Paeds Cases · professional-practice-and-evidence
Responding to a distressed child in the ED — OSCE
OSCE on applying a trauma-informed approach to a distressed child in the ED requiring a procedure, with attention to the SAMHSA framework, procedural adaptation and follow-up.
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Study tools
Target exams
MRCPCH ClinicalRACP DCERCPSC Pediatrics
Prompt
A five-year-old in the ED needs cannulation for intravenous antibiotics; the child is hypervigilant and recoils when staff approach; the family has recently experienced domestic violence; a trained interpreter is available; the child's mother is present and frightened.
Station brief (8–10 minutes)
A five-year-old needs a cannula for antibiotics in the ED. The child is hypervigilant and recoils from staff. The family has recently experienced domestic violence. Apply a trauma-informed approach to the procedure and the encounter. Address the child's distress and arrange appropriate follow-up. Do not invent local statutory wording. [10] [11]
References3ShowHide
- [10]Forkey H Trauma-Informed Care. Pediatrics, 2021.PMID 34312292
- [11]Goddard A Trauma-informed care for the pediatric nurse. Journal of pediatric nursing, 2022.PMID 34798581
- [13]Masten AS Ordinary magic. Resilience processes in development. American psychologist, 2001.PMID 11315249