Emergency physicians' responses to families following patient death.
ABSTRACT Responses of emergency physicians when they interact with families after a death and their subsequent contact with survivors were examined. Questionnaires were sent to 138 Oregon emergency physicians and completed by 114 (83%). The number of deaths (mean +/- SD) encountered by emergency physicians was 17 +/- 15 per year. The majority of physicians (76%) usually notified the family in person and spent an average of 15 +/- 11 minutes with the family. Subsequent contact with survivors, such as sending sympathy cards, making follow-up calls, or reporting autopsy results, was relatively infrequent. While 94% of our sample group reported a need for training in this area, less than one half received any training during medical school or residency. We suggest implementation of educational programs for physicians and development of outreach programs for survivors.
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ABSTRACT: Objective: To develop an educational module for health professionals (HPs) addressing the clinical reality of death as an outcome of pediatric resuscitation efforts. Module goals were to: 1) reduce HPs' discomfort with situations involving patient death and survivor grief, 2) assist HPs coping with their own emotions surrounding a patient death, and 3) provide specific strategies useful in clinical management. The module was designed to be presented as part of the American Heart Association (AHA) and the American Academy of Pediatrics (AAP) Pediatric Advanced Life Support (PALS) provider course.Methods: A multidisciplinary team created a module addressing both survivors' and HPs' needs regarding a PALS course “Coping with the Death of a Child” module. The module was presented to 964 PALS course participants. Content was revised after analysis of survey data collected from these participants.Results: The revised module was presented to 601 PALS course participants; evaluations were obtained from 590 participants. On a 4-point Likert scale, ratings were: 79%“excellent,” 18%“good,” 2%“fair,” and <1%“poor.”Conclusion: The PALS course offers an opportunity to target HPs likely to encounter pediatric deaths for special education. While this is a challenging and potentially controversial topic to present to a diverse audience, incorporation of a “Coping with the Death of a Child” module into the PALS provider curriculum appears to be both feasible and useful.Academic Emergency Medicine 02/1998; 5(3):242 - 246. DOI:10.1111/j.1553-2712.1998.tb02620.x · 2.20 Impact Factor
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ABSTRACT: Abstract Introduction. Emergency medical services (EMS) personnel are rarely trained in death notification despite frequently terminating resuscitation in the field. As research continues to validate guidelines for the termination of resuscitation (TOR) and reputable organizations such as NAEMSP lend support to such protocols, death notification in the field will continue to increase. We sought to test the hypothesis that a learning module, GRIEV_ING, which teaches a structured method for death notification, will improve the confidence, competency, and communication skills of EMS personnel in death notification. Methods. The GRIEV_ING didactic session consisted of a 90-minute education session composed of a didactic lecture, small group breakout session, and role-plays. This was both preceded and followed by a 15-minute case role-play using trained standardized survivors. To assess performance we used a pre-post design with 3 quantitative measures: confidence, competency, and, communication. Paramedics from the local EMS agency participated in the education as a part of continuing education. Pre-post differences were measured using a paired t-test and McNemar's test. Results. Thirty EMS personnel consented and participated. Confidence and competency demonstrated statistically significant improvements: confidence (percent change in scores = 11.4%, p < 0.0001) and competency (percent change in scores = 13.9%, p = 0.0001). Communication skill scores were relatively unchanged in pre-post test analysis (percent change in scores = 0.4, p = 0.9). Conclusion. This study demonstrated that educating paramedics to use a structured communication model based on the GRIEV_ING mnemonic improved confidence and competence of EMS personnel delivering death notification. Key words: death; education; emergency medical services; emergency medical technician.Prehospital Emergency Care 06/2013; DOI:10.3109/10903127.2013.804135 · 1.81 Impact Factor
Academic Emergency Medicine 06/2008; 13(4):465 - 466. DOI:10.1197/j.aem.2005.12.002 · 2.20 Impact Factor