Disaster preparedness: Hospital decontamination and the pediatric patient - Guidelines for hospitals and emergency planners

Prehospital and Disaster Medicine

Volumn 23, Issue 2, 2008, Pages 166-172

  Freyberg, Christopher W ^a   Arquilla, Bonnie ^b   Fertel, Baruch S ^c   Tunik, Michael G ^c   Cooper, Arthur ^d   Heon, Dennis ^c   Kohlhoff, Stephan A ^b   Uraneck, Katherine I ^e   Foltin, George L ^c  

^a NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b SUNY DOWNSTATE MEDICAL CENTER   (United States)

^c BELLEVUE HOSPITAL CENTER   (United States)

^d Department of Surgery Columbia University College of Physicians and Surgs ^*  (United States)

^e NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE   (United States)

Author keywords

children; decontamination; hospitals; preparedness

Indexed keywords

CHEMICAL WARFARE; CHILD; DANGEROUS GOODS; DISASTER PLANNING; EMERGENCY HEALTH SERVICE; HUMAN; INFANT; METHODOLOGY; ORGANIZATION AND MANAGEMENT; PRESCHOOL CHILD; REVIEW; WASTE MANAGEMENT;

CHEMICAL TERRORISM; CHILD; CHILD, PRESCHOOL; DECONTAMINATION; DISASTER PLANNING; EMERGENCY SERVICE, HOSPITAL; HAZARDOUS SUBSTANCES; HUMANS; INFANT;

EID: 69349092266     PISSN: 1049023X     EISSN: 19451938     Source Type: Journal    
DOI: 10.1017/S1049023X0000580X     Document Type: Review

References (43)

