Pediatric emergency medicine trisk 1135
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Psychological
EMS
a Plausible,
(developmental
immaturity, normal
dependence on adult
caregivers who might be
injured or dead), or be
reunited with families
Less effective coping skill of Child psychiatry
children who suffer injury
involvement, cognitive
or witness parental,
therapy, research for
sibling death
preventing pediatric
(psychological
posttraumatic stress
immaturity)
disorder a
Greater anxiety over
Pediatric counseling of
reported incidents,
parents and children a
hoaxes, media coverage,
etc.
Less capacity to cope with Community and regional
influx of critical pediatric
planning with significant
patients, loss of routine
pediatric input
hospital transfer
protocols, limited ability
to expand pediatric
hospital bed capacity
through NDMS,
inappropriately sized
equipment for young
children
but unproven or unstudied, and/or not intuitively obvious.
EMS, emergency medical services; NDMS, national disaster medical system.
Adapted from Henretig FM, Cieslak TJ, Eitzen EM Jr. Biological and chemical terrorism. J Pediatr
2002;141:311–326. Copyright © 2002 Elsevier. With permission.
TABLE 132.3A
CLINICAL FEATURES OF BIOLOGIC AGENTS OF TERRORISM
Specialized laboratory services would likely be required to rapidly identify
biologic agents or confirm a diagnosis of disease caused by them. Further, work
with most of these agents is very hazardous. As such, a national Laboratory
Response Network (LRN) has been established to facilitate the timely detection
of bioterrorism-related diseases. This network involves laboratories at local, state,
and federal levels. The latter include the CDC and the U.S. Army Medical
Research Institute of Infectious Diseases (USAMRIID) at Fort Detrick in
Frederick, Maryland. If pediatric emergency care providers suspect such an
illness, they should immediately inform their hospital microbiology laboratory
and infection control office as well as the local public health departments, to
effect prompt notification and transport of specimens to the appropriate
laboratory.
TABLE 132.3B
TREATMENT OF BIOLOGIC AGENTS OF TERRORISM
