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An Overview: Pediatric Trauma During Natural and Man-Made Disasters

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Orthopedics in Disasters

Abstract

This chapter is based on our experience in providing medical care to children after earthquakes in Armenia (1988), Iran (1990), Georgia (1991), the USA (San Francisco, 1991), Egypt (1992), Japan (1995), Russia (Neftegorsk, Sakhalin, 1995), Afghanistan (1998, 2002), Turkey (1999), India (2001), Algeria (2003), Pakistan (2005), Indonesia (2006, 2009), Haiti (2010), and Nepal (2015). Medical assistance in these countries was provided by the Russian specialized medical pediatric team which included medical specialists of the Clinical and Research Institute of Urgent Pediatric Surgery and Trauma. There is no other team like this in the world. In many countries, it is known as Doctor Roshal’s Brigade. This brigade provided medical assistance to thousands of injured children all over the world [1–7]. Our chapters in this book were written by the immediate participants of these events. Based on our data, mortality and disability rate in children drops by half when medical assistance is provided by pediatric surgeons, compared to doctors for adults. Adult surgeons are more likely to do amputation surgeries than pediatric ones.

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References

  1. Roshal L. The system of organizing urgent surgical and traumatological help to children in disasters. Moscow: International conference “Disaster Medicine”; 1990. p. 12.

    Google Scholar 

  2. Roshal L. Children, disasters and wars. Proceedings of the 8th WCDEM Congress. Stockholm; 1993. p. 115.

    Google Scholar 

  3. Roshal L. Principles of rendering medical aid to children in disasters. J Prehosp Disaster Med. 2001;16(2):38.

    Google Scholar 

  4. Roshal L. A complex approach to organizing medical aid to children in disasters: problems and ways to solve them. The First World Forum “Children in Disasters”. Moscow; 2003, Proceed, p. 16.

    Google Scholar 

  5. Mitish V, Roshal L, Medinskiy P, Nalbandyan R. Role of mobile surgical team in treating children with serious injuries after the earthquakes. Difficulties in organizing the mission. J Prehosp Disaster Med. 2013;28 Suppl 1:s41.

    Google Scholar 

  6. Roshal L, Karaseva O, Gganikov O, Puzhitsky L. “Medical aid to children who survived the earthquake in Turkey”. J Prehosp Disaster Med. 2001;16(2):s. 62.

    Article  Google Scholar 

  7. Keshishian R, Roshal L, Puzhitsky L, Chernysheva T, Ratin D, et al. “Treatment of children with severe road trauma at prehospital stage”. J Prehosp Disaster Med. 2000;16(2):s. 37.

    Google Scholar 

  8. Kozlovskaia GV, Bashina VM, Goriunova AV, Kireeva IP, Novikova EV, Skoblo GV, Sedrakian LM. Neuropsychological reactions of children to earthquake in Armenian SSR. Pediatriia. 1990;(7):44–8. Russian. No abstract available. PMID: 2147472.

    Google Scholar 

  9. Kolaitis G, Kotsopoulos J, Tsiantis J, Haritaki S, Rigizou F, Zacharaki L, Riga E, Augoustatou A, Bimbou A, Kanari N, Liakopoulou M, Katerelos P. Posttraumatic stress reactions among children following the Athens earthquake of September 1999. Eur Child Adolesc Psychiatry. 2003;12(6):273–80.

    Article  CAS  PubMed  Google Scholar 

  10. Sahin NH, Batigün AD, Yilmaz B. Psychological symptoms of Turkish children and adolescents after the 1999 earthquake: exposure, gender, location, and time duration. J Trauma Stress. 2007;20(3):335–45.

    Article  PubMed  Google Scholar 

  11. Eksi A, Braun KL. Over-time changes in PTSD and depression among children surviving the 1999 Istanbul earthquake. Eur Child Adolesc Psychiatry. 2009;18(6):384–91. doi:10.1007/s00787-009-0745-9. Epub 2009 Feb 16.

    Article  PubMed  Google Scholar 

  12. Thoua V, François A. The post-traumatic stress disorder – PTSD – in psychiatry by children and teenagers: diagnostic and treatments. Rev Med Brux. 2010;31(2):111–5. French. PMID: 20677666.

    CAS  PubMed  Google Scholar 

  13. Sugihara G, Suda S. Need for close watch on children's health after Fukushima disaster. Lancet. 2011;378(9790):485–6. doi:10.1016/S0140-6736(11)61250-6. No abstract available. PMID: 21821184.

    Article  PubMed  Google Scholar 

  14. Peterson C. Children’s memory reports over time: getting both better and worse. J Exp Child Psychol. 2011;109(3):275–93. doi:10.1016/j.jecp.2011.01.009. Epub 2011 Mar 1. PMID: 21367429.

    Article  PubMed  Google Scholar 

  15. Cassidy LD. Pediatric disaster preparedness: the potential role of the trauma registry. J Trauma. 2009;67(2 Suppl):S172–8. doi:10.1097/TA.0b013e3181af0aeb. Review. PMID: 19667854.

