Injuries and surgical needs of children in conflict and disaster: From Boston to Haiti and beyond

Trudeau, Maeve O’Neill; Rothstein, David H.

doi:10.1053/j.sempedsurg.2015.09.006

Cited by 17 publications

(15 citation statements)

References 40 publications

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“…48,50,51 Fourth, pediatric surgical expertise is essential for children in conflict and disaster situations. 52 Orthopedic injuries like fractures or amputations, neurosurgical lesions and burns, merit special pediatric knowledge. Besides, pediatric perioperative care and safe anesthesia are required for survival and successful outcome.…”

Section: Pediatric Datathe Blind Spotmentioning

confidence: 99%

Disasters in Germany and France: An Analysis of the Emergency Events Database From a Pediatric Perspective

Ries

Zielonka

Ries³

et al. 2019

Disaster med. public health prep.

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Objective:The objective of this study was to conduct comprehensive analyses of disaster patterns for Germany and France from a pediatric perspective.Methods:An analysis of the Emergency Events Database (EM-DAT), epidemiological database with standard methods of descriptive and comparative statistics respecting the strengthening the reporting of observational studies in epidemiology (STROBE) criteria, was performed.Results:Between 2006 and 2016, there were 41 and 42 disasters in Germany and France claiming 259 and 4973 lives, respectively. Ages of afflicted individuals were not specified in EM-DAT. In Germany, most events were storms (37%), extreme temperatures (17%), floods (17%), and transport accidents (17%). In France, most events were storms (45%), extreme temperatures (17%), floods (19%), and transport accidents (14%). In Germany, most lives (96) were lost in transport accidents. In France, most casualties were due to the heat waves of 2006 and 2015 (1388 and 3275). Reported event types in Germany and France were similar, but heat waves struck France more significantly than Germany.Conclusions:Pediatric data are not explicitly captured in EM-DAT, but reported disaster patterns suggest that exposures to heat and cold, storms, trauma, chemicals, water, and infectious agents are possible mechanisms of injury. Age-stratified disaster data are needed to enable a timely, transparent, coordinated, and sustained data-driven approach to pediatric disaster resilience.

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Section: Pediatric Datathe Blind Spotmentioning

confidence: 99%

Disasters in Germany and France: An Analysis of the Emergency Events Database From a Pediatric Perspective

Ries

Zielonka

Ries³

et al. 2019

Disaster med. public health prep.

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“…A further 122 were excluded as they either related to EMT practice in the predeployment phase, took place in a HIC or did not relate to patient safety practices. The remaining 39 records comprised 30 peer-reviewed papers15 26–54 and 9 grey literature documents to be included in the data synthesis 13 14 19–25. The 30 peer-reviewed papers generated 82 patient safety statements, and the grey literature generated 220 patient safety statements.…”

Section: Resultsmentioning

confidence: 99%

The patient safety practices of emergency medical teams in disaster zones: a systematic analysis

et al. 2019

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IntroductionDisaster zone medical relief has been criticised for poor quality care, lack of standardisation and accountability. Traditional patient safety practices of emergency medical teams (EMTs) in disaster zones were not well understood. Improving the quality of healthcare in disaster zones has gained importance within global health policy. Ascertaining patient safety practices of EMTs in disaster zones may identify areas of practice that can be improved.MethodsA systematic search of OvidSP, Embase and Medline databases; key journals of interest; key grey literature texts; the databases of the WHO, Médecins Sans Frontieres and the International Committee of the Red Cross; and Google Scholar was performed. Descriptive studies, case reports, case series, prospective trials and opinion pieces were included with no limitation on date or language of publication.ResultsThere were 9685 records, evenly distributed between the peer-reviewed and grey literature. Of these, 30 studies and 9 grey literature texts met the inclusion criteria and underwent qualitative synthesis. From these articles, 302 patient safety statements were extracted. Thematic analysis categorised these statements into 84 themes (total frequency 632). The most frequent themes were limb injury (9%), medical records (5.4%), surgery decision-making (4.6%), medicines safety (4.4%) and protocol (4.4%).ConclusionPatient safety practices of EMTs in disaster zones are weighted toward acute clinical care, particularly surgery. The management of non-communicable disease is under-represented. There is widespread recognition of the need to improve medical record-keeping. High-quality data and institutional level patient safety practices are lacking. There is no consensus on disaster zone-specific performance indicators. These deficiencies represent opportunities to improve patient safety in disaster zones.

