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Pediatric Mass Casualty

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https://www.readbyqxmd.com/read/29462083/tourniquet-usage-in-pre-hospital-care-and-resuscitation-of-pediatric-trauma-patients-pediatric-trauma-society-position-statement
#1
Aaron Cunningham, Marc Auerbach, Mark Cicero, Mubeen Jafri
BACKGROUND: Recent mass casualty events in the United States have highlighted the need for public preparedness to prevent death from uncontrolled hemorrhage. The Pediatric Trauma Society (PTS) reviewed the literature regarding pediatric tourniquet usage with the aim to provide recommendations about the utility of this adjunct for hemorrhage control in children. METHODS: Search terms "pediatric" and "tourniquet" were used to query the US National Library of Medicine National Institutes of Health for pertinent literature...
February 17, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29431096/introduction-of-pediatric-physiological-and-anatomical-triage-score-in-mass-casualty-incident
#2
Chiaki Toida, Takashi Muguruma, Takeru Abe, Mafumi Shinohara, Masayasu Gakumazawa, Naoki Yogo, Aya Shirasawa, Naoto Morimura
BACKGROUND: Triage has an important role in providing suitable care to the largest number of casualties in a disaster setting, but there are no secondary triage methods suitable for children. This study developed a new secondary triage method named the Pediatric Physiological and Anatomical Triage Score (PPATS) and compared its accuracy with current triage methods. METHODS: A retrospective chart review of pediatric patients under 16 years old transferred to an emergency center from 2014 to 2016 was performed...
April 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29189694/committee-opinion-no-726-hospital-disaster-preparedness-for-obstetricians-and-facilities-providing-maternity-care
#3
(no author information available yet)
Large-scale catastrophic events and infectious disease outbreaks highlight the need for disaster planning at all community levels. Features unique to the obstetric population (including antepartum, intrapartum, postpartum and neonatal care) warrant special consideration in the event of a disaster. Pregnancy increases the risks of untoward outcomes from various infectious diseases. Trauma during pregnancy presents anatomic and physiologic considerations that often can require increased use of resources such as higher rates of cesarean delivery...
December 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29189692/committee-opinion-no-726-summary-hospital-disaster-preparedness-for-obstetricians-and-facilities-providing-maternity-care
#4
(no author information available yet)
Large-scale catastrophic events and infectious disease outbreaks highlight the need for disaster planning at all community levels. Features unique to the obstetric population (including antepartum, intrapartum, postpartum and neonatal care) warrant special consideration in the event of a disaster. Pregnancy increases the risks of untoward outcomes from various infectious diseases. Trauma during pregnancy presents anatomic and physiologic considerations that often can require increased use of resources such as higher rates of cesarean delivery...
December 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29123602/rehabilitation-of-vulnerable-groups-in-emergencies-and-disasters-a-systematic-review
#5
REVIEW
Hojjat Sheikhbardsiri, Mohammad H Yarmohammadian, Fatemeh Rezaei, Mohammad Reza Maracy
BACKGROUND: Natural and man-made disasters, especially those occurring in large scales not only result in human mortality, but also cause physical, psychological, and social disabilities. Providing effective rehabilitation services in time can decrease the frequency of such disabilities. The aim of the current study was to perform a systematic review related to rehabilitation of vulnerable groups in emergencies and disasters. METHODS: The systematic review was conducted according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines...
2017: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28822210/evaluation-of-the-association-between-disaster-training-and-confidence-in-disaster-response-among-graduate-medical-trainees-a-cross-sectional-study
#6
Andrew Grock, Adam R Aluisio, Elizabeth Abram, Patricia Roblin, Bonnie Arquilla
OBJECTIVE: Disasters by definition overwhelm the resources of a hospital and may require a response from a range of practitioners. Disaster training is part of emergency medicine (EM) resident curricula, but less emphasized in other training programs. This study aimed to compare disaster educational training and confidence levels among resident trainees from multiple specialties. DESIGN: A structured questionnaire assessed graduate medical training in disaster education and self-perceived confidence in disaster situations...
2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28606207/utilizing-a-pediatric-disaster-coalition-model-to-increase-pediatric-critical-care-surge-capacity-in-new-york-city
#7
Michael Frogel, Avram Flamm, Mayer Sagy, Katharine Uraneck, Edward Conway, Michael Ushay, Bruce M Greenwald, Louisdon Pierre, Vikas Shah, Mohamed Gaffoor, Arthur Cooper, George Foltin
A mass casualty event can result in an overwhelming number of critically injured pediatric victims that exceeds the available capacity of pediatric critical care (PCC) units, both locally and regionally. To address these gaps, the New York City (NYC) Pediatric Disaster Coalition (PDC) was established. The PDC includes experts in emergency preparedness, critical care, surgery, and emergency medicine from 18 of 25 major NYC PCC-capable hospitals. A PCC surge committee created recommendations for making additional PCC beds available with an emphasis on space, staff, stuff (equipment), and systems...
