Skip to main content
Log in

Disaster Preparedness: Meeting the Needs of the Pediatric Population

  • Intensive Care Medicine (E Cheung and T Connors, Section Editors)
  • Published:
Current Pediatrics Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The purpose of this review is to determine how to make the most efficient use of pediatric care resources during a disaster in the hope of minimizing the potential impact of a disaster on the pediatric population.

Recent Findings

Children are known to be especially vulnerable to a disaster because of physiologic, psychologic, and developmental differences from adults. This is further complicated by the fact that most planners do not account for these differences when managing an event.

Summary

Disaster response involves coordinating resources on many levels, from what is available to care for children in the home, the help a local hospital can provide, and the organization of assets across the community. The best way to respond to a disaster is to prepare before it happens, and pediatric providers have the ability to assist in the planning and response at each of these levels.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Cicero MX, Baum CR. Pediatric disaster preparedness: best planning for the worst-case scenario. Pediatr Emerg Care. 2008;24:478–81.

    Article  PubMed  Google Scholar 

  2. Kaji A, Koenig KL, Bey T. Surge capacity for healthcare systems: a conceptual framework. Acad Emerg Med. 2006;13:1157–9.

    Article  PubMed  Google Scholar 

  3. Berman S. Pediatrics in disasters (PEDS): a course of the program helping the children. Am Acad Pediatr. 2009;

  4. • Disaster Preparedness Advisory Council and Committee on Pediatric Emergency Medicine. Ensuring the health of children in disasters. Pediatrics. 2015;136:e1407–17. Statement from the AAP committee on disaster preparedness. Good overview for all pediatricians.

    Article  Google Scholar 

  5. Sakashita K, Matthews WJ, Yamamoto LG. Disaster preparedness for technology and electricity-dependent children and youth with special health care needs. Clin Pediatr. 2013;52:549–56.

    Article  Google Scholar 

  6. Johnston C, Redlener I. Critical concepts for children in disasters identified by hands-on professionals: summary of issues demanding solutions before the next one. Pediatrics. 2006;117:S458–60.

    Article  PubMed  Google Scholar 

  7. Barfield WD, et al. Neonatal and pediatric regionalized systems in pediatric emergency mass critical care. Pediatr Crit Care Med. 2011;12:S128–34.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Murray JS. Disaster preparedness for children with special healthcare needs and disabilities. J Specialists Pediatr Nurs. 2011;16:226–32.

    Article  Google Scholar 

  9. Baker LR, Cormier LA. Disaster preparedness and families of children with special needs: a geographic comparison. J Community Health. 2013;38:106–12.

    Article  PubMed  Google Scholar 

  10. Redlener I, Berman DA. National preparedness planning: the historical context and current state of the U.S. public’s readiness, 1940-2005. J Int Aff. 2006;59:87–103.

    Google Scholar 

  11. Baker LR, Baker MD. Disaster preparedness among families of children with special health care needs. Disaster med public health prep. 2010;4:240–5.

    Article  PubMed  Google Scholar 

  12. Baker MD, Baker LR, Flagg LA. Preparing families of children with special health care needs for disasters: an educational intervention. Soc Work Health Care. 2012;51:417–29.

    Article  PubMed  Google Scholar 

  13. American Academy of Pediatrics, Committee on Pediatric Emergency Medicine and Council on Clinical Information Technology, American College of Emergency Physicians & Pediatric Emergency Medicine Committee. Emergency information forms and emergency preparedness for children with special health care needs. Pediatrics. 2010;125:829–37.

    Article  Google Scholar 

  14. • Sterni LM, et al. An official American Thoracic Society clinical practice guideline: pediatric chronic home invasive ventilation. Am J Respir Crit Care Med. 2016;193:e16–35. Guidelines for planning for discharge of patients on home ventilators. Includes recommendations for handling emergencies.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Sprung CL, et al. Recommendations for intensive care unit and hospital preparations for an influenza epidemic or mass disaster: summary report of the European Society of Intensive Care Medicine’s Task Force for intensive care unit triage during an influenza epidemic or mass disaster. Intensive Care Med. 2010;36:428–43.

    Article  PubMed  Google Scholar 

  16. Frogel M, et al. Utilizing a pediatric disaster coalition model to increase pediatric critical care surge capacity in New York City. Disaster Med Publ Health Prep. 2017;11:473–8.

    Article  Google Scholar 

  17. Farmer JC, Carlton PK. Providing critical care during a disaster: the interface between disaster response agencies and hospitals. Crit Care Med. 2006;34:S56–9.

    Article  PubMed  Google Scholar 

  18. Nakayama T, et al. Effect of a blackout in pediatric patients with home medical devices during the 2011 eastern Japan earthquake. Brain and Development. 2014;36:143–7.

    Article  PubMed  Google Scholar 

  19. Prezant DJ, et al. Effects of the August 2003 blackout on the New York City healthcare delivery system: a lesson for disaster preparedness. Crit Care Med. 2005;33:S96–S101.

    Article  PubMed  Google Scholar 

  20. Kanter RK. Strategies to improve pediatric disaster surge response: potential mortality reduction and tradeoffs. Crit Care Medi. 2007;35:2837–42.

    Article  Google Scholar 

  21. Davis DP, et al. Hospital bed surge capacity in the event of a mass-casualty incident. Prehosp Disaster Med. 2005;20:169–76.

    Article  PubMed  Google Scholar 

  22. Kelen GD, et al. Effect of reverse triage on creation of surge capacity in a pediatric hospital. JAMA Pediatr. 2017;171:e164829.

    Article  PubMed  Google Scholar 

  23. Nadeau NL, Cicero MX. Pediatric disaster triage system utilization across the United States. Pediatr Emerg Care. 2017;33:152–5.

    Article  PubMed  Google Scholar 

  24. Powell T, et al. Emergency preparedness and public health: the lessons of hurricane Sandy. JAMA. 2012;308:2569–70.

    Article  CAS  PubMed  Google Scholar 

  25. Rozenfeld RA, Reynolds SL, Ewing S, Crulcich MM, Stephenson M. Development of an evacuation tool to facilitate disaster preparedness: use in a planned evacuation to support a hospital move. Disaster Med Publ Health Prep. 2017;11:479–86.

    Article  Google Scholar 

  26. • King MA, et al. Evacuation of the ICU: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement. CHEST J. 2014;146:e44S–60S. Part of a large, multi-part consensus statement. Very comprehensive recommendations and includes some pediatric information.

    Article  Google Scholar 

  27. Braun BI, et al. Integrating hospitals into community emergency preparedness planning. Ann Intern Med. 2006;144:799.

    Article  PubMed  Google Scholar 

  28. Kanter RK, Moran JR. Pediatric hospital and intensive care unit capacity in regional disasters: expanding capacity by altering standards of care. Pediatrics. 2007;119:94–100.

    Article  PubMed  Google Scholar 

  29. Fuzak JK, et al. Mass transfer of pediatric tertiary care hospital inpatients to a new location in under 12 hours: lessons learned and implications for disaster preparedness. J Pediatr. 2010;157:138–143.e2.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jennifer Gillen.

Ethics declarations

Conflict of Interest

The author declares that she has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Intensive Care Medicine

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gillen, J. Disaster Preparedness: Meeting the Needs of the Pediatric Population. Curr Pediatr Rep 5, 237–241 (2017). https://doi.org/10.1007/s40124-017-0147-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40124-017-0147-2

Keywords

Navigation