Death of a child in the emergency department

Patricia O'Malley, Isabel Barata, Sally Snow, Joan E. Shook, Alice D. Ackerman, Thomas H. Chun, Gregory P. Conners, Nanette C. Dudley, Susan M. Fuchs, Marc H. Gorelick, Natalie E. Lane, Brian R. Moore, Joseph L. Wright, Lee S. Benjamin, Kiyetta Alade, Joseph Arms, Jahn T. Avarello, Steven Baldwin, Kathleen Brown, Richard M. CantorAriel Cohen, Ann Marie Dietrich, Paul J. Eakin, Marianne Gausche-Hill, Michael Gerardi, Charles J. Graham, Doug K. Holtzman, Jeffrey Hom, Paul Ishimine, Hasmig Jinivizian, Madeline Joseph, Sanjay Mehta, Aderonke Ojo, Audrey Z. Paul, Denis R. Pauze, Nadia M. Pearson, Brett Rosen, W. Scott Russell, Mohsen Saidinejad, Harold A. Sloas, Gerald R. Schwartz, Orel Swenson, Jonathan H. Valente, Muhammad Waseem, Paula J. Whiteman, Dale Woolridge, Michael Vicioso, Shari A. Herrin, Jason T. Nagle, Sue M. Cadwell, Robin L. Goodman, Mindi L. Johnson, Warren D. Frankenberger, Anne M. Renaker, Flora S. Tomoyasu

Research output: Contribution to journalReview article

13 Scopus citations

Abstract

The death of a child in the emergency department (ED) is one of the most challenging problems facing ED clinicians. This revised technical report and accompanying policy statement reaffirm principles of patient- and family-centered care. Recent literature is examined regarding family presence, termination of resuscitation, bereavement responsibilities of ED clinicians, support of child fatality review efforts, and other issues inherent in caring for the patient, family, and staff when a child dies in the ED. Appendices are provided that offer an approach to bereavement activities in the ED, carrying out forensic responsibilities while providing compassionate care, communicating the news of the death of a child in the acute setting, providing a closing ritual at the time of terminating resuscitation efforts, and managing the child with a terminal condition who presents near death in the ED.

Original languageEnglish (US)
Pages (from-to)e313-e330
JournalPediatrics
Volume134
Issue number1
DOIs
StatePublished - Jul 2014
Externally publishedYes

Keywords

  • Death of a child
  • Emergency department

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    O'Malley, P., Barata, I., Snow, S., Shook, J. E., Ackerman, A. D., Chun, T. H., Conners, G. P., Dudley, N. C., Fuchs, S. M., Gorelick, M. H., Lane, N. E., Moore, B. R., Wright, J. L., Benjamin, L. S., Alade, K., Arms, J., Avarello, J. T., Baldwin, S., Brown, K., ... Tomoyasu, F. S. (2014). Death of a child in the emergency department. Pediatrics, 134(1), e313-e330. https://doi.org/10.1542/peds.2014-1246