June 13, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/27510543/are-pediatric-emergency-physicians-more-knowledgeable-and-confident-to-respond-to-a-pediatric-disaster-after-an-experiential-learning-experience
#8
Ilana Bank, Elene Khalil
OBJECTIVES: Pediatric hospital disaster responders must be well-trained and prepared to manage children in a mass-casualty incident. Simulations of various types have been the traditional way of testing hospital disaster plans and training hospital staff in skills that are used in rare circumstances. The objective of this longitudinal, survey-based, observational study was to assess the effect of disaster response and management-based experiential learning on the knowledge and confidence of advanced learners...
October 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27025833/identifying-meningitis-during-an-anthrax-mass-casualty-incident-systematic-review-of-systemic-anthrax-since-1880
#9
REVIEW
Stefan Katharios-Lanwermeyer, Jon-Erik Holty, Marissa Person, James Sejvar, Dana Haberling, Heather Tubbs, Dana Meaney-Delman, Satish K Pillai, Nathaniel Hupert, William A Bower, Katherine Hendricks
BACKGROUND: Bacillus anthracis, the causative agent of anthrax, is a potential bioterrorism agent. Anthrax meningitis is a common manifestation of B. anthracis infection, has high mortality, and requires more aggressive treatment than anthrax without meningitis. Its rapid identification and treatment are essential for successful management of an anthrax mass casualty incident. METHODS: Three hundred six published reports from 1880 through 2013 met predefined inclusion criteria...
June 15, 2016: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/26808000/development-of-a-pediatric-mass-casualty-triage-algorithm-validation-tool
#10
J Joelle Donofrio, Amy H Kaji, Ilene A Claudius, Todd P Chang, Genevieve Santillanes, Mark X Cicero, Saranya Srinivasan, Alexis Perez-Rogers, Marianne Gausche-Hill
BACKGROUND: Rapid, accurate evaluation and sorting of victims in a mass casualty incident (MCI) is crucial, as over-triage of victims may overwhelm a trauma system and under-triage may lead to an increase in morbidity and mortality. At this time, there is no validation tool specifically developed for the pediatric population to test an MCI algorithm's inherent capabilities to correctly triage children. OBJECTIVE: To develop a set of criteria for outcomes and interventions to be used as a validation tool for testing an MCI algorithm's ability to correctly triage patients from a cohort of pediatric trauma patients...
May 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/26323610/accuracy-efficiency-and-inappropriate-actions-using-jumpstart-triage-in-mci-simulations
#11
Ilene Claudius, Amy H Kaji, Genevieve Santillanes, Mark X Cicero, J Joelle Donofrio, Marianne Gausche-Hill, Saranya Srinivasan, Todd P Chang
INTRODUCTION: Using the pediatric version of the Simple Triage and Rapid Treatment (JumpSTART) algorithm for the triage of pediatric patients in a mass-casualty incident (MCI) requires assessing the results of each step and determining whether to move to the next appropriate action. Inappropriate application can lead to performance of unnecessary actions or failure to perform necessary actions. Hypothesis/Problem To report overall accuracy and time required for triage, and to assess if the performance of unnecessary steps, or failure to perform required steps, in the triage algorithm was associated with inaccuracy of triage designation or increased time to reach a triage decision...
October 2015: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/26312491/pediatric-disaster-preparedness-and-response-and-the-nation-s-children-s-hospitals
#12
Kristin C Lyle, Jerrod Milton, Daniel Fagbuyi, Roxanna LeFort, Paul Sirbaugh, Jacqueline Gonzalez, Jeffrey S Upperman, Tim Carmack, Michael Anderson
OBJECTIVE: Children account for 30 percent of the US population; as a result, many victims of disaster events are children. The most critically injured pediatric victims would be best cared for in a tertiary care pediatric hospital. The Children's Hospital Association (CHA) undertook a survey of its members to determine their level of readiness to respond to a mass casualty disaster. DESIGN: The Disaster Response Task Force constructed survey questions in October 2011...
