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This volume covers aspects of sudden infant and early childhood death, ranging from issues with parental grief, to the most recent theories of brainstem neurotransmitters. It also deals with the changes that have occurred over time with the definitions of SIDS (sudden infant death syndrome), SUDI (sudden unexpected death in infancy) and SUDIC (sudden unexpected death in childhood). The text will be indispensable for SIDS researchers, SIDS organisations, paediatric pathologists, forensic pathologists, paediatricians and families, in addition to residents in training programs that involve paediatrics. It will also be of use to other physicians, lawyers and law enforcement officials who deal with these cases, and should be a useful addition to all medical examiner/forensic, paediatric and pathology departments, hospital and university libraries on a global scale. Given the marked changes that have occurred in the epidemiology and understanding of SIDS and sudden death in the very young over the past decade, a text such as this is very timely and is also urgently needed.
A scientifically rigorous, multidisciplinary approach to Sudden Infant Death Syndrome, for practitioners, researchers and families alike.
This publication reviews medicolegal investigation of sudden, unexpected pediatric deaths, focusing on systems and procedures in the United States and those deaths which remain incompletely understood or entirely unexplained. It discusses the evolution of our understanding and practice in the area of sudden, unexpected pediatric death investigation, covering the changing philosophies and medical theories as to causation and changing investigative and certification strategies. Procedural guidance for investigation, autopsy and ancillary testing, certification and reporting, and key considerations for prevention, research and working with family members and other professional team members are provided.The path to production of this publication began in 2016 when the National Association of Medical Examiners received a scientific grant from the SUDC Foundation called "Sudden Death in Pediatrics: Consensus for Investigation, Certification, Research Direction and Family Needs" to convene, in collaboration with the American Academy of Pediatrics, an expert panel to identify and discuss the diverse issues and limitations surrounding these deaths and build a foundation for national consensus. The combined effort of a panel of medical examiners, pediatricians, and federal agency representatives, representing the diverse interests of death investigation, autopsy performance, certification, clinical subspecialties (pediatrics, neurology, cardiology, child abuse, injury prevention, infectious diseases, genetics, and metabolic diseases), family needs, prevention, and epidemiology, culminated in this publication.
Each of the authors brings a unique perspective, one being the parent of an infant who died of SIDS long before it was defined and who has brought understanding and comfort to untold thousands of other families so stricken. The others are proven investigators in the field. It is clear from their analyses that SIDS parents experience premonitions of doom nearly ten times more often than parents whose babies do not die. Clearly this is a signal for continued intensive study of the phenomenon.
Sudden Infant Death is one of the leading causes of mortality in childhood. Its cause has not been firmly established despite extensive research. One widely accepted theory of causation was a disturbance of sleep with a fatal disorder of respiration during sleep. Support for this theory was published in Pediatrics, the journal of the American Academy of Pediatrics. The author encounters a family who has had two children die of Sudden Infant Death when he answers a call for an infant brought dead on arrival to a hospital emergency room. The family chooses to have him follow their family as the attending pediatrician through the births and deaths of four subsequent children, also diagnosed by the Chicago Medical Examiner as sudden unexplained deaths. All of the children were evaluated immediately after death and subsequently to the time of their demise by one of the country's outstanding infant sleep study centers and found to have histories of abnormal sleep patterns with the repetition of fatal outcomes. A suspicion arises among both medical experts and law enforcement authorities that the infant deaths might actually result from fatal interventions by the mother. Intense investigations by police and states attorney investigation teams fail to result in any indictments or prosecutions despite strong suspicions and accusations by several coroners and evidence gathering bodies. The mother is subsequently killed in an auto accident never having been charged.
Author Peggy J. Parks carefully and sensitively explores sudden infant death syndrome (SIDS) in detail, covering causes, diagnosis, and current medical research. She offers young readers and researchers an effective means of understanding this syndrome.
Sudden Infant Death Syndrome is leading cause of death among babies between 1 month and 1 year of age according to the NIH. This guidebook provides essential information on SIDS, but also serves as a historical survey, by providing information on the controversies surrounding its causes, and first-person narratives by people coping with SIDS. Patients, family members, or caregivers explain the condition from their own experience. The symptoms, causes, treatments, and potential cures are explained in detail. Essential to anyone trying to learn about diseases and conditions, the alternative treatments are explored. Each essay is carefully edited and presented with an introduction, so that they are accessible for student researchers and readers.