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Emergency physicians' experience with pediatric death

W R Ahrens1, R G Hart

  • 1Department of Emergency Medicine, University of Illinois at Chicago, USA.

The American Journal of Emergency Medicine
|December 31, 1997
PubMed
Summary
This summary is machine-generated.

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Pediatric death is extremely difficult for emergency physicians, especially communicating with grieving families. Most physicians lack training and desire courses to improve managing these challenging situations.

Area of Science:

  • Emergency Medicine
  • Pediatric Critical Care
  • Physician Education

Background:

  • Managing pediatric death and communicating with survivors presents significant challenges for emergency physicians.
  • The emotional and psychological impact on physicians after pediatric deaths is substantial.

Purpose of the Study:

  • To assess emergency physicians' attitudes and experiences regarding pediatric death in the emergency department (ED).
  • To identify knowledge gaps and training needs related to managing pediatric deaths and communicating with families.

Main Methods:

  • A survey was administered to 122 general emergency physicians at a written board review course.
  • The survey assessed physicians' attitudes, difficulties, and training related to pediatric death and family communication.

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Main Results:

  • 66% of physicians found communicating with families of deceased children the most difficult aspect of emergency medicine.
  • 64% reported guilt or inadequacy after unsuccessful pediatric resuscitation, with 47% feeling impaired afterward.
  • Awareness of guidelines (8%) and training (14%) in death notification were very low.

Conclusions:

  • Emergency physicians face profound difficulties managing pediatric death and communicating with bereaved families.
  • There is a significant need for targeted training and educational courses to support physicians in these critical situations.
  • Improving physician preparedness can enhance care for families experiencing pediatric loss in the ED.