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“In my opinion, this is ethically questionable at best. I think this is an obvious attempt to recast a premises liability issue into a narrow malpractice context… Holding hospitals accountable isn’t about harming healthcare or doctors—it’s about making sure they keep patients physically safe.”

On-call responsibilities aren’t optional. They’re legal, ethical, and contractual obligations to patient care. When they’re neglected, patient outcomes can suffer—and hospitals can face liability.

“I really think people research their doctor as much as they research a hospital. Patients will come in to me and will already know where I went to school, where I did my fellowship.”

The hospital allegedly lacked a pediatric mask and breathing tubes, delaying life-saving care during an anaphylactic emergency.

The guidelines discourage bag specimen cultures due to contamination risk and recommend catheterized collection for accurate diagnosis in young children.

Age-specific inflammatory marker thresholds and staged evaluation permit safe outpatient management of select febrile infants 22-90 days old, while maintaining full evaluation and treatment for higher-risk infants under 21 days.