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Perceptions by Families of Emergency Medical Service Interventions During Imminent Pediatric Out-of-Hospital Death

机译：紧急医疗服务干预措施在迫在眉睫的儿科医院死亡中的感知

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Objective: To understand how family members view the ways Emergency Medical Services (EMS) and other first responders interact with distressed family members during an intervention involving a recent or impending pediatric death. Methods: In depth interviews with 11 grieving parents of young children and survey results from 4 additional grieving parents of adult children were conducted as part of a larger study on effective ways for EMS providers to interact with distressed family members during a pediatric death in the field. The responses were analyzed using qualitative content analyses. Results: Family reactions to the crisis and the professional response by first responders were critical to family coping and getting necessary support. There were several critical competencies identified to help the family cope including: (1) that first responders provide excellent and expeditious care with seamless coordination, (2) allowing family to witness the resuscitation including the attempts to save the child's life, and (3) providing ongoing communication. Whether the child is removed from the scene or not, keeping the family apprised of what is happening and why is critical. Giving tangible forms of support by calling friends, family, and clergy, along with allowing the family time with the child after death, giving emotional support, and follow-up gestures all help families cope. Conclusion: The study generated hypothetical ways for first responders to interact with distressed family members during an OOH pediatric death.
机译：目标：了解家庭成员如何看待紧急医疗服务（EMS）和其他第一响应者在涉及最近或即将发生的儿科死亡的干预期间与困境的家庭成员互动。方法：在深入访谈中，11名悲伤父母的幼儿父母，4次识别成人儿童父母的调查结果是对EMS提供商在田野儿科死亡期间与困境的家庭成员互动的有效方法的一部分，进行了一部分。 。使用定性含量分析分析响应。结果：对危机的家庭反应和第一响应者的专业反应对家庭应对并获得必要的支持至关重要。有几种批判性能力来帮助家庭应对：（1）第一次响应者提供无缝协调的优秀和迅速的护理，（2）允许家人见证复苏，包括拯救孩子生命的企图，（3）提供持续的沟通。如果孩子是从场景中删除的，保持家人是否知道正在发生的事情以及为什么至关重要。通过致电朋友，家人和神职人员提供有形形式的支持，以及在死后允许家庭时间与孩子一起，提供情绪支持，以及随访的手势所有帮助家庭应对。结论：研究生成了第一个响应者在奥霍儿科死亡期间与痛苦的家庭成员互动的假设方式。

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