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Afflux massif de victimes pédiatriques
#MMPMIDC7718588
Raineau M
; DuracherGout C
?-/-? 2021[Jan]; 7
(1
): 43-50
PMIDC7718588
show ga
Any health crisis (epidemic, pandemic, terrorist acts, natural disasters or acts
of war) must be anticipated by the implementation of a local, regional but also
national plan adapted to children taking into account their vulnerabilities. The
limited experience of the teams associated with a poor literature obliges us to
extrapolate the concepts applied to adults and war medicine, whereas the anatomic
and physiological particularities linked to age impose specific lesions and
management strategies. The age-adjusted shock index (SIPA) can be a good
indicator of the state of haemorrhagic shock as well as of the needs for
transfusion, critical care admission, ventilation and mortality in traumatised
children and could be useful for triage. The influx of paediatric victims remains
an organisational, medical and human challenge. The optimisation of care is based
on the pooling of knowledge and the involvement of the various players
(paediatrician, emergency doctor, anaesthesiologist, intensivist and surgeon) in
order to maintain the quality of care. It is important to homogenise the
organisation and training by targeting multimodal communication, based on
well-argued recommendations and innovative tools inspired by those used during
the recent pandemic (the digital area). Simulation (procedural, human, digital,
mass simulation) is a necessary and effective tool for the regular training of
teams to deal with these exceptional situations.
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