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Provision of Care for Critically Ill Children in Disasters

Mitchell Hamele1, Ramon E Gist2, Niranjan Kissoon3

  • 1Department of Pediatrics-Critical Care, Tripler Army Medical Center, Honolulu, HI 96859, USA.

Critical Care Clinics
|August 26, 2019
PubMed

Insights

Children face greater disaster risks due to inadequate planning. New regional coalitions aim to improve pediatric disaster preparedness and care, addressing critical vulnerabilities for better outcomes.

Area of Science:

  • Disaster medicine
  • Pediatric emergency preparedness
  • Public health policy

Background:

  • Children experience disproportionately severe impacts from all disaster types compared to adults.
  • Current disaster planning and readiness for pediatric populations are insufficient at all levels (local, national, international).
  • Existing planning gaps exacerbate the negative consequences of disasters for children.

Purpose of the Study:

  • To highlight critical aspects of pediatric disaster planning.
  • To discuss the unique vulnerabilities of children during disasters.
  • To outline the care of children in general and specific disaster scenarios.

Main Methods:

  • Review of existing literature and policy documents on pediatric disaster preparedness.
  • Analysis of the role of new regional coalitions in addressing planning gaps.
  • Identification of key considerations for pediatric care during emergencies.

Main Results:

  • Suboptimal planning significantly increases children's vulnerability during disasters.
  • New voluntary regional coalitions are emerging to improve pediatric disaster readiness.
  • These coalitions, some pediatric-focused, aim to integrate child-specific needs into broader disaster response frameworks.

Conclusions:

  • Addressing pediatric vulnerabilities is crucial for effective disaster response.
  • Enhanced planning and integrated coalitions are essential to mitigate the disproportionate impact of disasters on children.
  • Proactive strategies are needed to ensure adequate care for children in all disaster situations.

Keywords:
ChildrenCritical illnessDisasterInjuriesMass critical carePediatricsTrauma

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