10 year old died after I performed CPR

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This is my first post after many years of reading allnurses posts written by others. I'll give a brief background on myself... I've been an RN for 11 years, working in both the OR and home health. I never had any interest in critical care nursing as I know how sensitive I am and that I would likely not be able to cope with amount of loss associated with critical care. With that said, I'm having a hard time coming to terms with my grief over a recent incident that occurred outside of work and I'm hoping someone can offer some advice.

Six days ago, I was visiting my cousin and her new baby at their home. We were sitting in her living room, which overlooks her backyard as well as the backyard of her neighbor. Her neighbor has a large inground pool and there were 4 children (teens) playing and swimming around the pool while an older woman sat and watched them. At one point I glanced out the window and noticed that the older woman appeared to be attempting chest compressions on one of the children who was laying on the ground but she obviously didn't know CPR and was frantically screaming for someone to help her. I took off out of my cousins home, jumped over the fence between the two yards and began assessing the young boy. He was not breathing and had no pulse so I immediately began CPR. Between breaths, while doing chest compressions, I attempted to gather information from the woman, who turned out to be the boy's grandmother.

Me: "What happened? Did you call 911?"

Grandmother: "I don't know! He said he couldn't breathe and then just collapsed! Yes I called"

Me: "Any health problems?"

Grandmother: "He had heart surgery when he was born but he's been fine since then!"

Me: "How old is he?"

Grandmother: "10"

And so on... After a couple of minutes of CPR, the boy took a few shallow breathes on his own and I was able to feel a weak pulse. I rolled him onto his side hopeful he would regain consciousness but as soon as I did this, his breathing and pulse stopped. I then resumed CPR until EMTs arrived about 10-15 minutes later. I stayed with the family for about 30 minutes after the ambulance left, attempting to comfort the other children that were present- his 13 year old sister and 13 & 15 year old male cousins. The boy's aunt arrived at the house just before the ambulance left and was also comforting her sons and niece. I left my phone number with the aunt and asked her if she could update me on his condition when she knew more which she promised to do. I then returned to my cousin's home briefly before heading home. Later that evening, I got a call from the boy's aunt informing me that the boy never regained consciousness and died in the ER. I offered my heartfelt condolences and my support in any way needed. When I hung up the phone, I fell apart, sobbing uncontrollably for a long time. I felt like a failure- even though I know that's not a logical reaction. And now, 6 days later, I can't seem to let this go. I think about it constantly and wonder if I could've done more or done something differently. I really want to reach out to his family but I'm not sure if I should. I would like to know if there was an underlying cause of death that was beyond my control. I want to know if his sister is ok and the other 2 boys that were there. I would like to meet his mother and father since they weren't at the scene and tell them how sorry I am that I couldn't save their baby.... I just want to be at peace with this but I don't know how.

Specializes in PICU, Pediatrics, Trauma.
I'm so sorry this happened to you. I know others have said this repeatedly, so I won't belabor the point; but from what you report about the situation, I can't think of anything else that you could have done. You gave that child the best possible chance to survive that he could have had, given the circumstances.

Thank you for doing that, and for being there :) Regardless of what the family does, or doesn't, do; I'll tell you that.

That said, every death I have witnessed has taken a piece of my soul. I have seen a lot of death, and every one has transformed me. Sometimes they have shown up in my dreams.

What I have found helpful is seeking counseling, either through EAP or from a local chapter of Critical Incident Stress Debriefing. I was formerly a CISD team member, and will attest to both the training I received and the compassion of those that volunteer to be team members. I also allow myself to have the reactions that I have, not minimizing or trivializing the childs death but feeling all the facets of it. When the time is right to say you have begun to move on, do so, but on your own terms. I would also seek out support groups in your city or town if you can find them.

Again, thank you for being there for that child. *hug*

Another awesome response. Excellent advice and compassion. OP, please listen to so many who suggest EAP or some sort of counseling. This is a critical time to get the help before it gets lost in you only to rear it's ugly head later.

