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

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Quarantine procedures. Quarantine procedures should be a well-established means of<br />

limiting the spread of infection. Quarantine may become an active part of inpatient needs in a<br />

given hazard-related disaster. Children who become ill may require isolation to prevent<br />

spread of disease to other patients <strong>and</strong> health care providers. The exact nature <strong>and</strong> severity of<br />

quarantine will depend on the specific hazard involved. Close coordination with the public<br />

health service, CDC, <strong>and</strong> local poison centers is essential in both the planning <strong>and</strong> execution<br />

stage.<br />

Staff training. Staff training should include the following:<br />

• Training in use of protective gear.<br />

• Orientation to all aspects of the plan from the disaster site to the emergency<br />

department to hospital floors, as well as to rehabilitation <strong>and</strong> rebuilding in the<br />

community.<br />

• Staff preparedness for notification, transportation to treatment sites, self preparedness<br />

(emergency packages of personal items), strategies for coping with family dem<strong>and</strong>s,<br />

psychological dem<strong>and</strong>s, <strong>and</strong> plans for personal health <strong>and</strong> hygiene.<br />

• Support for families of health care workers so that the health care workers are<br />

available to provide services.<br />

• Mechanism for tracking resources.<br />

• Media/public communication issues.<br />

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adolescents. Child Adolesc Psychiatric Clin No Am. 2003;12:493–535.<br />

• Chemtob CM, Nakashima JP, Hamada RS. Psychosocial interventions for<br />

postdisaster trauma symptoms in elementary school children. Arch Pediatr Adolesc<br />

Med. 2002;156:211–216.<br />

• Cowan ML, Cloutier MG. Medical simulation for disaster casualty management<br />

training. J Trauma. 1988;28(1Suppl):S178–S182.<br />

• Flowers LK, Mothershead JL, Blackwell TH. Bioterrorism preparedness: II. the<br />

community <strong>and</strong> emergency medical services systems. Emerg Med Clin No Am.<br />

2002;20(2):457–476.<br />

• Harner A. Will you be ready when your patients need you the most? <strong>Disaster</strong><br />

planning for the medical practice. MGMA Connexion, Nov/Dec 2001: 40–41.<br />

• Hazinski FM, Markenson D, Neish S, et al. Response to cardiac arrest <strong>and</strong> selected<br />

life-threatening medical emergencies: the medical emergency response plan for<br />

schools. A statement for healthcare providers, policymakers, school administrators,<br />

<strong>and</strong> community leaders. American Heart Association, Emergency Cardiovascular<br />

Care Committee. Policy Statement, <strong>Pediatric</strong>s. 2004;113(1):155–168.<br />

• Laor M, Wolmer L, Spriman S, Wiener Z. Facing war, terrorism, <strong>and</strong> disaster: toward<br />

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301

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