1. US Army Chemical School Library: History of decontamination. Available at http://www.wood. army. miVccmuseum/ccmuseum/Library/Decon-History.pdf Accessed 21 July 2006.
2. US Department of State: The lessons of Halabja: An ominous warning. Available at http://usinfo.state.gov/products/pubs/iraq/waming.htm. Accessed 26 July 2006.
3. Markenson D, Reynolds S, American Academy of Pediatrics Committee on Pediatric Emergency Medicine, Task Force on Terrorism: The pediatrician and disaster preparedness. Pediatrics 2006;117:e34O-e362.
4. Okumura T, Takasu N, Ishimatsu S, et al: Report on 640 victims of the Tokyo subway sarin attack. Ann Emerg Med 1996;28:129-135.
5. McHugh M, Staiti AB, Felland LE: How prepared are Americans for public health emergencies? Twelve communities weigh in. Health Aff (Millwood) 2004;23:201-209.
6. Hick JL, Penn P, Hanfling D, et al: Establishing and training health care facility decontamination teams. Ann Emerg Med 2003;42:381-390.
7. Teague DC: Mass casualties in the Oklahoma City bombing. Clin Orthop Relat Res 2004;(422):77-81.
8. Hick JL, Hanfling D, Burstein JL, et al: Protective equipment for health care facility decontamination personnel: Regulations, risks, and recommendations. Ann Emerg Med 2003;42:370-380.
9. Nozaki H, Hori S, Shinozawa Y, et al: Secondary exposure of medical staff to sarin vapor in the emergency room. Intensive Care Med 1995;21:1032-1035.
10. Horton DK, Berkowitz Z, Kaye WE: Secondary contamination of ED personnel from hazardous materials events, 1995-2001. Am J Emerg Med 2003;21:199-204.
11. Cox RD: Decontamination and management of hazardous materials exposure victims in the emergency department. Ann Emerg Med 1994;23:761-770.
12. The White House: 17 December 2003 Homeland Security Presidential Directive/Hspd-8. Available at http://www.whitehouse.gov/news/releas es/2003/12/20031217-6.html. Accessed 01 August 2006.
13. US Department of Labor Occupational Safety and Health Administration: OSHA best practices for hospital based first receivers of victims from mass casualty incidents involving the release of hazardous substances. Available at http://vAvw.osha.gov/dts/osta/bestpractices/htnil/hospital-iirstreceivers.html. Accessed 01 August 2006.
14. California Governor's Office of Emergency Management: Multi-casualty mass decontamination guidance document for first responder. Available at http://www.oes.ca.gov/Operational/OESHome.nsf/Content/E0FAE845C2B B3lCE8825710700708244?OpenDocument. Accessed 01 August 2006.
15. Barbera JA, Maclntyre AG: Mass Casualty Handbook: Hospital, Emergency Preparedness and Response. 1st ed. Surrey: Jane's Information Group, Ltd., 2003.
16. Cable News Network: Russia school siege toll tops 350. Available at http://www.cnn.com/2004/WORLD/europe/09/04/russia.school/index.ht ml. Accessed 17 July 2006.
17. Boulder News: Tragedy at Columbine High School. Available at http://www.boul derdaUycamera.com/shooting/22chronology.html. Accessed 17 July 2006.
18. Biancolini CA, Del Bosco CG, Jorge MA: Argentine Jewish community institution bomb explosion. J Trauma 1999;47:728-732.
19. Mallonee S, Shariat S, Stennies G: Physical injuries and fatalities resulting from the Oklahoma city bombing. JAMA 1996;276:382-387.
20. Quintana DA, Parker JR, Jordan FB, eta/:The spectrum of pediatric injuries after a bomb blast J Pediatr Surg 1997;32:307-310; discussion 310-311.
21. Amir LD, Aharonson-Daniel L, Peleg K; Waisman Y, Israel Trauma Group: The severity of injury in children resulting from acts against civilian populations Ann Surg 2005;241:666-670.
22. The Middle East Media Research Institute: Special Dispatch Series-No. 388. Available at http://www.memri.org/bin/articles.cgi?ID=SP38802. Accessed 17 August 2006.
23. Falkenrath RA, Newman RD, Thayer BA: America's Achilles Heel: Nuclear, Biological, and Chemical Terrorism and Covert Attack. 1st ed. Cambridge: MIT Press, 1998.
24. American Academy of Pediatrics: Academy Testimony on Children and Terrorism, before the Senate Committee on Health, Education, Labor and Pensions, presented by Joseph L. Wright, MD, MPH, FAAP. Available at: http://www.aap.org/advocacy/washing/Dr-Wright.htm. Accessed 07 April 2006.
25. National Center for Disaster Preparedness: Pediatric Preparedness for Disasters and Terrorism: A National Consensus Conference. Executive Summary 2003. Available at http://www.bt.cdc.gov/children/pdf/working/execsumm03.pdf. Accessed 07 April 2006.
26. Committee on Environmental Health, Committee on Infectious Diseases, Michael WS, Julia AM: Chemical-biological terrorism and its impact on children. Pediatrics 2006;118:1267-1278.
27. Foltin G, Fuchs S: Advances in pediatric emergency medical service systems. Emerg Med Clin North Am 1991;9:459-474.
28. Children's Hospital Boston: The Center for Biopreparedness. Available at http://www.childrenshospital.org/clinicalservices/Sitel85l/mainpageSl85l PO.html. Accessed 13 August 2006.
29. New York City Department of Health and Mental Hygiene: Pediatric disaster toolkit: Hospital guidelines for pediatrics during disasters. Available at http://www.nyc.gov/html/doh/html/bhpp/bhpp-focus-ped-toolkit.shtml. Accessed 17 June 2006.
30. Lizasoain O, Polaino A: Reduction of anxiety in pediatric patients: Effects of a psychopedagogical intervention programme. Patient Educ Couns 1995;25: 17-22.
31. Mahajan L, Wyllie R, Steffen R, et al: The effects of a psychological preparation program on anxiety in children and adolescents undergoing gastrointestinal endoscopy. J Pediatr Gastroenterol Nutr 1998;27:161-165.
32. Kleiber C, Harper DC: Effects of distraction on children's pain and distress during medical procedures: A meta-analysis. Nurs Res 1999;48:44-49.
33. American Academy of Pediatrics Child Life Council and Committee on Hospital Care, Wilson JM: Child life services. Pediatrics 2006;118:1757-1763.
34. Breton JJ, Valla JP, Lambert J: Industrial disaster and mental health of children and their parents. J Am Acad Child Adolesc Psychiatry 1993;32:438-445.
35. Adams J: Making hospital triage operations safer. Occuf Health Saf2006;75: 90, 92-94.
36. Gurwitch RH, Kees M, Becker SM, Schreiber M, Pfefferbaum B, Diamond D. When disaster strikes: Responding to the needs of children. Prehospital Disaster Med 2004;19:21-28.
37. Chur-Hansen A: Preferences for female and male nurses: The role of age, gender and previous experience-Year 2000 compared with 1984. J Adv Nurs 2002;37:192-198.
38. Andax Industries: Portable De-Con Roller System. Available at http://store.andax.com/index.asp?PageAction=VIEWPROD&ProdID=287. Accessed 18 December 2006.
39. Mancini AJ: Skin. Pediatrics 2004;113:1114-1119.
40. Lynch EL, Thomas TL: Pediatric considerations in chemical exposures: Are we prepared? Pediatr Emerg Care 2004;20:198-208.
41. Momeni AZ, Aminjavaheri M: Skin manifestations of mustard gas in a group of 14 children and teenagers: A clinical study. Int J Dermatol 1994;33:184-187.
42. Committee on Pediatric Equipment and Supplies for Emergency Departments, National Emergency Medical Services for Children Resource Alliance: Guidelines for pediatric equipment and supplies for emergency departments. Pediatr Emerg Care 1998;14:62-64.
43. Athey J, Dean JM, Ball J, et al: Ability of hospitals to care for pediatric emergency patients. Pediatr Emerg Care 2001;17:170-174.