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World J Crit Care Med. Feb 4, 2014; 3(1): 15-23
Published online Feb 4, 2014. doi: 10.5492/wjccm.v3.i1.15
Published online Feb 4, 2014. doi: 10.5492/wjccm.v3.i1.15
Disaster preparedness, pediatric considerations in primary blast injury, chemical, and biological terrorism
Mitchell Hamele, Jill Sweney, W Bradley Poss, Division of Pediatric Critical Care, Department of Pediatrics, School of Medicine, University of Utah, Salt Lake City, UT 84108, United States
Author contributions: Hamele M, Poss WB and Sweney J contributed equally to this manuscript.
Correspondence to: Mitchell Hamele, MD, Division of Pediatric Critical Care, Department of Pediatrics, School of Medicine, University of Utah, 295 Chipeta Way, Salt Lake City, UT 84108, United States. Mitchell.Hamele@hsc.utah.edu
Telephone: +1-801-5877572 Fax: +1-801-5818686
Received: September 15, 2013
Revised: November 21, 2013
Accepted: December 9, 2013
Published online: February 4, 2014
Revised: November 21, 2013
Accepted: December 9, 2013
Published online: February 4, 2014
Core Tip
Core tip: Terrorism and mass casualty events continue to increase on a global scale. Many injuries specific to terrorist incidents including blast injury, biological, and chemical casualties are unfamiliar to the critical care provider. We review the presentation, pathophysiology and care of these casualties. We give specific consideration to the pediatric population as they are a particularly vulnerable population and both adult and pediatric critical care specialists would be called upon to care for children in the event of a massive casualty terrorist event.