8, 9 The Beslan hostage tragedy in North Ossetia occurred in a school, and of 334 dead, 186 were children. The day-cares at both the World Trade Centers in New York, and at the Alfred P Murrah Federal Building in Oklahoma were damaged and there were a number of injured children. 6, 7 In recent years, several terrorist attacks have resulted in numerous pediatric patients. Children are often gathered in groups at day-cares, schools, and attractions, which increases the risk of a surge of pediatric patients.
2– 5 Table 1 highlights these issues.Īre Disasters Predominantly Affecting Children Likely?Ĭhildren represent a smaller percentage of the population than adults, which raises the question of the probability of predominant pediatric patients in a disaster. Because children depend on adults for direction and sustenance, they are at risk if left alone. Children also lack coping skills and self-preservation experience. Children are also less likely to attempt to escape dangerous environments, owing to fear, perception of danger, or underdeveloped motor skills. Fluid replacement in children is more important, as fluid reserves are small, compared to adults.īecause children are closer to the ground, they are at risk for greater exposure to airborne agents, which tend to be more dense than ambient air, settling closer to the ground. In the smallest patients, intravenous access is a challenge, particularly for adult practitioners.
#30 inch child broselow tape color skin#
Children suffer greater evaporative heat and water loss due to exposure (greater risk of dehydration) and may absorb greater amounts of chemical toxins, owing to the greater skin surface area for body weight. Drug metabolism in children can be quite variable, compared to adults, making correct dosage critical. These formulas do not always apply to children. In adults, a single dose is typically constant or based on predicted body weight. The wide variability in weight of pediatric patients increases the likelihood of medication errors. Smaller patients have faster heart rate and respiratory rate, which increase exposure and systemic distribution of chemical and biologic agents.
The definition of “pediatric” is quite variable and spans the range from infants to 14-year-olds with physical attributes similar to adults. The wide range of normal vital signs in children-often lumped together regardless of size, as ages 1–16 years-confounds the definition of normal. Children can suffer substantial thoracic organ damage with no evidence of rib fractures. The smaller body surface area also places the solid organs in closer proximity with less protection, owing to more compliant bony structures. This anatomic difference predisposes children to head injury and falls, secondary to a high center of gravity. The head of the pediatric patient represents a substantially greater portion of the total body surface area. 1 Anatomic differences place the pediatric disaster victim in particular peril. To view contents of each module visit the refills section.Disaster Relevant Issues Secondary to Differences in Pediatric PhysiologyĬompared to adults, the physiologic and psychological characteristics of children in a disaster have greater variability and distinct disadvantages. Items will be shipped loose and the kit will need to be assembled (stocked) upon arrivel Kit will include all 7 refill modules, equipment module, 7 color coded bags, and the main carry bag Includes three outside zippered pockets for your BP Cuff and stethoscope, a large front compartment and a back storage for paperwork. A nylon pack with seven color-coded pouches inside for organizing your pediatric trauma supplies.
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