JM, Amula V, Bailly DK, Bleyl SB, Wilkes J, Bratton SL. Use of extracorporeal membrane oxygenation and mortality in pediatric cardiac surgery patients with genetic conditions: A multicenter analysis. Pediatr Crit Care Med., 2017 Sep;18(9):850-858. doi: 10.1097/PCC.0000000000001225. PMID: 28604574; PMCID: PMC5581211.


Morrison, WE. and Kirsch, R. Pushing the ECMO envelope for children with genetic conditions*. Pediatric Critical Care Medicine, 18(9):p 896-897, September 2017. DOI: 10.1097/PCC.0000000000001236.


Ikeri, K, Cardona, VQ, et al. Extracorporeal membrane oxygenation (ECMO) for suspected neonatal genetic diagnoses with cardiorespiratory failure. The Journal of Extracorporeal Technology, 2023, 55, 147–152

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