ABSTRACT
Disasters and mass casualty events, both natural and man-made, have highlighted the need for both hospitals and communities to prepare for a surge in casualties. The unpredictability of many crises and the subsequent stress on the system make disaster planning difficult and expensive. This chapter focuses on the changing demographics of disasters, unique challenges for pediatric patients, and the ongoing needs for children before, during, and after the catastrophic event. There are many anatomic, physiologic, psychological, and developmental differences in children compared with adults that make them more vulnerable during a disaster. Most trauma systems are designed for adults, with limited pediatric-specific personnel and equipment. Children with disabilities and special needs are particularly vulnerable, as they require greater emotional, behavioral, or physical assistance in surviving during a disaster. Pediatric trauma centers (PTCs) have a range of pediatric subspecialty personnel and equipment readily available; however, they are fewer and more regionalized than adult trauma centers.