2015: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/26265451/comparison-of-computerized-patients-versus-live-moulaged-actors-for-a-mass-casualty-drill
#13
COMPARATIVE STUDY
Ilene Claudius, Amy Kaji, Genevieve Santillanes, Mark Cicero, J Joelle Donofrio, Marianne Gausche-Hill, Saranya Srinivasan, Todd P Chang
INTRODUCTION: Multiple modalities for simulating mass-casualty scenarios exist; however, the ideal modality for education and drilling of mass-casualty incident (MCI) triage is not established. Hypothesis/Problem Medical student triage accuracy and time to triage for computer-based simulated victims and live moulaged actors using the pediatric version of the Simple Triage and Rapid Treatment (JumpSTART) mass-casualty triage tool were compared, anticipating that student performance and experience would be equivalent...
October 2015: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/26121100/evidence-based-pediatric-outcome-predictors-to-guide-the-allocation-of-critical-care-resources-in-a-mass-casualty-event
#14
Philip Toltzis, Gerardo Soto-Campos, Christian R Shelton, Evelyn M Kuhn, Ryan Hahn, Robert K Kanter, Randall C Wetzel
OBJECTIVE: ICU resources may be overwhelmed by a mass casualty event, triggering a conversion to Crisis Standards of Care in which critical care support is diverted away from patients least likely to benefit, with the goal of improving population survival. We aimed to devise a Crisis Standards of Care triage allocation scheme specifically for children. DESIGN: A triage scheme is proposed in which patients would be divided into those requiring mechanical ventilation at PICU presentation and those not, and then each group would be evaluated for probability of death and for predicted duration of resource consumption, specifically, duration of PICU length of stay and mechanical ventilation...
September 2015: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/25937566/trauma-education-in-a-state-of-emergency-a-curriculum-based-analysis
#15
Stephen D Waterford, Mallory Williams, Charles J Siegert, P Marco Fisichella, Abraham Lebenthal
BACKGROUND: Trauma is the leading cause of death from ages 1-44-y in the United States and the fifth leading cause of death overall, but there are few studies quantifying trauma education in medical school. This study reviews curriculum hours devoted to trauma education at a northeastern medical school. MATERIALS AND METHODS: We reviewed the preclinical curriculum at a northeastern medical school affiliated with three adult and two pediatric level I trauma centers verified by the American College of Surgeons...
August 2015: Journal of Surgical Research
https://www.readbyqxmd.com/read/25630138/preparing-for-the-unthinkable-tactical-emergency-casualty-care-pediatric-guidelines
#16
Joshua P Bobko, David W Callaway, E Reed Smith
No abstract text is available yet for this article.
October 2014: JEMS: a Journal of Emergency Medical Services
https://www.readbyqxmd.com/read/25348383/meeting-children-s-needs-a-mixed-methods-approach-to-a-regionalized-pediatric-surge-plan-the-los-angeles-county-experience
#17
Bridget M Berg, Valerie M Muller, Millicent Wilson, Roel Amara, Kay Fruhwirth, Kathleen Stevenson, Rita V Burke, Jeffrey S Upperman
INTRODUCTION: Children are one of the most vulnerable populations during mass casualty incidents because of their unique physiological, developmental, and psychological attributes. The objective of this project was to enhance Los Angeles County's (LAC) pediatric surge capabilities. The purpose of this study was threefold: (1) determine gaps in pediatric surge capacity and capabilities; (2) double pediatric inpatient capacity; and (3) document a plan to address gaps and meet pediatric inpatient surge...
2014: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/25330998/using-mixed-methods-to-assess-pediatric-disaster-preparedness-in-the-hospital-setting
#18
MULTICENTER STUDY
Rita V Burke, Tae Y Kim, Shellby L Bachman, Ellen I Iverson, Bridget M Berg
INTRODUCTION: Children are particularly vulnerable during disasters and mass-casualty incidents. Coordinated multi-hospital training exercises may help health care facilities prepare for pediatric disaster victims. PROBLEM: The purpose of this study was to use mixed methods to assess the disaster response of three hospitals, focusing on pediatric disaster victims. METHODS: A full-functional disaster exercise involving a simulated 7.8-magnitude earthquake was conducted at three Los Angeles (California USA) hospitals, one of which is a freestanding designated Level I Pediatric Trauma Center...
December 2014: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/25194652/pediatric-mass-casualty-education-experiential-learning-through-university-sponsored-disaster-simulation
#19
Elizabeth N Austin, Serap E Bastepe-Gray, H Wayne Nelson, Judith Breitenbach, Kathleen T Ogle, Angela Durry, Sheila D Green, Lisa A Crabtree, Mindy Haluska
No abstract text is available yet for this article.
September 2014: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/25181869/ems-response-to-pediatric-disorders-is-your-system-ready-to-treat-large-numbers-of-injured-children
#20
REVIEW
Donell Harvin, Nora Caplan, Sean M Kivlehan
No abstract text is available yet for this article.
July 2014: EMS World
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