    Article  PubMed  Google Scholar 

  16. Yang ZQ, Zhang QM. Rehabilitation care for children after trauma in the earthquake disaster. Zhongguo Dang Dai Er Ke Za Zhi. 2013;15(6):431–4. Review. Chinese.

    PubMed  Google Scholar 

  17. Ulvik A. Children and disasters. Tidsskr Nor Laegeforen. 1989;109(33):3402. Norwegian. PMID: 2609297.

    CAS  PubMed  Google Scholar 

  18. Azarian A, Miller TW, Skriptchenko-Gregorian V. Baseline assessment of children traumatized by the Armenian earthquake. Child Psychiatry Hum Dev. 1996;27(1):29–41. PMID: 8810114.

    Article  CAS  PubMed  Google Scholar 

  19. Holbrook PR. Pediatric disaster medicine. Crit Care Clin. 1991;7(2):463–70. Review. PMID: 2049648.

    CAS  PubMed  Google Scholar 

  20. Jain V, Noponen R, Smith BM. Pediatric surgical emergencies in the setting of a natural disaster: experiences from the 2001 earthquake in Gujarat. India J Pediatr Surg. 2003;38(5):663–7. PMID: 20845326.

    Article  PubMed  Google Scholar 

  21. Sarisözen B, Durak K. Extremity injuries in children resulting from the 1999 Marmara earthquake: an epidemiologic study. J Pediatr Orthop B. 2003;12(4):288–91.

    Article  PubMed  Google Scholar 

  22. Sabzehchian M, Abolghasemi H, Radfar MH, Jonaidi-Jafari N, Ghasemzadeh H, Burkle Jr FM. Pediatric trauma at tertiary-level hospitals in the aftermath of the Bam. Iran Earthquake Prehosp Disaster Med. 2006;21(5):336–9. PMID: 17297904.

    Article  PubMed  Google Scholar 

  23. Rajpura A, Boutros I, Khan T, Khan SA. Pakistan earthquake: experiences of a multidisciplinary surgical team. Prehosp Disaster Med. 2010;25(4):361–7.

    Article  PubMed  Google Scholar 

  24. Bagaev VG, Saratovskiĭ AS, Mitish VA, Puzhitskiĭ LB, Medinskiĭ PA, Zhuravlev NA, Basargin DI, Vorob'ev DA. Medical care provision to the victim children of Haiti]. Anesteziol Reanimatol. 2011;1:27–9. Russian. PMID: 21510063.

    Google Scholar 

  25. Burnweit C, Stylianos S. Disaster response in a pediatric field hospital: lessons learned in Haiti. J Pediatr Surg. 2011;46(6):1131–9. doi:10.1016/j.jpedsurg.2011.03.042. PMID: 21683211.

    Article  PubMed  Google Scholar 

  26. Jiang X, Xiang B, Liu LJ, Liu M, Tang XY, Huang LG, Li Y, Peng MX, Xin WQ. Clinical characteristics of pediatric victims in the Lushan and Wenchuan earthquakes and experience of medical rescue. Zhongguo Dang Dai Er Ke Za Zhi. 2013;15(6):419–22. Chinese.

    PubMed  Google Scholar 

  27. Wang Q. Treatment of pediatric critical trauma following earthquake disasters. Zhongguo Dang Dai Er Ke Za Zhi. 2013;15(6):412–5. Chinese. PMID: 12821848.

    PubMed  Google Scholar 

  28. Derzhavin VM, Keshishian RA, Laptev VA, Laptev LA, Malakhov OA, Rozinov VM, Savel'ev SB, Chogovadze GA, Shchitinina EI. The organization of the work of teams for the specialized surgical care of children under the conditions of technological catastrophes and natural calamities. Voen Med Zh. 1990;7:17–20. Russian.

    Google Scholar 

  29. Roshal LM, Mitish VA, Medinskiĭ PV. Specialized surgical care for children (victims of the earthquake) with open injuries. Khirurgiia (Mosk). 2014;(1):59–63. Russian.

    Google Scholar 

  30. Knudson MM, Shagoury C, Lewis FR. Can adult trauma surgeons care for injured children? J Trauma. 1992;32(6):729–37; discussion 737–9. PMID: 1613832.

    Article  CAS  PubMed  Google Scholar 

  31. Brandenburg MA, Arneson WL. Pediatric disaster response in developed countries: ten guiding principles. Am J Disaster Med. 2007;2(3):151–62.

    PubMed  Google Scholar 

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Correspondence to Leonid M. Roshal MD, PhD, Dr Sc (med) .

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Roshal, L.M. (2016). An Overview: Pediatric Trauma During Natural and Man-Made Disasters. In: Wolfson, N., Lerner, A., Roshal, L. (eds) Orthopedics in Disasters. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48950-5_35

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  • DOI: https://doi.org/10.1007/978-3-662-48950-5_35

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