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Managing paediatric death in the emergency department
Matthew O'Meara1,2, Susan Trethewie1
1Pain and Palliative Care, Sydney Children's Hospital, Sydney, New South Wales, Australia.
Insights
Child death in the emergency department is rare but impactful. Reviewing management processes and interprofessional collaboration can improve care for families and staff.
Area of Science:
- Pediatrics
- Emergency Medicine
- Clinical Management
Background:
- Child death in emergency departments (EDs) is infrequent but profoundly affects families and healthcare providers.
- Limited opportunities for ED clinicians to develop expertise in managing pediatric critical events due to rarity.
Purpose of the Study:
- To identify key aspects of care for emergency department clinicians to consider when reviewing local procedures and guidelines for pediatric deaths.
- To explore management issues and challenges faced by EDs during pediatric critical events.
Main Methods:
- Exploration of main management issues and challenges in the emergency department setting.
- Identification of key care aspects through review of existing knowledge and experience.
Main Results:
- Rarity of pediatric deaths leads to a lack of perceived expertise among ED clinicians.
- Existing knowledge and experience can be enhanced through collaboration with other health professionals.
- Specific care aspects requiring attention in ED pediatric death management have been identified.
Conclusions:
- Emergency departments should review and enhance procedures for managing pediatric deaths.
- Interprofessional collaboration is crucial for augmenting clinician knowledge and improving care.
- Focusing on identified key aspects of care can optimize the response to pediatric critical events.
Abstract:
Death of a child in an emergency department is a rare occurrence, but one with significant impact on the family and staff involved. The rarity means few emergency department clinicians feel 'expert' in the overall management process. However, most have some knowledge and experience which can be augmented by collaborating with other health professionals. By exploring some of the main management issues and challenges for the emergency department, key aspects of care are identified for emergency department clinicians to consider in reviewing local procedures and guidelines.
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