Portal de Periódicos da CAPES

Death of a Child in the Emergency Department

2014; Elsevier BV; Volume: 40; Issue: 4 Linguagem: Inglês

10.1016/j.jen.2014.05.003

1527-2966

Patricia J. O’Malley, Isabel A. Barata, Sally K. Snow, Joan E. Shook, Alice D. Ackerman, Thomas H. Chun, Gregory P. Conners, Nanette C. Dudley, Susan Fuchs, Marc H. Gorelick, Natalie Lane, Brian R. Moore, Joseph L. Wright, Lee S. Benjamin, Isabel A. Barata, Kiyetta Alade, Joseph Arms, Jahn T. Avarello, Steve Baldwin, Kathleen Brown, Richard M. Cantor, Ariel Cohen, Ann 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, Sally K. Snow, Michael Vicioso, Shari A. Herrin, Jason Nagle, Sue M. Cadwell, Robin Goodman, Mindi Johnson, Warren D. Frankenberger, Anne M. Renaker, Flora S. Tomoyasu,

Palliative Care and End-of-Life Issues

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.