A
Here’s a gist in bullet quotes format from the article Child death in the emergency department: experience from a 10-year retrospective review:
Key Findings
-
“Median age at death was 2 years, with the largest proportion in infants <1 year (36%) and adolescents 13–17 years (31%).”
-
“Leading causes of death were sudden unexpected deaths (26%), infections (24%) and acute medical/surgical conditions (16%).”
-
“Infection-related deaths peaked in winter (50%), while sudden unexpected deaths most often occurred between 04:00–07:59.”
-
“Parental presence during resuscitation was high (83%).”
-
“Prior safeguarding concerns were documented in 28% of cases, rising to 100% for inflicted injury or abuse.”
Patterns & Trends
-
“Overall mortality was highest in winter (29%), with peaks in July and December.”
-
“Most deaths occurred between 08:00 and 11:59 (33%).”
-
“Adolescents’ deaths were predominantly due to infection and suicide/self-harm.”
-
“No deaths were documented between 16:00 and 19:59.”
-
“Ninety percent of children had not attended ED in the preceding week.”
Practice & Policy Implications
-
“Child deaths in the ED differ markedly from national mortality data, which are dominated by congenital and neonatal causes.”
-
“Findings support ED-specific bereavement pathways and resource planning during high-risk times (early mornings, winter).”
-
“Parental presence during resuscitation reinforces the need for sensitive, family-centred bereavement care.”
-
“Staff require training and structured support to cope with the unique emotional challenges of paediatric deaths in the ED.”
-
“Larger, multicentre studies are needed to identify modifiable factors and standardise care.”
Would you like me to also make a 1-slide style executive summary (visual bullets + chart suggestion) that you could use for teaching or presentation?
No comments:
Post a Comment