Pediatric Terrorism and Disaster Preparedness: A ... - PHE Home

Figures and Tables
Figures
Figure 2.1 Federal Response Plan..................................................................................................24
Figure 3.1 National Response Plan................................................................................................44
Figure 4.1 Inhalational anthrax; chest radiograph taken 22 hours before death............................88
Figure 4.2 Neurological signs, botulism, 6-week-old infant .........................................................89
Figure 4.3 Cutaneous anthrax lesion with eschar on neck.............................................................90
Figure 4.4 Physical distribution of smallpox lesions versus varicella lesions...............................91
Figure 4.5 Small pox lesions..........................................................................................................92
Figure 4. 6 Varicella lesions ..........................................................................................................93
Figure 4.7 Expected smallpox vaccination site reaction (i.e., a “take”) in a
first-time vaccinate.............................................................................................................94
Figure 4.8a Febrile rash illness algorithm for evaluating patients suspected of
having smallpox.................................................................................................................95
Figure 4.8b Classification of risk Febrile rash illness algorithm...................................................96
Figure 6.1 Probability of radiation casualties ..............................................................................216
Figure 6.2 Environmental exposure pathway ..............................................................................217
Figure 6.3 Generic pediatric medical field card...........................................................................218
Figure 6.4 Bone marrow irradiated to 3 Gy.................................................................................219
Figure 6.5 Pattern of a series of blood counts graphed over time after 3 Gy of
whole-body exposure.......................................................................................................220
Figure 6.6 Classic Andrews diagram...........................................................................................221
Figure 6.7 Contamination versus exposure..................................................................................222
Figure 6.8 Examples of radiation survey meters .........................................................................223
Figure 6.9 Recommended procedures for monitoring personnel.................................................224
Figure 6.10 Localized radiation effects .......................................................................................225
Tables
Table 1.1 Types of disasters...........................................................................................................13
Table 2.1 Types of disasters, hazards, or events that may require Federal assistance...................25
Table 3.1 Training and competencies of prehospital emergency personnel..................................45
Table 4.1 Early clinical signs and symptoms after exposure to selected
bioterrorist agents...............................................................................................................97
Table 4.2 Infection control transmission precautions for Category A agents................................99
Table 4.3 Diagnostic procedures, isolation precautions, treatment, and postexposure
prophylaxis for selected bioterrorist agents in children...................................................100
Table 4.4a Diagnostic tests for anthrax........................................................................................103
Table 4.4b Adjunctive diagnostic tests for anthrax .....................................................................103
Table 4.5 Postexposure prophylaxis for anthrax..........................................................................104
Table 4.6 Treatment recommendations for tularemia in children before
test results are known.......................................................................................................105
Table 5.1 Pediatric vulnerabilities to chemical terrorism ............................................................132
Table 5.2 Chemical weapons Summary of pediatric management considerations......................133
Table 5.3 Representative classes of industrial chemicals Summary of pediatric
management considerations.............................................................................................135
x