Vulnerability pediatric studies

As the pediatric subgroup represents a vulnerable population, studies in children are endowed with specific challenges such as additional ethical (e.g., informed consent be obtained from the legal guardian) or clinical-technical (e.g., minimize the amount of blood drawn and the number of venipunctures) issues. 

Decontamination after a chemical terrorist attack needs to be well planned, efficient, and cognizant of the special needs of children. It is well recognized that the unique vulnerabilities of children may lead to a disproportionate number of pediatric victims after a chemical attack. Without proper planning and consideration as to how children will be decontaminated, the potential for preventable pediatric casualties is increased due to time loss and confusion. It is highly recommended for pediatricians to be involved in the development of each hospital s plans for decontamination. Over the last several years, many advances have been made in the management of the critically injured child. In fact, studies have shown that children managed in a pediatric intensive care imit (PICU) have better outcomes than children managed in an adult intensive care unit (Wheeler and Poss, 2003). Not all hospitals have the resources to have their own PICU, but they need to be able to provide the... 

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