{"id":5646,"date":"2024-01-28T23:20:58","date_gmt":"2024-01-28T23:20:58","guid":{"rendered":"https:\/\/paeder.com\/24-01-parental-role-in-an-emergency"},"modified":"2024-09-29T14:32:32","modified_gmt":"2024-09-29T14:32:32","slug":"24-01-parental-role-in-an-emergency","status":"publish","type":"post","link":"https:\/\/paeder.com\/en\/24-01-parental-role-in-an-emergency","title":{"rendered":"24-01 Parental role in an emergency"},"content":{"rendered":"<div class='flex_column av-jkmf2w-4f3d62dded8a5ebc5e601cd786a17c5d av_one_fifth  avia-builder-el-0  el_before_av_three_fifth  avia-builder-el-first  first flex_column_div '     ><\/div>\n<div class='flex_column av-hks988-99201ae17644560abe8ef8422b539cd0 av_three_fifth  avia-builder-el-1  el_after_av_one_fifth  el_before_av_one_fifth  flex_column_div '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" 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srcset=\"https:\/\/paeder.com\/wp-content\/uploads\/2024\/01\/Header-Elternrolle-1920-x-761.jpg 1920w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/01\/Header-Elternrolle-1920-x-761-300x119.jpg 300w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/01\/Header-Elternrolle-1920-x-761-1030x408.jpg 1030w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/01\/Header-Elternrolle-1920-x-761-768x304.jpg 768w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/01\/Header-Elternrolle-1920-x-761-1536x609.jpg 1536w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/01\/Header-Elternrolle-1920-x-761-1500x595.jpg 1500w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/01\/Header-Elternrolle-1920-x-761-705x279.jpg 705w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/01\/Header-Elternrolle-1920-x-761-450x178.jpg 450w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/01\/Header-Elternrolle-1920-x-761-600x238.jpg 600w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-fchb5k-d198b2fd3e9dc0fb19a72bbf34003df2\">\n#top .hr.hr-invisible.av-fchb5k-d198b2fd3e9dc0fb19a72bbf34003df2{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-fchb5k-d198b2fd3e9dc0fb19a72bbf34003df2 hr-invisible  avia-builder-el-3  el_after_av_image  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-lry3tk2z-f9041300daa6ea4d2d81da5cc2f292a8'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p style=\"text-align: right;\">January 28, 2024<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lry48vcp-16b5e49d746a0316a39114a9285b9b58\">\n#top .av-special-heading.av-lry48vcp-16b5e49d746a0316a39114a9285b9b58{\npadding-bottom:10px;\ncolor:#fc0001;\n}\nbody .av-special-heading.av-lry48vcp-16b5e49d746a0316a39114a9285b9b58 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-lry48vcp-16b5e49d746a0316a39114a9285b9b58 .special-heading-inner-border{\nborder-color:#fc0001;\n}\n.av-special-heading.av-lry48vcp-16b5e49d746a0316a39114a9285b9b58 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-lry48vcp-16b5e49d746a0316a39114a9285b9b58 av-special-heading-h2 custom-color-heading  avia-builder-el-5  el_after_av_textblock  el_before_av_hr '><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >The role of parents in emergency care<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ds6zmg-4f24f0212ae683de30dead7827939961\">\n#top .hr.hr-invisible.av-ds6zmg-4f24f0212ae683de30dead7827939961{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-ds6zmg-4f24f0212ae683de30dead7827939961 hr-invisible  avia-builder-el-6  el_after_av_heading  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-lry4hhkh-7945f9842d45bd68decabdc039214514'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Whenever possible, parents should be allowed to be present during their children&#8217;s treatment. On the one hand, they are usually well informed about the children&#8217;s previous medical conditions, can give precise details of the children&#8217;s weight and are the only way to take a medical history. They know the child&#8217;s individual normal behavioral pattern and thus recognize deviations that we as strangers cannot even perceive!<\/strong><\/p>\n<p class=\"EndNoteBibliography\"><span style=\"color: #333333;\"><strong> <\/strong><\/span><\/p>\n<p><span style=\"color: #c00d0d;\"><strong>If parents report that something is wrong with their child, this must be taken very seriously! This is often the first and so far only indication of a dramatically developing situation (e.g. sepsis).<\/strong><\/span>  Another aspect of the parents&#8217; presence is the psychological consequences after dramatic events or even the loss of a child. This is because it has been repeatedly demonstrated that significant psychopathologies occur significantly less frequently if they were at least partially present during emergency care. The resuscitation guidelines therefore also recommend allowing parents to be present during treatment as long as this does not restrict the quality of medical <sup>care1<\/sup>.  <\/p>\n<h3 class=\"EndNoteBibliography\"><span style=\"color: #333333;\"><strong>Child abuse and neglect<\/strong><\/span><\/h3>\n<p>  However, another terrible aspect should not be overlooked: sometimes the parents are also part of or the cause of the illness or injury in question. Children are victims of violence or neglect to an underestimated extent. The last incidence rate recorded in Germany was 10 &#8211; 15 %, although a high number of unreported cases must be assumed. Up to a quarter of all head injuries in children under the age of 2 are inflicted by <sup>people2<\/sup>. Recognizing abuse is particularly important because violence and abuse are usually not isolated incidents, but are regularly repeated and escalate! Sensitivity in this regard is therefore also required in the rescue service.  <\/p>\n<h3 class=\"EndNoteBibliography\"><strong>No general suspicion  <\/strong><\/h3>\n<p>  This does not mean that parents should be placed under general suspicion or that the focus of care should be on forensic aspects. Nevertheless, attentive observation and recording of all accompanying circumstances alone can create the opportunity to free the child from its spiral of violence in a process following medical care and led by the family court (for further literature on the legal basis and suitable procedures, see the article in the Deutsches <sup>\u00c4rzteblatt3<\/sup>).  <\/p>\n<h3 class=\"EndNoteBibliography\"><strong>Security in seconds  <\/strong><\/h3>\n<p>  If the parents are not present in an emergency and cannot provide the child&#8217;s weight, the pediatric emergency ruler (PedNFL) helps with length-based weight estimation &#8211; scientifically recognized as the best method. The standard weight determined in this way is crucial for the correct dosage of emergency medication. The dosage recommendations and other information, e.g. on suitable equipment and standard values for pediatric emergencies, can be read directly from the PedNFL. It is the only medical aid in the world that has been proven to prevent 9 out of 10 incorrect doses4<sup>,5<\/sup>. It is therefore expressly recommended in the S2k guideline &#8220;Medication safety in pediatric emergencies &#8220;<sup>6<\/sup>.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-cxuyco-e77bed356107031432ba0740af1c4c26\">\n#top .hr.hr-invisible.av-cxuyco-e77bed356107031432ba0740af1c4c26{\nheight:40px;\n}\n<\/style>\n<div  class='hr av-cxuyco-e77bed356107031432ba0740af1c4c26 hr-invisible  avia-builder-el-8  el_after_av_textblock  el_before_av_button '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<div  class='avia-button-wrap av-ax3s88-6a7482c1eb15609a6e1e849259c72777-wrap avia-button-center  avia-builder-el-9  el_after_av_hr  el_before_av_hr ' >\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ax3s88-6a7482c1eb15609a6e1e849259c72777\">\n#top #wrap_all .avia-button.av-ax3s88-6a7482c1eb15609a6e1e849259c72777{\nfont-size:20px;\nbackground-color:#ffcd00;\nborder-color:#ffcd00;\ncolor:#444444;\n-webkit-transition:all 0.4s ease-in-out;\n-moz-transition:all 0.4s ease-in-out;\n-ms-transition:all 0.4s ease-in-out;\n-o-transition:all 0.4s ease-in-out;\ntransition:all 0.4s ease-in-out;\n}\n<\/style>\n<a href='https:\/\/paeder.com\/shop'  class='avia-button av-ax3s88-6a7482c1eb15609a6e1e849259c72777 avia-icon_select-yes-left-icon avia-size-large avia-position-center' ><span class='avia_button_icon avia_button_icon_left' aria-hidden='true' data-av_icon='\ue859' data-av_iconfont='entypo-fontello'><\/span><span class='avia_iconbox_title' >Order the P\u00e4dNFL\/P\u00e4dOP here<\/span><\/a><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8qnhug-82d7a71db52dae316e68e9bc3b838883\">\n#top .hr.hr-invisible.av-8qnhug-82d7a71db52dae316e68e9bc3b838883{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-8qnhug-82d7a71db52dae316e68e9bc3b838883 hr-invisible  avia-builder-el-10  el_after_av_button  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-lry4jief-02eed503c453267148cec7a302dd39f3'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p class=\"EndNoteBibliography\"><strong>Literature:<\/strong><\/p>\n<ol>\n<li>Van de Voorde P, Turner NM, Djakow J et al. European Resuscitation Council Guidelines 2021: Paediatric Life Support. Resuscitation 2021; 161: 327-387, DOI: 10.1016\/j.resuscitation.2021.02.015.<\/li>\n<li>Duhaime AC, Christian CW, Rorke LB et al. Nonaccidental head injury in infants&#8211;the &#8220;shaken-baby syndrome&#8221;. N Engl J Med 1998; 338: 1822-1829,<\/li>\n<li>Jacobi G, Dettmeyer R, Banaschak S et al. Abuse and neglect of children &#8211; diagnosis and procedure. Dtsch Arztebl Int 2010; 107: 231-239, DOI: 10.3238\/arztebl.2010.0231<\/li>\n<li>Kaufmann et al. Development and Prospective Federal State-Wide Evaluation of a Device for Height-Based Dose Recommendations in Prehospital Pediatric Emergencies: A Simple Tool to Prevent Most Severe Drug Errors. Prehosp Emerg Care 2018; 22: 252-259.<\/li>\n<li>Kaufmann et al. Improving Pediatric Drug Safety in Prehospital Emergency Care-10 Years on. J Patient Saf 2021; 17: e1241-e1246.<\/li>\n<li>Kaufmann et al. S2k guideline 027\/071: &#8220;Drug safety in pediatric emergencies&#8221;. org 2021<\/li>\n<\/ol>\n<\/div><\/section><br \/>\n<div  class='av-social-sharing-box av-ou3zs-eee9cbf305bce92bc959cad687b6639f av-social-sharing-box-default  avia-builder-el-12  el_after_av_textblock  el_before_av_hr  av-social-sharing-box-fullwidth'><div class=\"av-share-box\"><h5 class='av-share-link-description av-no-toc '>Share post<\/h5><ul class=\"av-share-box-list noLightbox\"><li class='av-share-link av-social-link-facebook' ><a target=\"_blank\" aria-label=\"Share on Facebook\" href='https:\/\/www.facebook.com\/sharer.php?u=https:\/\/paeder.com\/en\/24-01-parental-role-in-an-emergency&#038;t=24-01%20Parental%20role%20in%20an%20emergency' aria-hidden='false' data-av_icon='\ue8f3' data-av_iconfont='entypo-fontello' title='' data-avia-related-tooltip='Share on Facebook' rel=\"noopener\"><span class='avia_hidden_link_text'>Share on Facebook<\/span><\/a><\/li><li class='av-share-link 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