Coping With the Death of a Child Patient

It is not unusual or abnormal for people in the emergency response community to experience many different emotions and feelings in their day-to-day lives. The traumatic calls they respond to are, at times, overwhelming. Research shows that many of these professionals experience nightmares, depression, substance abuse, or strained relationships with family members or friends as a result of recurring trauma and the grief it causes. image

Grief touches our lives following many different types of loss. At times, it may shake the foundation of our very existence causing us to question our spiritual beliefs. Grief releases many emotions we would rather not feel: deep pain, overwhelming sadness, emptiness, guilt, anger or a sense of failure. Everyone responds to grief differently. No two people will react to a shared grief experience the same way.

One of the most grief-provoking situations faced by firefighters and other emergency responders is the death of an infant or young patient. Your reactions to this experience can leave you with a deep sense of sadness. You may be angry if the child was a victim of abuse, suicide or homicide. At times, you may question your ability as a rescuer or medical caregiver.

Many factors determine your personal reactions and feelings regarding the death of a child including your previous experiences with loss. For example, if you are a bereaved parent, you will identify with the emotional pain felt by the child’s parents more fully than colleagues who have not had this experience.

The lessons you learned as a child, for coping with emotions and feelings, will affect your responses as well. If you were taught to suppress your feelings or were discouraged from talking about emotionally charged issues, you will probably have difficulty sharing your thoughts and feelings with others as an adult. This may explain why so many emergency response personnel are reluctant to participate in a critical incident debriefing.

Grieving is necessary to heal the mind and spirit. Grief involves the whole person — the physical, mental, emotional and spiritual self. There is no set of rules that, followed consecutively, will erase the grief. You cannot deal with one emotion or feeling and then move on to the next. You cannot deal with anger or sorrow for a few days and check it off of your list. Rather, you will flow back and forth between some of the same — or previously unacknowledged — emotions and feelings until, after many months or even years, you come to the end of your grief journey. The intensity and duration of your individual grief process correlates to the degree of loss; the more emotionally involved you are with the person or event, the deeper your feelings.

It is important to remember that your responses to grief, both professional and personal, are normal, natural, and not a sign of weakness. Following the death of a young patient, your feelings may be similar to the grief that you felt after a family member or close friend died. Do not be ashamed of these feelings. Celebrate the goodness that is you and the many lives you have touched. Grief is the price you pay for being a dedicated and caring professional.

Copyright Peggy Sweeney. All rights reserved.

Peggy Sweeney is the founder and executive director of the Sweeney Alliance, a nonprofit company that offers the Grieving Behind the Badge curriculum. Her background as a mortician and bereavement educator as well as her experiences as a firefighter and EMT-B, has prepared Sweeney to cope with her personal tragedies and has inspired her to help first responders and their families deal with their loss and grief issues on many levels. You may contact her at,

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