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Witnessed Paeds Resus - your views

Tony Joseph tjoseph at ihug.com.au
Sun Apr 23 23:30:15 BST 2006


I also agree with Bob Waddell's wisdom
It is interesting that evidence based practice is also in synch with commmon
sense.
Regards
Tony Joseph
Sydney


On 24/4/06 1:30 AM, "MM" <mmackinnon at cox.net> wrote:

> Well said bob
> 
>  
> 
> I find it interesting that some of the group who vehemently advocate
> evidence based practice all the sudden throw out the evidence when it dosent
> suit their opinions. The evidence supports family in the resus room.
> 
>  
> 
> You cant have it both ways. Either you agree with evidence based practice or
> you don't.  
> 
>  
> 
> Mike 
> 
> -------Original Message-------
> 
>  
> 
> From: Bob Waddell II
> 
> Date: 04/23/06 04:58:44
> 
> To: Trauma &, Critical Care mailing list
> 
> Subject: Re: Witnessed Paeds Resus - your views
> 
>  
> 
> An interesting discussion with a high probability of no one correct answer.
> 
>   While I agree with the points about the primary response team needing to
> 
> concentrate on the child, I have had the honor to work with (in my opinion)
> 
> great Peds Docs such as Frank Mortorano, Roger Barkin, Joe Wright, and
> others
> 
> who have strong convictions related to caring for the child, but also have
> 
> strong convictions towards the family.  In the 80's Frank was advocating for
> 
> Family presence - long before Family Centered Care be came a significant
> 
> chant.  His contention was that the family healed better if they knew their
> 
> child had been cared for at the highest levels available at the time and
> 
> place.  He went on to teach us, legally, we frequently do better when there
> 
> are witnesses.  Antedotally there is more itigation because of poor
> attitudes
> 
> towards the family and questions being formulated in the lobby than from
> 
> witnesses that see effort and humanity for the healthcare team.
> 
>  
> 
> Especially for the Physicians that feel family presence is a poor idea, can
> 
> you honestly say that if this was your child in crisis, you would openly
> allow
> 
> or voluntarily not follow your child into the care/resc area and stay in the
> 
> lobby/family room?  Even if it were at your hospital?  What good for the
> 
> trained experts MIGHT be good for the other humans we call family soo.  Just
> 
> my thoughts.
> 
>  
> 
> Take care,
> 
>  
> 
> Bob Waddell II
> 
>  
> 
>  
> 
> On Sun, 23 Apr 2006 07:29:36 -0400
> 
>   "Ronald Gross" <Rgross at harthosp.org> wrote:
> 
>> I have to agree with Steve - while I understand that the parents of a
> 
>> sick/injured child want to be with their kids when care is rendered,
> 
>> they have no moire place in the Trauma room than they do in the OR.
> 
>> Staff memebrs caring for sick/injured kids need to be able to dedicate
> 
>> ALL of their energies ALL OF THE TIME to the care of the kid, NOT
> 
>> consoling and informing the parents - many of whom will need extended
> 
>> time to "inform".
> 
>> 
> 
>> I got yer back, too, Steve.
> 
>> 
> 
>> Anyone got mine?
> 
>> 
> 
>>>>> flysurg at aol.com 04/22 5:58 PM >>>
> 
>> This BS rears its ugly head again and again. Family members have no
> 
>> place in trauma resuscitations until all invasive procedures have been
> 
>> completed, if at all. Medical/ peds codes in ICU's are not the same.
> 
>> This is just another lame attempt to nursify the practice of trauma
> 
>> surgery. Fire away!
> 
>> 
> 
>> Steve Smith
> 
>> 
> 
>> -----Original Message-----
> 
>> From: Nick Macartney <nick at macartney.org>
> 
>> To: 'Trauma &amp; Critical Care mailing list' <trauma-list at trauma.org>
> 
>> Sent: Fri, 21 Apr 2006 07:30:55 +0100
> 
>> Subject: RE: Witnessed Paeds Resus - your views
> 
>> 
> 
>> 
> 
>> Spent 2 hours yesterday resuscitating a 7 day old baby - not trauma,
> 
>> but
> 
>> still rather sick. Parents were present all the time. We all made a
> 
>> conscious effort to keep them up to speed. Parents were very sensible,
> 
>> as
> 
>> has always been my experience.
> 
>> Nick Macartney
> 
>> 
> 
>>> -----Original Message-----
> 
>>> From: trauma-list-bounces at trauma.org
> 
>>> [mailto:trauma-list-bounces at trauma.org] On Behalf Of Andrew Davidson
> 
>>> Sent: 20 April 2006 18:21
> 
>>> To: trauma-list at trauma.org
> 
>>> Subject: Witnessed Paeds Resus - your views
> 
>>> 
> 
>>> Dear All
> 
>>> 
> 
>>> Following a recent discussion with some fellow med students
> 
>>> regarding witnessed resuscitation in paediatric trauma/arrest
> 
>>> - I was interested to hear the views of those more qualified
> 
>>> than myself!
> 
>>> 
> 
>>> Bearing in mind the following (non-typical) scenario:
> 
>>> 
> 
>>> Father arrives at ED carrying 6 year old child - involved in
> 
>>> vehicle versus pedestrian MVA. Father transported child to
> 
>>> hospital - no EMS involvement. Nursing staff take child from
> 
>>> father and rush her to resuscitation area and issue a trauma
> 
>>> call. The child is making no respiratory effort, is mutiply
> 
>>> injured and is in cardiac arrest. The frantic father demands
> 
>>> to be present for the resuscitation attempt but is asked to
> 
>>> remain outside - much to his distress.
> 
>>> 
> 
>>> I have read with interest various published materials
> 
>>> regarding witness adult resus - but was interested to hear
> 
>>> your views (and experiences) regarding paeds patients.
> 
>>> 
> 
>>> Andrew
> 
>>> 
> 
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> 
>>> 
> 
>> 
> 
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