RT Book, Section
A1 Chung, Sarita
A1 Hewett, Elizabeth K.
A1 Adirim, Terry
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
A2 Schafermeyer, Robert
SR Print(0)
ID 1155750625
T1 Disaster Preparedness
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259860751
LK accesspediatrics.mhmedical.com/content.aspx?aid=1155750625
RD 2024/04/20
AB Anatomic,  physiological,  developmental,  and  behavioral  differences  between  children  and  adults  influence  the  management  of  children  during  a  mass  casualty  event  (MCE).During  an  MCE,  emergency  department  (ED)  staff  should  expect  casualties  to  come  in  two  waves  (dual  wave  phenomenon):  The  first  wave  typically  appears  after  about  15  to  30  minutes  and  largely  consists  of  “the  walking  wounded”;  the  second  wave  typically  arrives  30  to  60  minutes  after  the  onset  of  the  event  and  is  comprised  of  the  more  critically  ill  or  injured  patients.ED  leadership  and  staff  should  understand  their  roles  within  the  hospital  incident  command  system  to  optimize  patient  care  before,  during,  and  after  a  mass  casualty  event.Because  of  physiological  and  anatomical  differences  between  adults  and  children,  adult  MCE  triage  protocols  are  inappropriate  for  use  in  triaging  infants  and  children.EDs  should  have  guides  with  predetermined  medication  dosing  based  on  weight,  and  equipment  sizes  based  on  age,  ready  for  mass  casualties,  so  that  staff  members  do  not  have  to  perform  calculations  during  events.Decontamination  of  children  generally  takes  longer  than  that  of  adults.  It  should  be  done  as  a  family  unit  to  facilitate  a  child’s  cooperation  and  minimize  psychological  impact.Blast  incidents  can  cause  unique  patterns  of  injury,  including  both  penetrating  and  blunt  trauma.