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

Appropriate Triage.............................................................................................................40
Incident Management.....................................................................................................................41
Staging ...............................................................................................................................42
Triage Group......................................................................................................................42
Treatment/Decontamination ..............................................................................................42
Transportation....................................................................................................................43
Bibliography ..................................................................................................................................43
Chapter 4. Biological Terrorism ..................................................................................47
Background....................................................................................................................................47
History of Bioterrorism......................................................................................................47
Epidemiology of a Terrorist Attack ...................................................................................49
Agents Categorized by System Predominantly Affected...............................................................50
Respiratory System ............................................................................................................50
Nervous System .................................................................................................................51
Gastrointestinal System .....................................................................................................52
Dermatologic Manifestations.............................................................................................52
Notifying Authorities.....................................................................................................................54
Health Department.............................................................................................................55
Hospital..............................................................................................................................55
Law Enforcement...............................................................................................................56
Laboratory Support and Submission of Specimens...........................................................56
Laboratory Response Network ..........................................................................................56
Limiting Spread .............................................................................................................................56
Standard Precautions..........................................................................................................56
Transmission Precautions ..................................................................................................57
Equipment and Supplies ................................................................................................................58
Pediatric Practices..........................................................................................................................59
Managing Patients: Treatment and Prevention..............................................................................60
Smallpox Vaccine ..............................................................................................................60
Anthrax Vaccine ................................................................................................................61
Strategic National Stockpile ..........................................................................................................61
Surge Capacity...............................................................................................................................62
Medications........................................................................................................................62
Isolation..............................................................................................................................62
Vaccination ........................................................................................................................63
Information for Families................................................................................................................63
Category A Agents.........................................................................................................................63
Anthrax ..............................................................................................................................63
Botulinum Toxin................................................................................................................66
Plague.................................................................................................................................69
Smallpox ............................................................................................................................71
Tularemia ...........................................................................................................................74
Viral Hemorrhagic Fevers..................................................................................................76
Category B and C Agents ..............................................................................................................77
Ricin...................................................................................................................................77
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