Application of Pediatric Emergency Decision

Support System to Haiti 2010 Earthquake

 2010 Earthquake Details

Catastrophic magnitude of 7.0 M on Richter scale

Epicentre was approximately 25 km (16 miles) west of
Port-au-Prince, the capital of Haiti

Occurred at 16:53 local time (21:53 UTC) on Tuesday,
12 January 2010, at a depth of 13 km (8.1 miles)

USGS recorded a series of at least 33 aftershocks, 14 of
which were between magnitudes 5.0 and 5.9

International Red Cross intially estimated that about
three million people were affected
 Age Distribution
Age (Yrs) Male Female Both
0-4 610054 600176 1210230
5-9 569297 559808 1129105
10-14 563003 551371 1114374
15-19 534625 524089 1058714
Total 9203083
Number of Injured Children
Age Both
<1 Month 20171
1-12 Months 221876
1-2 Yrs 726138
4-5 Yrs 467867
6-8 Yrs 677463
9-11 Yrs 671570
12-18 Yrs 1303852
Total 4088938

Calculation method: We mapped four 5-year Census age groups to seven PEDSS groups,
assuming uniform age distribution within each Census group.
 Number of Injured People
• “Nearly 70,000 bodies had been recovered by
official crews” Miami Herald, Jan 16
• “Reports indicated 250,000 people sustained
injuries, and as many as one million Haitians
were left homeless” ABC News, Jan 16
• “Experts caution that any final death toll will be
a guesstimate as the scale of the disaster
makes an accurate tally impossible” Time, Jan
16
 Distribution of Injuries
Injury Percent
Abdominal Trauma 12.5
Anxiety 5.0
Asthma 5.0
Burn 5.0
Chest Trauma 5.0
Closed Head Injury 8.0
Crush Injury 8.0
Extremity Fracture 45.0
Intubation 12.0
Laceration 10.0
Spine Injury 3.0

The injury distribution (percentage) is based on the paper: Hospital-based Disaster

Preparedness for Pediatric Patients: How to Design a Realistic Set of Moulage Patients.
 Estimated Number Injured
Injury <1 1-12 1-3 3-5 5-8 9-11 12-18
Mo Mo Yrs Yrs Yrs Yrs Yrs
Abdominal Trauma 69 753 2466 1589 2300 2280 4427
Anxiety 27 301 986 636 920 912 1771
Asthma 27 301 986 636 920 912 1771
Burn 27 301 986 636 920 912 1771
Chest Trauma 27 301 986 636 920 912 1771
Closed Head Injury 44 482 1578 1017 1472 1459 2834
Crush Injury 44 482 1578 1017 1472 1459 2834
Extremity Fracture 247 2712 8876 5720 8281 8209 15939
Intubation 66 723 2367 1575 2208 2189 4250
Laceration 55 603 1973 1271 1840 1824 3542
Spine Injury 16 181 592 381 552 547 1063
 Injury
Medications Required Medication Units
Abdominal Trauma Morphine Sulfate 2 mg/mL, Normal Saline Standard, O-ve Blood 414429
Standard

Anxiety Diazepam IM, Lorazepam (Ativan) 0.5 mg tab 165780

Asthma Decadron IM, PoDecadron PO, Xopenex (Levalbuterol) Single Unit 165780
5553 (Xopenex)
Burn Bacitracin 1mL (not altered for wt), 5553
Morphine IV/IM 2 mg/mL 165780(Morphine)

Chest Trauma Lidocaine 1%, Morphine Sulfate 2 mg/mL, 165780

O-ve Blood Standard
Closed Head Injury Atropine IV 0.1 mg/mL, Normal Saline Standard 265263
Etomidate 2 mg/mL, Fentanyl 10 mcg/cc
FFP Standard, Mannitol 20%, Rocuronium 50 mg/5 mL
Crush Injury Calcium Gluconate 1 g/10mL, Normal Saline Standard, KayExalate 265263
PO 15 g/60 mL, Na Bicarbonate 4.20%
Extremity Fracture Ancef Cefazolin) Standard, Atropine IM 0.1 mg/mL, Morphine IV/IM 2 1492069
mg/mL, Gentamycin 40 mg/mL, Ketamine IM 50 mg/mL
Laceration Lidocaine 1%, Normal Saline Standard, Tetanus toxoid Standard 331566
(not altered for wt)
Spine Injury Solumedrol 40 mg vial 99479