title: A mass casualty incident involving children and chemical decontamination.
abstract: Mass casualty incidents involving contaminated children are a rare but ever-present possibility. In this article we outline one such event that resulted in 53 pediatric patients and 3 adults presenting to the emergency department of a children's hospital for decontamination and treatment. We pay special attention to the training that allowed this responses to occur. We also outline the institutional response with emphasis on incident command, communication, and resource utilization. Specific lessons learned are explored in detail. Finally, we set forth a series of recommendations to assist other institutions should they be called upon to care for and decontaminate pediatric patients.
authors.affiliation: Emergency Preparedness Committee, and Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA. Nathan.timm@cchmc.org
authors.forename: Nathan
authors.initials: N
authors.lastname: Timm
authors.forename: Scott
authors.initials: S
authors.lastname: Reeves
mesh_terms: D000328:Adult; D002648:Child; D003142:Communication; D003666:Decontamination / Q000379:methods*; D004189:Disaster Planning / Q000458:organization & administration*; D018563:Disease Notification; D004631:Emergency Medical Service Communication Systems / Q000458:organization & administration; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D004781:Environmental Exposure / Q000009:adverse effects / Q000517:prevention & control; D006301:Health Services Needs and Demand; D006747:Hospital Communication Systems / Q000458:organization & administration; D006776:Hospitals, Pediatric; D006801:Humans; D007318:Inservice Training; D007374:Interior Design and Furnishings; D009820:Ohio; D010564:Personnel, Hospital / Q000193:education; D013438:Sulfhydryl Compounds / Q000506:poisoning; D014186:Transportation
chemical_list: D013438:Sulfhydryl Compounds; C025540:n-butyl mercaptan