This new comprehensive report and its summary serve as practical resources that pediatricians can consult in planning for and responding to natural disasters and bioterrorist events. The report was prepared by the American Academy of Pediatrics (AAP) for the Agency for Healthcare Research and Quality (AHRQ).
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Chapter 1. Introduction
Background
Children Are Not Small Adults
Overview of Practical Considerations for Children and Families During Disasters
Pediatric Readiness
Summary
Bibliography
Chapter 2. Systems Issues
Types of Disasters
Aftermath
Federal Response
Summary
Bibliography
Chapter 3. Responding to a Disaster
Phases of Response
Regional Response
Incident Management
Bibliography
Chapter 4. Biological Terrorism
Background
Agents Categorized by System Predominantly Affected
Notifying Authorities
Limiting Spread
Equipment and Supplies
Pediatric Practices
Managing Patients: Treatment and Prevention
Strategic National Stockpile
Surge Capacity
Information for Families
Category A Agents
Category B and C Agents
Bibliography
Chapter 5. Chemical Terrorism
Introduction
Nerve Agents
Cyanide
Vesicants
Pulmonary Agents
Riot Control Agents
Bibliography
Chapter 6. Radiological and Nuclear Terrorism
Radiological Threats: Scope and Implications
Nuclear Power Plants
Historical Overview of Radiation Injury
Radiological Dispersal Devices (Dirty Bombs)
Other Radiation Uses and Injuries
Physical Principles of Ionizing Radiation
Radiation Biology and Dosimetry
Medical Diagnosis: Acute Radiation Syndrome
Medical Diagnosis: External Contamination
Medical Diagnosis: Internal Radionuclide Contamination
Radiation Detection, Personal Protective Equipment, Personnel Monitoring, and
Decontamination
Monitoring of Personnel/Decontamination
Medical Treatment: General Issues Unique to Pediatrics
Medical Treatment: Acute Radiation Syndrome
Medical Treatment: Internal Contamination
Surgical Issues
Followup Care, Including Risk of Carcinogenesis
Environmental Issues Affecting Children After a Terrorist Incident Involving Radioactive
Materials
Bibliography
Chapter 7. Blast Terrorism
Introduction
Explosives
Blast Fundamentals
Blast Trauma
Incendiary Weapons
Aviation Terrorism
Trauma Systems
Treatment
Planning and Mitigation
Bibliography
Chapter 8. Mental Health Issues
Mental Health and the Role of the Pediatrician
Trauma-Related Disorders
Death Notification and Pediatric Bereavement
Therapies for Psychic Trauma
Medication
School Crisis Response
Anniversary Reactions and Commemorative Activities
Impact on Health Care Providers
Risk Communication and Media Issues
Bibliography
Chapter 9. Integrating Terrorism and Disaster Preparedness into
Your Pediatric Practice
Relevance for Office-Based Pediatricians
Relevance for Hospital-Based Pediatricians
Bibliography
Chapter 10. Working with Government Agencies
Introduction
Community, Government, and Public Health Preparedness
Advocating for Children and Families in Preparedness Planning
Resources Available from Government Agencies
Chapter 11. Conclusion
Systems Issues
Regional, State, and Local Efforts
Vulnerable Populations
Providing Urgent Medical Care to Large Populations of Displaced Children
A Final Word
Acronyms
Appendix A. Pediatric Terrorism and Disaster Preparedness: Learning Objectives
Appendix B. List of Contributors
Copyright Notice
Disclaimer
AHRQ Publication No. 06(07)-0056
Current as of October 2006
Internet Citation:
Pediatric Terrorism and Disaster Preparedness: A Resource for Pediatricians. AHRQ Publication No. 06(07)-0056, October 2006. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/pedprep/
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