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

o Public recreation administrations (zoos, amusement parks, sports stadiums, museums,
and the like).
Regional coordination with medical stakeholders includes liaison and planning with various
medical entities within the region:
• Children’s hospital-based:
o Pediatricians and pediatric subspecialists.
o Pediatric nurse practitioners, physician assistants.
o Administration.
o Ancillary services (nursing, technicians, etc.).
o Air/ground transport services.
o Laboratory services.
o Children’s services.
o Support services (dietary, environmental).
• Community-based private practitioners:
o Pediatricians.
o Family practice physicians.
o Emergency medicine physicians.
o Nurse practitioners.
o Physician assistants.
o Other types of physicians and health care providers.
• Community/ regional hospitals:
o Emergency department staff.
o Hospitalists.
o Surgeons.
o Anesthesiologists.
o Administration.
Some Roles for the Pediatrician in Regional Hospital to Community
Planning
• Meet with hospital planners to ensure children’s needs are met, equipment is adequate,
and contingency plans are in place.
• Be present when hospitals work with prehospital groups on triage, stabilization,
equipment, distribution, etc.
• Help organize the response of community pediatricians to assist at the hospital and local
secondary areas to redistribute care back to the community level.
• Help coordinate the identification and movement of community pediatricians. Assure that
local pediatricians have the appropriate identification needed to cross barriers, along with
designated means of transportation to areas where care is needed. Local pediatricians
should also be familiar with the regional disaster management plan, reporting
requirements, and contingency plans for alternate forms of communication, as needed.
• Plan for primary offices to initially use alternative areas, e.g., Disaster Medical
Assistance Team (DMAT) field units, school gyms, etc.
• Help develop education and assistance packets for family preparedness.
37