Journal
AMERICAN JOURNAL OF EMERGENCY MEDICINE
Volume 25, Issue 7, Pages 762-769Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.ajem.2006.12.011
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Pediatric patients are likely victims in a disaster and are more vulnerable in a disaster than adults; vet they have been essentially overlooked in disaster management according to the Pediatric Institute of Medicine deport. We did a needs assessment of Disaster Medical Assistance Teams regarding pediatric issues. Results were as follows: pediatric patients comprise a significant percentage of disaster victims (up to 85% in one disaster), and deficiencies were noted in the curriculum/training/resources. The percentage of time pediatric topics were missing from the curriculum was as follows: airway, 16%: trauma; 33%; disaster triage, 36%; burns, 42%; pain management, 42%; mental health, 45%: patient scenarios, 45%. The percentage of time pediatric equipment was missing was as follows: airway. 16%: intravenous lines, 37%; cervical collars, 38%; medicines, 38%; Broselow tape, 46%; backboards. 62%. Pediatric patients were included in disaster drills 63% of the time. Only 33% had pediatric protocols other than JumpSTART. A need to improve the pediatric components of Disaster Medical Assistance Teams was identified. (C) 2007 Elsevier Inc. All rights reserved.
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