Paediatric patients in mass casualty incidents: a comprehensive review and call to action.

Age Factors Anesthesia / methods Anesthesiologists / organization & administration Child Emergency Medical Services / organization & administration Emergency Service, Hospital / organization & administration Humans Mass Casualty Incidents Pediatrics
CRBNE (chemical, biological, radiological, nuclear, explosive) paediatric MCI paediatric anaesthesia paediatric disaster paediatric mass casualty paediatric triage

Journal

British journal of anaesthesia
ISSN: 1471-6771
Titre abrégé: Br J Anaesth
Pays: England
ID NLM: 0372541

Informations de publication

Date de publication:
Feb 2022
Historique:
received: 01 08 2021
revised: 21 10 2021
accepted: 21 10 2021
pubmed: 5 12 2021
medline: 16 2 2022
entrez: 4 12 2021
Statut: ppublish

Résumé

The paediatric population is disproportionately affected during mass casualty incidents (MCIs). Several unique characteristics of children merit special attention during natural and man-made disasters because of their age, physiology, and vulnerability. Paediatric anaesthesiologists play a critical part of MCI care for this population, yet there is a deficit of publications within the anaesthesia literature addressing paediatric-specific MCI concerns. This narrative review article analyses paediatric MCI considerations and compares differing aspects between care provision in Australia, the UK, and the USA. We integrate some of the potential roles for anaesthesiologists with paediatric experience, which include preparation, command consultation, in-field care, pre-hospital transport duties, and emergency department, operating theatre, and ICU opportunities. Finally, we propose several methods by which anaesthesiologists can improve their contribution to paediatric MCI care through personal education, training, and institutional involvement.

Identifiants

DOI: 10.1016/j.bja.2021.10.026 PMID: 34862001
pubmed: 34862001
pii: S0007-0912(21)00697-8
doi: 10.1016/j.bja.2021.10.026
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e109-e119

Informations de copyright

Copyright © 2021 British Journal of Anaesthesia. All rights reserved.

Déclaration de conflit d'intérêts

Declarations of interest The authors have no conflict of interest to declare.

Auteurs

Matthew Desmond (M)

Department of Emergency Medicine, Wollongong Hospital, Wollongong, New South Wales, Australia; Department of Anesthesiology, University of Southern California, Los Angeles, CA, USA. Electronic address: mdesmond@ucla.edu.

Deborah Schwengel (D)

Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Kelly Chilson (K)

Department of Anesthesiology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.

Deborah Rusy (D)

Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Kristyn Ingram (K)

Department of Anesthesiology, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.

Aditee Ambardekar (A)

Department of Anesthesiology and Pain Management, UT Southwestern Medical Center, Dallas, TX, USA.

Robert S Greenberg (RS)

Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Kumar Belani (K)

Department of Anesthesiology, University of Minnesota Medical School, Minneapolis, MN, USA.

Alison Perate (A)

Department of Anesthesiology and Critical Care Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.

Meera Gangadharan (M)

Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

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Classifications MeSH

questionsmedicales.fr › Environnement et santé publique › Santé publique › Facteurs épidémiologiques › Facteurs âges › Paediatric patients in mass casualty...
questionsmedicales.fr › Anesthésie et analgésie › Anesthésie › Paediatric patients in mass casualty...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Médecins › Anesthésiologistes › Paediatric patients in mass casualty...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Paediatric patients in mass casualty...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services des urgences médicales › Paediatric patients in mass casualty...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Administration d'établissement de santé › Administration hospitalière › Services hospitaliers › Service hospitalier d'urgences › Paediatric patients in mass casualty...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Paediatric patients in mass casualty...
questionsmedicales.fr › Environnement et santé publique › Environnement › Catastrophes › Événements avec afflux massif de victimes › Paediatric patients in mass casualty...
questionsmedicales.fr › Professions de santé › Médecine › Pédiatrie › Paediatric patients in mass casualty...