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Pediatric Terrorism and Disaster Preparedness

Public Health Emergency Preparedness

This resource was part of AHRQ's Public Health Emergency Preparedness program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.

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A Resource for Pediatricians


This new comprehensive report and its summary serve as practical resources that pediatricians can consult in planning for and responding to natural disasters and bioterrorist events. The report was prepared by the American Academy of Pediatrics (AAP) for the Agency for Healthcare Research and Quality (AHRQ).

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Chapter 1. Introduction
   Children Are Not Small Adults
   Overview of Practical Considerations for Children and Families During Disasters
   Pediatric Readiness
Chapter 2. Systems Issues
   Types of Disasters
   Federal Response
Chapter 3. Responding to a Disaster
   Phases of Response
   Regional Response
   Incident Management
Chapter 4. Biological Terrorism
   Agents Categorized by System Predominantly Affected
   Notifying Authorities
   Limiting Spread
   Equipment and Supplies
   Pediatric Practices
   Managing Patients: Treatment and Prevention
   Strategic National Stockpile
   Surge Capacity
   Information for Families
   Category A Agents
   Category B and C Agents
Chapter 5. Chemical Terrorism
   Nerve Agents
   Pulmonary Agents
   Riot Control Agents
Chapter 6. Radiological and Nuclear Terrorism
   Radiological Threats: Scope and Implications
   Nuclear Power Plants
   Historical Overview of Radiation Injury
   Radiological Dispersal Devices (Dirty Bombs)
   Other Radiation Uses and Injuries
   Physical Principles of Ionizing Radiation
   Radiation Biology and Dosimetry
   Medical Diagnosis: Acute Radiation Syndrome
   Medical Diagnosis: External Contamination
   Medical Diagnosis: Internal Radionuclide Contamination
   Radiation Detection, Personal Protective Equipment, Personnel Monitoring, and Decontamination
   Monitoring of Personnel/Decontamination
   Medical Treatment: General Issues Unique to Pediatrics
   Medical Treatment: Acute Radiation Syndrome
   Medical Treatment: Internal Contamination
   Surgical Issues
   Followup Care, Including Risk of Carcinogenesis
   Environmental Issues Affecting Children After a Terrorist Incident Involving Radioactive Materials
Chapter 7. Blast Terrorism
   Blast Fundamentals
   Blast Trauma
   Incendiary Weapons
   Aviation Terrorism
   Trauma Systems
   Planning and Mitigation
Chapter 8. Mental Health Issues
   Mental Health and the Role of the Pediatrician
   Trauma-Related Disorders
   Death Notification and Pediatric Bereavement
   Therapies for Psychic Trauma
   School Crisis Response
   Anniversary Reactions and Commemorative Activities
   Impact on Health Care Providers
   Risk Communication and Media Issues
Chapter 9. Integrating Terrorism and Disaster Preparedness into Your Pediatric Practice
   Relevance for Office-Based Pediatricians
   Relevance for Hospital-Based Pediatricians
Chapter 10. Working with Government Agencies
   Community, Government, and Public Health Preparedness
   Advocating for Children and Families in Preparedness Planning
   Resources Available from Government Agencies
Chapter 11. Conclusion
   Systems Issues
   Regional, State, and Local Efforts
   Vulnerable Populations
   Providing Urgent Medical Care to Large Populations of Displaced Children
   A Final Word
Appendix A. Pediatric Terrorism and Disaster Preparedness: Learning Objectives
Appendix B. List of Contributors
Copyright Notice

AHRQ Publication No. 06(07)-0056
Current as of October 2006


The information on this page is archived and provided for reference purposes only.


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