Pediatrics. 2014 Jul;134(1):e313-30. doi: 10.1542/peds.2014-1246.
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.
急诊科儿童死亡是急诊科临床医生面临的最具挑战性问题之一。本修订技术报告和配套政策声明重申了以患者和家庭为中心的护理原则。本文考察了有关家属在场、复苏终止、急诊科临床医生的丧亲责任、支持儿童死亡审查工作以及在 ED 中照顾死亡儿童、家庭和工作人员时所涉及的其他问题。本文提供了一些附录，内容涉及 ED 中的丧亲活动、在提供同情关怀的同时履行法医责任、在急性环境中宣布儿童死亡的消息、在终止复苏努力时提供结束仪式以及管理在 ED 中接近死亡的终末期患儿。
