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When time is limited in obtaining a pediatric history, providers can remember the
acronym “SAMPLE,” to briefly obtain key elements ( Table 7.8 ). Other important
information may include medications available in the home, travel history,
immunizations, social history and stressors, suicide risk, substance abuse, and sexual
assault.
FAMILY PRESENCE
Family presence (FP) during resuscitation has become an increasingly common
practice and is endorsed by the American Academy of Pediatrics (AAP), the
American College of Emergency Physicians (ACEP), and the Emergency Nurses’
Association (ENA). Family members who were at the side of a loved one during the
final moments of life believe that their presence was beneficial to the patient and to
themselves, and was helpful in their adjustment and grieving process. FP also
promotes good communication with the clinician team. It allows parents to comfort
and support their child, helping children to be more cooperative so that the evaluation
and treatments go more smoothly. Studies have also shown that in the overwhelming
majority of cases, FP is not disruptive to care, and does not create stress among staff
or negatively affect their performance. The AAP recommends that all EDs have a
policy and procedure in place to support this practice.