Annals of Emergency Medicine
Volume 53, Issue 6 , Pages 777-784.e3 , June 2009

The Effect of Family Presence on the Efficiency of Pediatric Trauma Resuscitations

Presented at the Pediatric Academic Societies' 2007 annual meeting, May 2007, Toronto, Ontario, Canada.

  • Nanette C. Dudley, MD

      Affiliations

    • Department of Pediatrics, Division of Pediatric Emergency Medicine, University of Utah School of Medicine, Salt Lake City, UT
    • Corresponding Author InformationAddress for correspondence: Nanette C. Dudley, MD, PO Box 581289, Salt Lake City, UT 84158; 801-587-7540, fax 801-587-7455
    • ,
  • Kristine W. Hansen, RN, BS

      Affiliations

    • Trauma Services, Primary Children's Medical Center, Salt Lake City, UT
    • ,
  • Ronald A. Furnival, MD

      Affiliations

    • Department of Pediatrics and Emergency Medicine, University of Minnesota, Minneapolis, MN
    • ,
  • Amy E. Donaldson, MS

      Affiliations

    • Division of Critical Care Medicine, University of Utah School of Medicine, Salt Lake City, UT
    • ,
  • Kaye Lynn Van Wagenen, FNP

      Affiliations

    • Emergency Department, Jordan Valley Hospital, Salt Lake City, UT
    • ,
  • Eric R. Scaife, MD

      Affiliations

    • Department of Surgery, Division of Pediatric Surgery, University of Utah School of Medicine, Salt Lake City, UT

Received 29 March 2008 ,Revised 19 September 2008 ,Accepted 1 October 2008.

References 

  1. Doyle CJ, Post H, Burney RE, et al. Family participation during resuscitation: an option. Ann Emerg Med. 1987;16:673–675
  2. Farah MM, Thomas CA, Shaw KN. Evidence-based guidelines for family presence in the resuscitation room. Pediatr Emerg Care. 2007;23:587–591
  3. Meyers TA, Eichorn DJ, Guzzetta CE, et al. Family presence during invasive procedures and resuscitation. Am J Nurs. 2000;100:32–43
  4. Powers KS, Rubenstein JS. Family presence during invasive procedures in the pediatric intensive care unit. Arch Pediatr Adolesc Med. 1999;153:955–958
  5. Boie ET, Moore GP, Brummett C, et al. Do parents want to be present during invasive procedures performed on their children in the emergency department? (a survey of 400 parents). Ann Emerg Med. 1999;34:70–74
  6. Sacchetti A, Lichenstein R, Carraccio CA, et al. Family member presence during pediatric emergency department procedures. Pediatr Emerg Care. 1996;12:268–271
  7. Mangurten J, Scott S, Guzzetta C, et al. Effects of family presence during resuscitation and invasive procedures in a pediatric emergency department. J Emerg Nurs. 2006;32:225–233
  8. Emergency Nurses Association. Presenting the option for family presence (1995 and 2001). The ENA position statement, Family Presence at the bedside during invasive procedures and/or resuscitation (2005). The Emergency Nurses Association, 915 Lee Street, Des Plaines, IL, 60016. Available at: http://www.ena.org/about/position/PDFs/5F118F5052C2479C848012F5BCF87F7C. Accessed August 12, 2008.
  9. American College of Emergency Physicians. Patient- and family-centered care and the role of the emergency physician providing care to a child in the emergency department. Available at: http://www.acep.org/practices.aspx?id=29598. Accessed August 12, 2008.
  10. American Academy of Pediatrics. Patient- and family-centered care and the role of the emergency physician providing care to a child in the emergency department. Available at: http://www.aappublications.org/cgi/content/full/pediatrics;/118/5/2242. Accessed October 31, 2008.
  11. National Association of EMTs. Guidelines for providing family-centered prehospital care (2001). Available at: http://www.naemt.org. Accessed August 12, 2008.
  12. American Heart Association. 2005 AHA guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2005;112(24 suppl):1–211http://www.circulationaha.orgIV-Accessed August 12, 2008
  13. AAP Committee on Pediatric Emergency MedicineACEP Pediatric Emergency Medicine Committee. Patient- and family-centered care and the role of the emergency physician providing care in the emergency department. Pediatrics. 2006;118:2242–2244
  14. Helmer SD, Smith RS, Dort JM, et al. Family presence during trauma resuscitation: a survey of AAST and ENA members. J Trauma. 2000;48:1015–1020
  15. Barratt F, Wallis DN. Relatives in the resuscitation room: their point of view. J Accid Emerg Med. 1998;15:109–111
  16. Utah Trauma Registry. Utah Trauma Registry Data Dictionary, Utah Trauma Registry Web site. Available at: http://www.utahtrauma.org/publicResources/utahTraumaDataDictionary.html. Accessed August 12, 2008.
  17. Vernon DD, Furnival RA, Hansen KW, et al. Effect of a pediatric trauma response team on emergency department treatment time and mortality of pediatric trauma victims. Pediatrics. 1999;103:20–24
  18. Grist EPM, Leung KMY, Wheeler JR, et al. Better bootstrap estimation of hazardous concentration thresholds for aquatic assemblages. Environ Toxicol Chem. 2002;21:1515–1524
  19. O'Connell KJ, Farah MM, Spandorfer P, et al. Family presence during pediatric trauma team activation: an assessment of a structured program. Pediatrics. 2007;120:e565–e574
  20. Bauchner H, Vinci R, Bak S, et al. Parents and procedures: a randomized controlled trial. Pediatrics. 1996;98:861–867
  21. Sacchetti A, Paston C, Carraccio C. Family members do not disrupt care when present during invasive procedures. Acad Emerg Med. 2005;12:477–479
  22. O'Malley PJ, Brown K, Krug SE AAP Committee on Pediatric Emergency Medicine. Patient- and family-centered care of children in the emergency department. Pediatrics. 2008;122:e511–e521

 Provide feedback on this article at the journal's Web site, www.annemergmed.com.

 Supervising editors: Michael W. Shannon, MD; Steven M. Green, MD

 Author contributions: NCD conceived the study. KLVW provided her knowledge of family presence and the literature to the creation of the family presence program. NCD, KWH, RAF, and ERS solicited the cooperation of staff and the hospital in this endeavor. NCD, KWH, and RAF designed the trial. NCD obtained research funding. KLVW created the education program for staff and educated family support persons and staff about family presence. NCD, KWH, and ERS supervised the conduct of the trial and data collection. KWH managed the data and provided quality control for the trauma registry. RAF provided statistical advice and provided his knowledge of trauma scoring systems to the analysis and article. NCD and AED analyzed the data. AED reviewed the data analysis and performed the regression analysis. NCD drafted the article, and all authors contributed substantially to its revision. NCD takes responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. Supported by a grant from the Primary Children's Medical Center Foundation.

 Reprints not available from the authors.

 Publication date: Available online November 14, 2008.

PII: S0196-0644(08)01854-4

doi: 10.1016/j.annemergmed.2008.10.002

Annals of Emergency Medicine
Volume 53, Issue 6 , Pages 777-784.e3 , June 2009

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