Clinical Pediatric Emergency Medicine
Volume 10, Issue 3 , Pages 173-185 , September 2009

Pediatric Mass Casualty: Triage and Planning for the Prehospital Provider

References 

  1. Gnauck KA, Nufer KE, LaValley JM, et al. Do pediatric and adult disaster victims differ? A descriptive analysis of clinical encounters from four natural disaster DMAT deployments. Prehosp Disaster Med. 2007;22:67–73
  2. Becker, Bruce M. In:  Ciottone G,  Anderson P,  Auf Der Heide E, et al. editor. “Children and Disaster.” Disaster medicine. 3rd ed. Philadelphia, PA: Elsevier Mosby; 2006;p. 51–58
  3. Graham CJ, Stuemky J, Lera TA. Emergency medical services preparedness for pediatric emergencies. