Pediatric emergency medicine trisk 4537 4537
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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.
