Pediatric emergency medicine trisk 4536 4536
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Realm
Potential vulnerability
Potential response
Physiologic
Increased respiratory
exposure (higher minute
ventilation, time spent
“closer to the ground”)
Early warning, sheltering a
(gas masks for the general
population are not
advised at present due to
risk of poor fit,
suffocation)
Protective clothing, earlier
decontamination a
Developmental
Increased dermal exposure
(thinner, more permeable
skin; larger body surface
area/mass ratio)
Increased risk of
dehydration, shock with
toxin-induced vomiting,
diarrhea (decreased fluid
reserves, larger body
surface area/mass ratio)
Increased risk of
hypothermia during
decontamination (larger
body surface area/mass
ratio)
More fulminant disease
(possible), immunologic
immaturity, more
permeable blood–brain
barrier
Differing disease
manifestations
Relative antibiotic
contraindications
Less capacity to understand
and follow complex
instructions, escape attack
site, take appropriate
evasive actions
Recognition, aggressive
fluid therapy
Warm water
decontamination
Pediatric-specific research
for early diagnosis and
treatment of biologic and
chemical weapons
victims a
Education
Research trials in children
Increased public education,
especially of parents,
teachers, and caregivers
