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Pediatric Cardiologist

Real-Life Activities

Real-Life Decision Making

Pediatric cardiologists make many difficult decisions. For example, they decide which patients receive priority for high-risk procedures such as heart transplants.

You are the head of a pediatric cardiology program. You keep a list of 10 children waiting for heart transplants at all times. The list is constantly updated. According to your program's rules, anyone can be placed anywhere on the list, depending on several factors.

Recently, several children's hearts have become available, making transplants possible. The top five children on the list recently underwent the surgery. Five new names were added to the bottom of the list.

The child whose name is now at the top of the list has been waiting to receive a heart for 18 months. The child now in the second slot has been waiting for just three weeks. She is in serious but stable condition.

Meanwhile, another child comes to your attention. He is the same age as the child on the top of the list, but he is in critical condition. He needs a transplant within the next month in order to survive.

What do you do about this last child?