Dr. Marco is professor of emergency medicine at Wright State University Boonshoft School of Medicine in Dayton, Ohio. Dr. Jesus is assistant professor of emergency medicine at Christiana Care Health System in Newark, Delaware. Dr. Phillips is chief resident in the department of emergency medicine at George Washington University Hospital in Washington, D.C. Dr. Larkin is Lion Foundation professor and chair of emergency medicine at the University of Auckland in New Zealand.
Explore This IssueACEP Now: Vol 34 – No 06 – June 2015
FWR Recommendations for Pediatric Patients16
- Consider FWR as an option for families during pediatric procedures.
- Offer FWR as an option if presence will not affect clinical care.
- If family is not offered the option for FWR, document the reasons.
- Consider the safety of the health care team.
- Develop in-hospital transport and transfer policies and procedures for FWR.
- Health care policies should undergo legal review.
- Educate all health care providers.
- Promote research into best methods for education; effects of FWR on patients, family, and staff; best practices for FWR; and legal issues regarding FWR, among others.
- Doyle CJ, Post H, Burney RE, et al. Family participation during resuscitation: an option. Ann Emerg Med. 1987;16(6):673-675.
- Hanson C, Strawser D. Family presence during cardiopulmonary resuscitation: Foote Hospital emergency department’s nine-year perspective. J Emerg Nurs. 1992;18(2):104-106.
- McClenathan BM, Torrington KG, Uyehara CFT. Family member presence during cardiopulmonary resuscitation: a survey of US and international critical care professionals. Chest. 2002;122(6):2204-2211.
- McMahon-Parkes K, Moule P, Benger J, et al. The views and preferences of resuscitated and non-resuscitated patients towards family-witnessed resuscitation: a qualitative study. Int J Nurs Stud. 2009;46(2):220-229.
- Robinson SM, Mackenzie-Ross S, Campbell Hewson GL, et al. Psychological effect of witnessed resuscitation on bereaved relatives. Lancet. 1998;352(9128):614-617.
- Jabre P, Belpomme V, Azoulay E, et al. Family presence during cardiopulmonary resuscitation. N Engl J Med. 2013;368(11):1008-1018.
- Kramer DB, Mitchell SL. Weighing the benefits and burdens of witnessed resuscitation. N Engl J Med. 2013;368(11):1058-1059.
- Edwards EE, Despotopulos LD, Carroll DL. Changes in provider perceptions of family presence during resuscitation. Clin Nurse Spec. 2013;27(5):239-244.
- Halm MA. Family presence during resuscitation: a critical review of the literature. Am J Crit Care. 2005;14(6):494-511.
- Boudreaux ED, Francis JL, Loyacano T. Family presence during invasive procedures and resuscitations in the emergency department: a critical review and suggestions for future research. Ann Emerg Med. 2002;40(2):193-205.
- Bradley C, Lensky M, Brasel K. Implementation of a family presence during resuscitation protocol #233. J Palliat Med. 2011;14(1):98-99.
- MacLean SL, Guzzetta CE, White C, et al. Family presence during cardiopulmonary resuscitation and invasive procedures: practices of critical care and emergency nurses. J Emerg Nurs. 2003;29:208-221.
- Browning DM, Meyer EC, Truog RD, et al. Difficult conversations in health care: cultivating relational learning to address the hidden curriculum. Acad Med. 2007;82:905-913.
- Meyer EC, Sellers DE, Browning DM, et al. Difficult conversations: improving communication skills and relational abilities in health care. Pediatr Crit Care Med. 2009:10;352-359.
- Meyer EC, Brodksy D, Hansen AR, et al. An interdisciplinary, family-focused approach to relational learning in neonatal intensive care. J Perinatol. 2011;31:212-219.
- Henderson DP, Knapp JF. Report of the National Consensus Conference on Family Presence During Pediatric Cardiopulmonary Resuscitation and Procedures. J Emerg Nurs. 2006;32:23-39.