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Principles of Disaster Planning for the Pediatric Population

Published online by Cambridge University Press:  28 June 2012

Gwenn M. Allen*
Affiliation:
Director of Science Laboratories and Chemical Hygiene Officer for Academic Programs, Philadelphia University, Philadelphia, Pennsylvania, USA
Steven J. Parrillo
Affiliation:
Medical Director, Disaster Medicine and Management Masters Program, Philadelphia University, Philadelphia, Pennsylvania, USA Medical Director, Department of Emergency Medicine, Einstein Elkins Park Hospital, Elkins Park, Pennsylvania, USA
Jean Will
Affiliation:
Program Director, Master of Science in Disaster Medicine and Management, Philadelphia University, Philadelphia, Pennsylvania, USA
Johnathon A. Mohr
Affiliation:
Philadelphia University, Philadelphia, Pennsylvania, USA
*
Gwenn M. Allen Philadelphia University School of Science and Health School House Lane and Henry Avenue Philadelphia, Pennsylvania 19144 USA E-mail: alleng@philau.edu

Extract

Unique physiological, developmental, and psychological attributes of children make them one of the more vulnerable populations during mass-casualty incidents. Because of their distinctive vulnerabilities, it is crucial that pediatric needs are incorporated into every stage of disaster planning. Individuals, families, and communities can help mitigate the effects of disasters on pediatric populations through ongoing awareness and preventive practices. Mitigation efforts also can be achieved through education and training of the healthcare workforce. Preparedness activities include gaining Emergency Medical Services for Children Pediatric Facility Recognition, conducting pediatric disaster drills, improving pediatric surge capacity, and ensuring that the needs children are incorporated into all levels of disaster plans. Pediatric response can be improved in a number of ways, including: (1) enhanced pediatric disaster expertise; (2) altered decontamination protocols that reflect pediatric needs; and (3) minimized parent-child separation. Recovery efforts at the pediatric level include promoting specific mental health therapies for children and incorporating children into disaster relief and recovery efforts. Improving pediatric emergency care needs should be at the forefront of every disaster planner's agenda.

Type
Comprehensive Review
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2007

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References

1.Ginter, PM, Wingate, MS, Rucks, AC, Vasconez, RD, McCormick, LC, Baldwin, S, Fargason, CA: Creating a regional pediatric medical disaster preparedness network: Imperatives and issues. Matern Child Health J 2006;10(4):391396.CrossRefGoogle ScholarPubMed
2.National Advisory Committee on Children and Terrorism: Recommendations to the Secretary. Available at http://www.bt.cdc.gov/children/PDF/working/Recommend.pdf. Accessed 12 October 2006.Google Scholar
3.Becker, BM: Children and Disaster. In: Ciottone, G (ed), Disaster Medicine. Philadelphia: Elsevier Mosby, 2006, pp 5158.CrossRefGoogle Scholar
4.Weiner, DL, Manzi, SF, Waltzman, ML, Morin, M: The National Disaster Medical System Response: A pediatric perspective. Pediatrics 2006;117(5):s405–s411.CrossRefGoogle ScholarPubMed
5.Illinois Emergency Medical Services for Children: Pediatric Disaster Preparedness Guidelines. Available at http://www.luhs.org/depts/emsc/peddisasterguide.pdf.Accessed 12 October 2006.Google Scholar
6.Madrid, P, Grant, R, Reilly, MJ, Redlener, NB: Short-term impact of a major disaster on children's mental health: Building resiliency in the aftermath of Hurricane Katrina. Pediatrics 2006;117(5):s448–s453.CrossRefGoogle Scholar
7.Rumm, PD: Public health's role in terrorism preparedness and response for children. Available at http://www.bt.cdc.gov/children/word/working/federal.doc. Accessed 12 October 2006.Google Scholar
8.Emergency Management Watch: Emergency preparation for special populations, Part 1: Pediatrics: Vulnerable patients need extra care. Environment of Care News 2005;8(12):810.Google Scholar
9. Emergency Medical Services for Children (Emergency Medical Services for Children) Program Implementation Manual for Emergency Medical Services for Children State Partnership Performance Measures: Appendix: Development of Performance Measures for the Emergency Medical Services for Children Program Detail Sheet for Performance Measure #66. Available at http://bolivia.hrsa.gov/emsc/PerformanceMeasures/PerformanceMeasures Complete.htm#appendix. Accessed 07 February 2007.Google Scholar
10.Illinois Department of Public Health: EMS for Children. Available at http://www.idph.state.il.us/about/hospital/emschome.htm. Accessed 07 February 2007.Google Scholar
11.(US) Institute of Medicine: Improving Emergency Preparedness and Response for Children Involved in Disasters. In: Emergency Care for Children: Growing Pains (Future of Emergency Care). Washington, DC: National Academies Press, 2007.Google Scholar
12.Committee on Environmental Health and Committee on Infectious Disease: Policy statement: Chemical-biological terrorism and its impact on children. Pediatrics 2006;118(3):12671278.CrossRefGoogle Scholar
13.Penrose, A, Takaki, M: Children's rights in emergencies and disasters. Lancet 2006;(367)9511:698699.CrossRefGoogle ScholarPubMed