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“…Olabiliyorsa acil tıp uzmanı veya çocuk yaralılar ile ilgili çocuk cerrahisi uzmanının liderliğinde oluşturulacak ekip süreci yönet-melidir. Çocuk yaralılara müdahele eden ekibin liderliğini hem travma hastalarına bakma deneyimi hem de genel pediatri bilgisine sahip çocuk cerrahlarının yapması daha uygundur ve dünyadaki yaygın uygulama da bu yöndedir (5) . Çocuk cerrahları, travma sonucunda ortaya çıkan şok tablosunda verilmesi gereken uygun sıvı-elektrolit tedavisini düzenler, diğer bölümlerden istenecek konsültasyonlara, laboratuvar ve radyoloji tetkiklerine hızlıca karar verir.…”

Section: Discussionunclassified

Disaster management: experiences of pediatric surgeons

User¹,

Bakal²,

Saraç³

et al. 2017

tcdd

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Results: Injured people with no identification, multiple number of multiple-trauma victim admission within a short time, referrals exceeding the capacities of emergency services, laboratories, blood banks, radiology departments were the common issues encountered in both incidents. Necessity of using human and material sources efficiently, avoidance of unneccesary work-up, balancing work load by applicating triage among injured, making necessary preparations in the emergency services before the casualties arrived to the hospital, continuation of health care services by scheduling shifts after the stabilization of the initial acute phase were the lessons taken from these experiences. Conclusion: Prearranged hospital disaster plan may reduce these possible problems to a minimum level. The fact that traumatic events that may injure or cause them to lose their lives essentially requires integration of disaster medicine into the education of pediatric surgery. Keywords: Disaster medicine, trauma, blast injury, childAfet yönetimi: Çocuk cerrahlarının deneyimleri İdil Rana UseR*, Ünal Bakal**, Mehmet sARAÇ**, Bülent Hayri Özokutan*, ahmet kazez** *Gaziantep Üniversitesi Tıp Fakültesi Çocuk Cerrahisi Anabilm Dalı, Gaziantep **Fırat Üniversitesi Tıp Fakültesi Çocuk Cerrahisi Anabilim Dalı, Elazığ Araştırma Çocuk Cerrahisi Dergisi 31(1):1-4, 2017 doi:10.5222/JTAPS.2017 Giriş Etkilediği toplumun düzeltme kapasitesini aşacak düzeyde güçlüğe neden olan ve normal var oluşu bozan hâllere afet denir. Deprem, sel, heyelan gibi doğa olayları ya da insan eliyle ortaya çıkan yangın, terör saldırıları gibi pek çok olay afet kapsamına girer(1) .Bir hastanenin tıbbi hizmet sağlayabileceğinden daha fazla hastanın aynı anda başvurduğu durumlar da "hastane afeti" olarak tanımlanır. Bu makalede, yakın zamanda Türkiye'de yaşananlar ışığında afet durumlarında hastanelerde karşılaşılan zorluklar ve bu durumla karşılaşan çocuk cerrahlarının deneyimlerinin irdelenmesi amaçlanmıştır. elazığ'daki Bombalı saldırı ve sonrasında YaşananlarElazığ il merkezinde 18 Ağustos 2016 perşembe günü Alındığı tarih:

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Injuries and surgical needs of children in conflict and disaster: From Boston to Haiti and beyond

Cited by 17 publications

References 40 publications

Disasters in Germany and France: An Analysis of the Emergency Events Database From a Pediatric Perspective

Disasters in Germany and France: An Analysis of the Emergency Events Database From a Pediatric Perspective

The patient safety practices of emergency medical teams in disaster zones: a systematic analysis

Disaster management: experiences of pediatric surgeons

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