Is the Scene Safe? Addressing Environmental Safety in Pediatric Disaster Management

Opinion Statement Children represent 30% of the worldwide population and are likely to be involved in any widespread disaster. Because they are uniquely vulnerable and dependent on adult care, they are at increased risk of secondary environmental injury in any disaster event. Particular care must be given to addressing pediatric safety at all stages of disaster planning. Secondary injury can occur at the time of the event due to cold or heat exposure and dehydration as well as accidental injury from debris or falls. During rescue and treatment, children can be separated from their families and are vulnerable to intentional exploitation as well as injuries while poorly supervised due to the chaos surrounding the event. Even after initial rescue and treatment, a safe environment must be maintained even with the loss of routine infrastructure. Refugee or evacuee shelters should be designed to provide safe areas for children and families as well as respites from stress for caregivers. With careful planning, we can provide a safer disaster response that meets the needs of children rather than placing them into further harm.