Upon reflection, I will agree that it might be very helpful for you to seek support through counseling. Others who have been in your shoes recommend it, and it certainly couldn't hurt to share your feelings with someone who has experience in helping people process these types of events.

You sound like a very compassionate human being.

Specializes in Emergency Nursing.

Something like 96% of kids who arrest outside of a hospital die. Nothing can be done. You did the best you could given the circumstances and what you had available.

Unless you had an EKG, and IV, and a pediatric crash cart with emergency medication and defibrilator, you couldn't have done more.

Specializes in med/surg.

If this would have happened to me I probably would have similar feelings. Being that it wasn't me, and I am a nurse I can look at this more objectively. You were very brave and professional. Sometimes when i drive by the scene of an accident, I hope that I won't see anyone hurt, because I know I would get out to help them, and what if I can't? Try to focus on what you did. You responded, did CPR, was able to briefly get vs, asked pertinent questions and assisted until EMT's responded. You also comforted family and friends. You were a godsend to that women. I also had a 10 year old son die, not the same circumstances, but had more of the nurses been like you, I could rest with the fact that everything possible was done. You are a wonderful asset to the medical profession. We are lucky to have you.

Specializes in Short Term/Skilled.

You gave his family a wonderful gift of showing them that you did all you could do. They don't have to live with the "what ifs" and "if onlys" that would come if CPR wasn't initiated.

I'm so sorry, OP. I literally can't imagine..... You just need to give it time and surround yourself with people who make you happy.

You didn't save him but you DID make a difference, and without you his family would be in a very different place right now.

Hugs.

I am so sorry ! Of course we hope that when we attempt CPR, especially on a child, it is successful.Unfortunately, this is often not the case.

You did everything you could. You are not a failure. I would not contact the family, they need space in their grief and I think they are grateful you helped even though the outcome was not positive.

Being a PICU nurse, I've learned the harsh truth which is that some kids will die no matter how hard we try to save them. I'm so sorry you're going through this, but know that you did everything you could have done to help him. :(

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.

You are a WONDERFUL person for helping, OP. You did what you could, which was more than many would do, or could do. *hugs* Even black-hearted ER nurses like me get upset when we lose little ones. Be good to yourself and seek the healing that you need. I hope posting here and receiving these responses has provided some release and comfort.

Specializes in Emergency.

You did do everything right, and it sounds like no one could have saved this boy. Because I work in the field I do go to things like this and I have learned to deal with them well, people who work in a more clinical environment aren't exposed to stuff like this often and it is hard. It's not that it gets easy to deal with everything, we just have our coping mechanisms in place or we burn out in no time.

Who do you have to talk to? Do you know any long-time paramedics that you trust? We deal with it by talking to each other for a start. A paramedic who is worth a crap will be happy to sit with you (more than once) and help you get started on working this out. Of course I will also suggest a professional to help you work through this. But do get started because it doesn't go away on its own.

Peace and love to you, I know what you are going through but I'm lucky enough to have a huge support system to help me work this out. You need to make or find a support system now.

Specializes in School Nursing.

As far as contacting the family. At this point, as much as you'd like to, this is not a good idea. For either of you. If the family wants contact with you they will reach out. Until then it's best to just stay out of their grief for the time being and deal with your own emotions.

I agree with this statement. I can't imagine how hard that was for you, but for the family, it's almost unbearable. While I'm sure that they are (and if not yet, will be) appreciative of your help, right now they're in their own world of grief, and there simply may not be a place for you there. Further, they may not appreciate your inserting yourself there just yet. You've offered your condolences to the grandmother and have given her your contact information. Leave the ball in their court to contact you. I DO believe the parents will want to reach out and thank you, but probably not just yet.

You did all you could. Please know that.

Specializes in PICU, Pediatrics, Trauma.

..and a cardiac surgeon.

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