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TABLE 132.6
REPRESENTATIVE CLASSES OF INDUSTRIAL CHEMICALS—
SUMMARY OF PEDIATRIC MANAGEMENT CONSIDERATIONS

Critical ongoing issues regarding ED preparedness for a biologic or chemical
agent attack include (i) optimal decontamination techniques, especially for young
children; (ii) optimal PPE for ED staff; (iii) logistics of patient and hospital staff
flow and isolation, in the context of a potentially lethal, contagious disease (e.g.,
smallpox, plague, and viral hemorrhagic fevers); (iv) safety of decontamination
water runoff into public drainage systems; (v) community-wide needs for
education and training; and (vi) financial considerations for individual hospital
and regional planners. Continued activity on an expert consensus basis, as well as
new research, should help to address many of these issues.



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