Pediatric Nerve Agent Poisoning: Medical and Operational Considerations for Emergency Medical Services in a Large American City

• 2006

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• George Foltin; Michael Tunik; Jennifer Curran; Lewis Marshall; Joseph Bove; Robert van Amerongen
PMID: 16651913DOI: https://doi.org/10.1097/01.pec.0000214594.78261.65

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This article discusses the need for an alternative approach to treating pediatric nerve agent poisoning after mass chemical events. It highlights concerns about determining the child's age and symptom severity, leading to the development of a pediatric nerve agent antidote dosing schedule. The proposed suprapharmacological doses aim to address these challenges and are comparable to adult doses in severe cases. The collaborative effort between various medical institutions in New York City emphasizes the importance of a safe and effective treatment strategy that can be implemented under field conditions.

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Tags

Focus Area: CBRNE

Audiences: Emergency Managers; EMS Clinicians; Nurses; Physicians

Emergency Management Stage: Response

Collection: Disaster Research Literature Review

Keywords: Antidotes; Atropine; Chemical Warfare Agents; Child; Child, Preschool; Clinical Protocols; Disaster Planning; Emergency Medical Services; Infant; Infant, Newborn; Needles; New York City; Pediatrics; Poisoning; Pralidoxime Compounds; Nerve Agents; Chemical Terrorism

Institutions: New York University; Columbia University

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