Because of unique vulnerabilities of children, their special needs should be addressed in hospital disaster planning to ensure that health care providers and health care facilities are prepared to meet the needs of this vulnerable population.
A Stanford Health Care multidisciplinary committee, consisting of obstetricians, obstetrical anesthesiologist, labor and delivery and postpartum nurses, created and tested in a simulated setting, a compilation of tools that can be employed in the event of a hospital disaster. These tools are now available to the general obstetric community via the Stanford OB Disaster Planning Toolkit website is to provide a source for the entire obstetrical community in need of disaster tools.
At the present time the toolkit addresses evacuation of L&D and antepartum units and includes shelter in place plans for actively laboring patients. Future plans are to complete a similar toolkit for evacuation of postpartum patients and surge protocols.
Developed by the National Library of Medicine’s Disaster Information Management Research Center (DIMRC), in collaboration with the Emergency Medical Services for Children (EMSC) Program and the Office of the Assistant Secretary for Preparedness and Response (ASPR), the Health Resources on Children in Disasters and Emergencies is a compendium of online resources related to medical and public health issues on this topic. This resource is a compilation of multiple resources from a variety of organizations, websites, databases, and training sites.
The Emergency Medical Services for Children (EMSC) National Resource Center (NRC) now offers flexible, EMSC-focused training online that is convenient and available 24 hours a day to meet the participant’s lifestyle.
In general, the courses are all self-paced and should take approximately 60 to 90 minutes to complete, depending on the course selected. Participants may enter and exit a course at any time, then re-enter to complete the course at their convenience. The participant can not leave the course while taking the post-test.
Before entering a course, the participant will be prompt to complete an online registration form. The registration process is simple, asks only a couple of questions and will take less than a minute to complete.
This guide was created to help emergency managers/coordinators/hospitals in their efforts to develop their own specific departmental Emergency Operations Plan (EOP) that addresses the special needs of children and infants. This guide is meant to drive the active planning process, not to take its place. There is no single format that can adequately fit every community so this document is a culmination of best practice, expert opinions and other plans intended to assist in building your plan.
The Pediatric Surge Program was initiated following the 2009 H1N1 pandemic that disproportionately affected children and stressed hospital systems’ capacity for pediatric intensive care unit (PICU) beds and equipment, such as pediatric ventilators. This project includes a countywide plan on how each hospital within LAC would contribute to caring for pediatric patients in the event of a surge that largely impacts children.
in a large-scale medical emergency, critically ill or injured children may present to hospitals that are the closest, most convenient or most familiar.
Transfer by emergency responders to specialized pediatric hospitals may be impossible due to a shortage of vehicles, impassable roads and bridges or the instability of the patient. In addition, specialized hospitals may be unable to receive patients due to overwhelmed capacity or structural damage.
In order to increase regional access to appropriate pediatric services, the task force decided to create a “pediatric toolkit” with basic information and guidelines for both short-term acute care and more definitive management of pediatric patients, depending upon the emergency, at every hospital with emergency services in the county.
This framework was crafted over the course of several years by a group of hospital staff and public health leaders from across the central valley region and facilitated by Hospital Council of Northern and Central California.
This resource is intended to serve as a basis for regional and local community discussions about pediatric care during a wide-scale disaster and to provide a framework for continuing collaboration.
Pediatric surge planning involves identifying knowledge gaps and insufficiency of pediatric specific supplies. The purpose of this Pediatric Surge Training Course is to help prepare general acute care facilities to the challenges of pediatrics. The course is designed for a target audience that has knowledge of disaster planning.
The Emergency Preparedness Team at Rady Children’s Hospital prepared this manual. This team includes physicians, nursing, behavioral health, surgeon, safety supervisor, trauma, pharmacy, security and disaster planning experts. The curriculum development team conducted in-depth research of best practices and other existing curricula to bring best practice.
The goal of this curriculum is to prepare hospitals and clinics have the tools to respond more effectively in a disaster which involves a surge of child victims.
This network is actively reaching out to other coalitions to identify new opportunities for collaboration with experienced groups. Since efforts to implement guidance on pediatric and neonatal preparedness share common challenges, this network is an excellent resource for collaborating on pediatric preparedness and planning throughout the medical community.
The Pediatric Disaster Resource and Training Center provides training, resources and new models of virtual linkage with health care centers throughout Los Angeles County. By providing a unique environment that marshals all the forces of pediatric disaster training, they provide excellent resources and training for the health care community.
As a multi-disciplinary team, they come together to serve children facing crises. Their subject matter experts work in partnership with nurses and staff leaders to facilitate dialogue with community leaders about best practices in regard to children in disasters.
In the event of a mass casualty incident, resources for treating pediatric victims will be limited. Staff that is inexperienced with pediatric critical injuries or illnesses will result in an inadequate surge capacity. As part of preparedness, each facility should predetermine their ability to handle pediatric victims and develop a plan to be able to increase this capacity based on a pediatric surge. There are typically fewer pediatric victims in the event of a disaster based on the assumptions related to population of pediatric vs. adult patients in the general population. A conservative estimate of pediatric victims for the purposes of planning should assume approximately 15-20% of the victims are pediatric (15 years or younger). There are many disasters (such as a school bus accident) that would alter this assumption. In the event of a pediatric disaster or disaster that involves pediatric patients, information listed in this document can assist with appropriate response.
The Joint Commission requires all hospitals to have a disaster plan in place; however, the formulation of hospital guidelines specific to pediatrics is often omitted. This document provides an outline of the necessary components of hospital preparedness for disasters involving children including the roles of hospital personnel in disasters.
This guide was prepared through a collaborative effort to assist healthcare providers assess pre-event vulnerabilities and plan for the evacuation of medically fragile Level III NICU patients while addressing core components of incident management, in conjunction with the promotion of patient safety and evacuation procedures based on lessons learned from past disasters and experiences.
Children are not small adults. They have special needs based on their physiologic, anatomic, developmental and cognitive attributes, all of which put them at increased risk during a disaster or multicasualty event. This webpage provides information on pediatric disaster preparedness and contains links to a variety of related resources.
This workshop examines medical and public health preparedness related to children and families including children with special healthcare needs.
The workshop reviews existing tools and frameworks that can be modified to include pediatric needs, as well as partnerships and organizations with vested interest that can be leveraged in planning to improve outcomes and allow for pediatric considerations to be integrated throughout local and state emergency plans.
All hospitals should plan for pediatric patients arriving during a disaster. The following document addresses the issues surrounding pediatric emergency care during a disaster.
It is presented under the supposition that all hospitals need to recognize the potential for receiving pediatric patients during a disaster and appropriately plan for pediatric mass casualty care. This resource is brought to you courtesy of New York City of Department of Health.