I provide medical direction for several EMS agencies in South Florida and have always advised my medics to transport ALL pediatric patients to the most appropriate facility to allow the ED Team to make the appropriate determination.
With transport times of less than 10 minutes and the added anxiety of pediatric arrest I never considered another alternative. Recently, however, the Florida Dept. of Health provided EMS agencies with training on Sudden unexpected infant death (SUID) and they focused heavily on determination of death in the field in order to conduct an more informed investigation.
This presentation made me think about all the information we lose when an obviously dead child is removed from the home, requiring the investigators to piece the story together. So perhaps, in the near future, I will consider changing my expectation for the departments that I manage.
Click on this link to view the Florida DOH powerpoint and focus on slides 35-43 for information on determination of death in the field for pediatric patients.
Hope that helps.
Peter Antevy MD
Pediatric Emergency Department
Joe DiMaggio Children's Hospital
(954) 707-2692 Cell
(954) 617-8810 Office
(954) 653-3792 Fax
On Feb 17, 2014, at 3:23 PM, Rishi Bhargava wrote:
> I realize that there is going to be great variation from county to county, state by state, but do any of you have experience with determination of death in the field with pediatric patients.
> Rishi Bhargava, MD
> Long Beach Memorial Medical Center
> Miller Children's Hospital
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For more information, send mail to [log in to unmask] with the message: info PED-EM-L
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