PDLS Disaster Mitigation What is Disaster Mitigation Steps

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© PDLS : Disaster Mitigation

© PDLS : Disaster Mitigation

What is Disaster Mitigation? Steps taken prior to and after a disaster to minimize

What is Disaster Mitigation? Steps taken prior to and after a disaster to minimize morbidity and mortality Examples include: - disaster plans: community, school, and home - pre-designated shelters - clean water stores, food stores - post disaster emotional support

Introduction Discussion of topics specific to pediatric disaster management Audience experience Question and answer

Introduction Discussion of topics specific to pediatric disaster management Audience experience Question and answer session

Overview Children in disasters pose unique problems Attention must be paid to children's needs

Overview Children in disasters pose unique problems Attention must be paid to children's needs while maintaining routine management Emotional scars from the disaster must be managed early

Disaster Management Preparation Initial response Management of resources Recovery

Disaster Management Preparation Initial response Management of resources Recovery

Preparation: Home Create and discuss disaster plan for family Acquaint all family members with

Preparation: Home Create and discuss disaster plan for family Acquaint all family members with first aid equipment in home Route of egress from home Meeting place outside Conduct drills

Preparation: Home Keep disaster stores of food, meds, diapers, etc. Have “disaster containers” in

Preparation: Home Keep disaster stores of food, meds, diapers, etc. Have “disaster containers” in home and car

Preparation: School Makes disaster plan known to all Routes of egress from school Meeting

Preparation: School Makes disaster plan known to all Routes of egress from school Meeting place Drills

Hospital Interface Work with local and state officials to create disaster management plan Local

Hospital Interface Work with local and state officials to create disaster management plan Local EMS should have plans for all schools, Daycares, etc. . in area Practice interface between school, EMS, and hospital with drills at least once a year

Management of Resources Children require unique supplies Hospital pediatric resuscitation equipment should be adequately

Management of Resources Children require unique supplies Hospital pediatric resuscitation equipment should be adequately stocked Oral fluids, small gauge IV sets, diapers, etc. should be stockpiled nearby Children's toys, books, etc. should be accessible

Management of Resources Know total number of pediatric floor and ICU beds in area

Management of Resources Know total number of pediatric floor and ICU beds in area Be prepared to transport patients and or supplies large distances

Example: Olympic Bombing Grady Hospital identified as primary receiving hospital with support from surrounding

Example: Olympic Bombing Grady Hospital identified as primary receiving hospital with support from surrounding hospitals Personnel drilled in specific tasks during disaster Telephone hotline activated immediately following bombing Personnel arriving at hospital in specific roles Over 150 patients treated for major and minor trauma without a single mortality

Recovery Phase: Initial Shelters should be “kid friendly” Keep families together Personnel to organize

Recovery Phase: Initial Shelters should be “kid friendly” Keep families together Personnel to organize area for orphaned and separated children until families reunited Create children's groups in shelter, plenty of toys, books, etc. .

Recovery Phase: Long-term Psychological services early Be attentive to children's needs, consider educational resources

Recovery Phase: Long-term Psychological services early Be attentive to children's needs, consider educational resources for long-term sheltering. Aberrant behavior may be manifestation of emotional trauma

Recovery Phase: Long-term Children must feel safe in home, community and school; encourage this

Recovery Phase: Long-term Children must feel safe in home, community and school; encourage this Learn from mistakes

Disaster Mitigation: What you can do Emergency physicians, Pediatric EM physicians, Pediatricians, Nurses, other

Disaster Mitigation: What you can do Emergency physicians, Pediatric EM physicians, Pediatricians, Nurses, other health care professionals: - Preparation before disaster - Action during disaster - Recovery phase

Before Disaster Strikes Involve yourself in the local EMS and area disaster plan: help

Before Disaster Strikes Involve yourself in the local EMS and area disaster plan: help to develop systems that keep children's’ needs in mind Work with schools, daycares and local hospitals to develop integrated disaster plans Act as an advisor to your patients for home disaster planning

Before Disaster Strikes Arrange disaster response drills Promote community awareness addressing pediatric needs

Before Disaster Strikes Arrange disaster response drills Promote community awareness addressing pediatric needs

During A Disaster Be active!! Institute disaster plans in your facility Participate in the

During A Disaster Be active!! Institute disaster plans in your facility Participate in the community response to disaster

Disaster Recovery Provide medical care to shelters Assume basic community services will be disrupted

Disaster Recovery Provide medical care to shelters Assume basic community services will be disrupted for some time Attend to emotional needs of the pediatric population effected

Emotional Problems: What To Expect Acting out Depression Apathy, lack of expression Difficulty sleeping

Emotional Problems: What To Expect Acting out Depression Apathy, lack of expression Difficulty sleeping Fear of thunder, wind, etc. Somatic complaints

Who Is Most At Risk For Emotional Problems? Children most directly affected by the

Who Is Most At Risk For Emotional Problems? Children most directly affected by the disaster: injured themselves, family members killed or injured Children with prior emotional problems Children suffering a disruption in their family

Disaster Mitigation. . . Plan For The Children!

Disaster Mitigation. . . Plan For The Children!