Injuries and surgical needs of children in conflict and disaster: From Boston to Haiti and beyond

Seminars in Pediatric Surgery
Maeve O Trudeau, David H Rothstein

Abstract

Comprehensive care of patients in conflict and disaster requires coordination of medical, social, and public health agencies. Pediatric patients in these settings comprise a particularly vulnerable group subject to disruption of social networks and separation from family, inadequate surgical care due to lack of surgeon, anesthetist, and nursing specialization, and a general lack of advocacy within the global public health agenda. In the recent upswell of attention to the global surgical burden of disease and deficiencies in necessary infrastructure, the needs of pediatric surgical patients remain underappreciated and underemphasized amid calls for improvement in global surgical health. Experience in recent natural and man-made disasters has demonstrated that pediatric patients makeup a significant proportion of those injured, and has perhaps refocused our need to better characterize the surgical needs of children in conflict and disaster. In addition to treat such patients, we recognize the unmet challenges of improving pediatric emergency and surgical infrastructures in the low- and middle-income country settings where conflict and disaster occur most often, and continuing to advocate for vulnerable children worldwide and keep...Continue Reading

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Citations

Mar 24, 2018·Health Security·Terri RebmannSanya Vatwani
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Jun 21, 2019·Disaster Medicine and Public Health Preparedness·Markus RiesKonstantin Mechler
May 29, 2020·World Journal of Surgery·David P KuwayamaHon William H Frist

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