Every breath they take - IAEM · 2012-08-15 · Every breath they take Environmental changes...
Transcript of Every breath they take - IAEM · 2012-08-15 · Every breath they take Environmental changes...
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Every breath they takeEnvironmental changesIncreased exposure to dangerous chemicalsIncreased vulnerability to respiratory infections
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The ins and outs of circulationLack of appropriate oral fluids may lead to dehydration and shock and chemical imbalancesVomiting and diarrhea may lead to rapid deterioration and shockLow blood volume means earlier shock when bleeding occurs
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It’s all in their headsA child’s head is a large, heavy targetHead injury is the leading cause of traumatic morbidity and mortalityChemical and biologic agents are more likely to affect a child’s brain and to do so quickly
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Can’t plan for themselvesMay not understand abstract conceptsMay not recognize dangerMay not know how to escapeMay hide from rescuers
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Children of different ages react differently to traumaVery sensitive to the emotions around themRequire safety and security for emotional healthSomatic symptoms are deceptiveSusceptible to posttraumatic stress disorder
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15-20% of children have chronic medical problemsRequire additional planning and advance decision-makingHave additional physical vulnerabilitiesResources for normal emergency care are inadequate
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90% of kids are treated at hospitals with limited pediatric capabilitiesOnly 6% of Emergency Departments have all the equipment needed to care for critically ill kidsOnly 50% of all hospitals have 85% of the equipment neededThere are no universal standards for staff training in pediatrics
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Pediatric training for EMS providers has improved but is still minimalSpecialized equipment, training, protocols and medical oversight are inconsistently available and usedMany children do not have access to specialized medical systems and resources, including mental health
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Children are prime targets for terrorismSpecific training, protocols, drugs and other treatments for agents of terrorism are lackingDiligence in realistic child/family disaster planning is largely not mandated and standards not defined
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Medical surge capacity for pediatric patients is ill-defined and inadequateChild-specific disaster planning must be in place wherever children spend their timeFamilies must be empowered to plan and prepare
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Assure the needs of children are met well every day
Development and support of systems of pediatric careMake quality emergency pediatric care accessible to all familiesEMS for Children program
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Integrate children and families in all disaster planning and preparedness efforts
Define, mandate and support appropriate pediatric/family preparedness initiativesPrioritize and support research initiatives to guide planning and response
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Empower familiesDevelop and support initiatives that emphasize family disaster planning and self-sufficiencyRecognize and support the roles of primary medical care providers in family planning Make preparedness financially feasibleKeep families together
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Disaster Preparedness Advisory CouncilAAP Partnership for Children’s Disaster PreparednessCHILDisaster Networkwww.aap.org/terrorismRepresentation on numerous national- level committeesSupports federal EMS for Children programMembers with experience
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CHILDREN
FAMILIES
COMMUNITY
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Thank you!Thank you!