Sudden Death: Intervention Skills for the Emergency Services

Foreword
Acknowledgement
Contents
1: Sudden Bereavement: A Wife’s Perspective
	1.1	 Reflection
	Reference
2: Sudden Death: A Pre-hospital Perspective
	2.1	 Introduction
	2.2	 Family-Witnessed Resuscitation
	2.3	 Breaking Bad News
	2.4	 Preparing the Body
	2.5	 Staff Welfare
	2.6	 Conclusion
	References
3: Sudden Death: A Road Policing Perspective
	3.1	 Introduction
	3.2	 The Collision Investigation Team
	3.3	 The Role of the Family Liaison Officer
	3.4	 Other Agencies
	3.5	 Victim Care and Advice Service
	3.6	 Brake the Road Safety Charity
	3.7	 Training
	3.8	 Equipment Contained in a Vehicle
	3.9	 Actions Taken at the Scene
	3.10	 Major Incidents
	3.11	 Her Majesty’s Coroner
	3.12	 Informing Families of Their Loss
	3.13	 Coping with the Sudden Road Death Event
	3.14	 The Human Factor
	3.15	 Welfare and Support Services
	3.16	 Conclusion
	References
4: Sudden Death: A Fire and Rescue Perspective
	4.1	 Statistics
	4.2	 Introduction
	4.3	 Recalling Sudden Death Incidents
	4.4	 Working Conditions
	4.5	 Causes, Presentation and Unusual Deaths
	4.6	 The Hardest Deaths to Handle
	4.7	 Various Ways that People Die
	4.8	 Retrieving Dead Bodies from the Scene
	4.9	 Supporting Struggling Colleagues
	4.10	 Conclusion
	References
5: Sudden Death: An Emergency Medicine Perspective
	5.1	 Introduction
	5.2	 Patient Scenario A
	5.3	 Patient Scenario B
	5.4	 Patient Scenario C
	5.5	 Patient Scenario D
	5.6	 Patient Scenario E
	5.7	 Patient Scenario F
	5.8	 Patient Scenario G
	5.9	 Conclusion
	References
6: Sudden Death: An Emergency Nurse Perspective
	6.1	 Introduction
	6.2	 Anticipation of Death
	6.3	 Death Declaration
	6.4	 Identification
	6.5	 Preparing the Body
	6.6	 Property
	6.7	 Death Pause
	6.8	 Transportation
	6.9	 Relatives’ Reactions
	6.10	 Support to Family/Significant Others
	6.11	 Sensitive Conversations
	6.12	 Supporting Colleagues
	6.13	 Reviewing the Events of the Day
	6.14	 Conclusion
	References
7: Sudden Death: A Hospital Chaplaincy Perspective
	7.1	 Introduction
	7.2	 Reflections on Spiritual and Pastoral Care
	7.3	 Islamic Spiritual Support
	7.4	 Humanist Spiritual Support
	7.5	 Buddhist Spiritual Support
	7.6	 Catholic Spiritual Support
	7.7	 Judaism Spiritual Support
	7.8	 Hindu Spiritual Support
	7.9	 Sikh Spiritual Support
	7.10	 Conclusion
	References
8: Sudden Death: A Military Perspective
	8.1	 Introduction
	8.2	 First Encounter
	8.3	 The Aftermath
	8.4	 Reflection
	8.5	 Paediatric Care
	8.6	 Reflection
	8.7	 Distraction Therapy
	8.8	 Reflection
	8.9	 Dealing with the Aftermath
	References
9: Sudden Death: A Humanitarian Disaster Worker Perspective
	9.1	 Introduction
	9.2	 Respect for Local Culture and Religion
	9.3	 Medico-Legal Implications
	9.4	 Breaking Bad News
	9.5	 Managing Property
	9.6	 Cultural Competence
	9.7	 Last Offices
	9.8	 Personal Reactions
	9.9	 Denial
	9.10	 Anger
	9.11	 Bargaining
	9.12	 Depression
	9.13	 Acceptance
	9.14	 Care and Support of the Team
	References
10: Sudden Death: A Disaster Mortuary Response—Practitioner Perspective
	10.1	 Introduction
	10.2	 Timescale of an Event and the Use of Normal Facilities
		10.2.1	 The Potters Bar Rail Crash
	10.3	 Overwhelming of Normal Facilities
		10.3.1	 The London Bombings
	10.4	 Adapting an Existing Facility
		10.4.1	 The Tunisian Shootings
	References
11: Sudden Death: An Organ and Tissue Retrieval Practitioner Perspective
	11.1	 Background to Organ Donation in the UK
	11.2	 Donation in the United Kingdom
	11.3	 Donation After Brainstem Death
	11.4	 Donation after Circulatory Death
	11.5	 UK Legislative Framework and Consent/Authorisation to Organ Donation
	11.6	 The Donation Process
	11.7	 Organ Donation: A Reflective Account
	11.8	 Support for the Organ Donation Professional
	References
12: Sudden Death: A Funeral Service Perspective
	12.1	 Introduction
	12.2	 Reconstruction
	12.3	 Focusing on the Skull and Facial Skull
	12.4	 How Do I Know I Have Done My Job Well?
	12.5	 Funeral Arranging with the Families
13: Sudden Death: A Multidisciplinary Emergency Service Perspective
	13.1	 Introduction
	13.2	 Human Tragedy
	13.3	 Anticipatory Fear
	13.4	 Supporting Relatives and Colleagues
	13.5	 Sudden Death Processing
	13.6	 Viewing the Body
	13.7	 Medico-legal
	13.8	 Objectifying the Death
	13.9	 Educational Focus
	13.10	 Conclusion
	References