Needs assessment: are Disaster Medical Assistance Teams up for the challenge of a pediatric disaster?

Mace, Sharon E.; Bern, Andrew

doi:10.1016/j.ajem.2006.12.011

Cited by 27 publications

(19 citation statements)

References 27 publications

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“…The treatment of injured children after disasters requires improvement [26], [27]. The expert team reported that the follow-up treatment provided by some hospitals for the traumatic injuries suffered by children was not appropriate.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Analysis of Trauma Patients following the Lushan Earthquake

Zhang

Zhao

et al. 2014

PLoS ONE

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BackgroundA 7.0-magnitude earthquake hit Lushan County in China’s Sichuan province on April 20, 2013, resulting in 196 deaths and 11,470 injured. This study was designed to analyze the characteristics of the injuries and the treatment of the seismic victims.MethodsAfter the earthquake, an epidemiological survey of injured patients was conducted by the Health Department of Sichuan Province. Epidemiological survey tools included paper-and-pencil questionnaires and a data management system based on the Access Database. Questionnaires were completed based on the medical records of inpatients with earthquake-related injuries. Outpatients or non-seismic injured inpatients were excluded. A total of 2010 patients from 140 hospitals were included.ResultsThe most common type of injuries involved bone fractures (58.3%). Children younger than 10 years of age suffered fewer fractures and chest injuries, but more skin and soft -tissue injuries. Patients older than 80 years were more likely to suffer hip and thigh fractures, pelvis fractures, and chest injuries, whereas adult patients suffered more ankle and foot fractures. A total of 207 cases of calcaneal fracture were due to high falling injuries related to extreme panic. The most common type of infection in hospitalized patients was pulmonary infections. A total of 70.5% patients had limb dysfunction, and 60.1% of this group received rehabilitation. Most patients received rehabilitation within 1 week, and the median duration of rehabilitation was 3 weeks. The cause of death of all seven hospitalized patients who died was severe traumatic brain injuries; five of this group died within 24 h after the earthquake.ConclusionsInjuries varied as a function of the age of the victim. As more injuries were indirectly caused by the Lushan earthquake, disaster education is urgently needed to avoid secondary injuries.

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Section: Discussionmentioning

confidence: 99%

Epidemiological Analysis of Trauma Patients following the Lushan Earthquake

Zhang

Zhao

et al. 2014

PLoS ONE

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“…Disaster management of pediatric victims has been identified as a component of planning and training that is missing from many protocols and education programs 14. It is suggested that up to a third of all MCIs have at least one pediatric victim 15.…”

Section: Discussionmentioning

confidence: 99%

Objective triage in the disaster setting: will children and expecting mothers be treated like others?

Kouliev

2016

OAEM

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The study of disaster triage is made difficult by the complex emotional response of potentially lifesaving intervention that a triage officer must make basing decisions on a succinct and efficient algorithm. A survey of triage professionals in international settings was designed to identify possible emotionally led bias that affects objective decision making in identifying victims most likely to benefit from immediate life support intervention. This survey suggests a lack of correlation between triage priority and predictable clinical outcomes as predicted by the Revised Trauma Score tool. Among the subjects, it was observed that a pediatric victim is uniformly overtriaged when compared to less injured victims.

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“…52 However, a recent study surveying DMAT leaders showed there were major deficiencies in pediatric curriculum, training, and resources. 53 Therefore, it is imperative that DMATs need to incorporate more pediatricians and pediatric emergency medicine physicians, integrate pediatric training modules that include pediatric victims in disaster drills and develop pediatric-specific protocols and guidelines.…”

Section: Transportmentioning

confidence: 99%

Pediatric Prehospital Medicine in Mass Casualty Incidents

Lowe

2009

Journal of Trauma: Injury, Infection &Amp; Critical Care

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The prehospital provider is met with unique challenges when responding to a call and finding a pediatric aged patient that requires evaluation, treatment, and transfer to a medical facility. Many mass causality incidents secondary to natural disaster, man-made disasters, or acts of terrorisms have exposed the vulnerabilities of prehospital emergency medical services personnel in the evaluation, treatment, and transport of the pediatric population. Many lessons learned from past events have been published with agendas to incorporate the needs of the transport of pediatric patients. This article will review the issues and recommendations of the prehospital personnel's role with expectations that pediatric aged victims are rendered optimal care.

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Needs assessment: are Disaster Medical Assistance Teams up for the challenge of a pediatric disaster?

Cited by 27 publications

References 27 publications

Epidemiological Analysis of Trauma Patients following the Lushan Earthquake

Epidemiological Analysis of Trauma Patients following the Lushan Earthquake

Objective triage in the disaster setting: will children and expecting mothers be treated like others?

Pediatric Prehospital Medicine in Mass Casualty Incidents

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