Clinical Pediatric Emergency Medicine
Volume 7, Issue 1 , Pages 52-58 , March 2006

Prehospital Response and Field Triage in Pediatric Mass Casualty Incidents: The Israeli Experience

  • Yehezkel Waisman, MD

      Affiliations

    • Unit of Emergency Medicine, Schneider Children's Medical Center of Israel, Petah Tiqwa, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • Corresponding Author InformationReprint requests and correspondence: Yehezkel Waisman, MD, Unit of Emergency Medicine, Schneider Children's Medical Center of Israel, 14 Kaplan St., Petah Tiqwa 49202, Israel.
    • ,
  • Lisa Amir, MD, MPH

      Affiliations

    • Unit of Emergency Medicine, Schneider Children's Medical Center of Israel, Petah Tiqwa, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Meirav Mor, MD

      Affiliations

    • Unit of Emergency Medicine, Schneider Children's Medical Center of Israel, Petah Tiqwa, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Zvi Feigenberg, MD

      Affiliations

    • Magen David Adom (National Emergency Medical Services), Tel Aviv, Israel
    • ,
  • Limor Daniel Aharonson, PhD

      Affiliations

    • The Gertner Institute for Epidemiology and Health Research Center for Trauma and Emergency Medicine, Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Kobi Peleg, PhD

      Affiliations

    • The Gertner Institute for Epidemiology and Health Research Center for Trauma and Emergency Medicine, Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Amir Blumenfeld, MD

      Affiliations

    • The Trauma Branch, Israel Defense Forces, Israel

References 

  1. Amir L, Aharonson-Daniel L, Peleg K, et al. The severity of injury in children resulting from acts against civilian populations. Ann Surg. 2005;241:666–670
  2. Aharonson-Daniel L, Waisman Y, Danon YL, et al. Epidemiology of terror-related versus non–terror-related traumatic injury in children. Pediatrics. 2003;112:e280–e284
  3. Stein M, Shemer J. Urban mass casualty terrorist incident: systematic management approach. Harefuah. 1997;132:300–304
  4. Waisman Y, Aharonson-Daniel L, Mor M, et al. The impact of terrorism on children: a two-year experience. Prehosp Disaster Med. 2003;18:242–248
  5. Mor M, Waisman Y. Triage principles in multiple casualty situations involving children: the Israeli experience. Pediatr Emerg Med Database. 2002;[(www.pem-database.org, Invited Review Article) August]
  6. Sorting of casualties. In:  Bowen TE,  Bellamy RF editor. Emergency war surgery. Washington (DC): US Government Printing Office; 1988;p. 181–192
  7. Waisman Y, Hadas N. Integration of foreign and local medical staff in a disaster area: the La Ceiba, Honduras experience. Pediatr Emerg Care. 2000;16:273–277
  8. Super G, Groth S, Hook R, et al. START: simple triage and rapid treatment plan. NewportBeach (Calif): Hoag Memorial Presbyterian Hospital; 1994;
  9. Wesson DE, Scorpio R. Field triage: help or hindrance?. Can J Surg. 1992;35:19–21
  10. American College of Surgeons Committee on Trauma . Field categorization of trauma victims. Bull Am Coll Surg. 1986;71:17–21
  11. Last M. Putting children first. Disasters. 1994;18:192–202
  12. Kluger Y. Bomb explosions in acts of terrorism: detonation, wound ballistics, triage and medical concerns. IMAJ. 2003;5:245–248
  13. Schultz CH, Koenig KL, Noji EK. A medical disaster response to reduce immediate mortality after an earthquake. N Engl J Med. 1996;334:438–444
  14. Garner A, Lee A, Harrison K, et al. Comparative analysis of multiple casualty incident triage algorithms. Ann Emerg Med. 2001;38:541–548
  15. Holbrook PR. Pediatric disaster medicine. Crit Care Clin. 1991;7:463–470
  16. Eichelberger MR, Mangubat EA, Sacco WS, et al. Comparative outcomes of children and adults suffering blunt trauma. J Trauma. 1988;28:430–436
  17. Salhanick SD, Sheahan W, Bazarian JJ. Use and analysis of field triage criteria for mass gatherings. Prehosp Disast Med. 2003;18:347–352
  18. National Association of Emergency Medical Technicians . PHTLS basic and advanced prehospital trauma life support revised reprint. 5th ed.. St Louis (MO): Mosby; 2003;
  19. American College of Surgeons . Advanced trauma life support manual. Chicago (Ill): American College of Surgeons; 2005;
  20. Romig LE. Pediatric triage: a system to jumpstart your triage of young patients at MCIs. JEMS. 2002;27:52–63

PII: S1522-8401(06)00007-3

doi: 10.1016/j.cpem.2006.01.006

Clinical Pediatric Emergency Medicine
Volume 7, Issue 1 , Pages 52-58 , March 2006

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