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PEDS 5. Management of Prevalent Infections in Children Following a Disaster
Description
Learning Objectives:
IMCI
- Describe the rationale for the WHO evidence-based syndromic approach to case management as described in the IMCI.
- List the clinical illnesses included in the IMCI program and their relevance in situations associated with disasters.
- Assess and classify the condition of a child to determine its severity and establish the relationship between this classification and the subsequent management.
- List the danger signs that should be routinely checked in all children.
Influenza Infections
- Understand the influenza virus pathogenesis and epidemiology.
- Describe clinical symptoms of influenza and diagnostic and treatment options.
- Evaluate treatment and prevention methodologies for influenza and incorporate them into preparedness plans.
Measles
- Explain why measles infection can be so devastating in displaced populations.
- Design a measles immunization campaign in an affected area and establish priority target populations for the provision of measles vaccine based on the availability of vaccine supplies and prior levels of measles vaccine coverage among the pediatric population.
- Recognize Koplik spots and the classical measles rash; describe variations of the classical measles rash and the circumstances in which they are seen.
- Describe the evolution of the clinical manifestation of classic measles over time and name the three complications of measles that contribute most to mortality.
Acute Respiratory Infections
- Know the 3 key clinical signs used to assess a child with cough or difficult breathing and based on these signs classify acute respiratory clinical illness into 3 categories.
- Diagnose and develop a treatment plan (medications, supportive care and monitoring) using available resources for patients with:
- Severe pneumonia
- Pneumonia
- Upper respiratory infection
- Ear problem without pneumonia
Febrile Illnesses (Dengue, Malaria)
- Recognize the public health importance of febrile illnesses, such as malaria and dengue, in the context of acute emergency settings.
- Understand the role of the clinician in malaria identification, prevention, and treatment using the IMCI strategy.
- List the factors that lead to malaria and differentiate the species that cause benign (uncomplicated) and malignant (complicated) malaria.
- Describe which individuals are more prone to suffer morbidity and mortality from malaria infection and the causes that determine the higher risk.
- Describe the features of severe/complicated malaria and distinguish these features from those associated with typical uncomplicated malaria.
- Diagnose and develop a treatment plan (medications, supportive care, and monitoring) using available resources for patients with:
- Severe/complicated malaria
- Typical uncomplicated malaria
- Severe dengue fever
- Dengue fever
Other Cases
- Distinguish other clinical entities that can present at the scene of the disaster, such as tuberculosis.
- Consider meningitis in emergency settings and assess the clinical findings.
Vaccination in Disaster Situations
- Acknowledge the importance of measles immunization in a disaster situation.
- Recognize the characteristics of tetanusprone injuries and wounds.
- Describe specific situations that require the use of other vaccines.
Infections in Infants 0 to 2 Months of Age
- Identify and establish the treatment for sick infants 0 to 2 months of age.
Links to Resources
Courses in package:
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