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Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
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Updated: Jun 21, 2026

Setup and Execution Of the Blindfolded Code Training Exercise
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Published on: March 29, 2019

Pediatric disaster preparedness: are we really prepared?

Marianne Gausche-Hill1

  • 1Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrance, California 90509, USA. mgausche@emedharbor.edu

The Journal of Trauma
|August 12, 2009
PubMed
Summary

Pediatric disaster preparedness is crucial, as children represent over a third of disaster victims. Current systems often neglect pediatric-specific needs, highlighting a gap in emergency planning for vulnerable young populations.

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Area of Science:

  • Emergency Medicine
  • Disaster Management
  • Pediatrics

Background:

  • Children are a uniquely vulnerable population in disasters due to anatomic, physiologic, immunologic, developmental, and psychologic factors.
  • Existing disaster and multicasualty incident planning frequently overlooks the specific needs of pediatric patients.
  • Data indicate that children constitute over one-third of disaster victims, underscoring the inadequacy of current preparedness.

Purpose of the Study:

  • To emphasize the critical need for robust pediatric disaster preparedness.
  • To highlight the gap in current systems regarding the management of children in mass casualty incidents.
  • To advocate for the integration of pediatric considerations into disaster planning and response strategies.

Main Methods:

  • Review of existing literature and data on pediatric victims in disasters.
  • Analysis of current emergency and trauma care system planning for disaster scenarios.
  • Identification of challenges and lessons learned from past events.

Main Results:

  • Children are disproportionately affected in disasters, comprising more than 33% of victims.
  • Current disaster planning and system readiness often fail to adequately address pediatric-specific vulnerabilities and needs.
  • Significant challenges exist in ensuring effective triage and emergency management for children.

Conclusions:

  • There is an urgent need to enhance pediatric disaster preparedness by incorporating specific considerations for children.
  • Lessons learned from past incidents offer opportunities to improve current system planning, policies, and procedures.
  • Effective planning requires a comprehensive approach that addresses the unique medical and psychosocial needs of pediatric populations during emergencies.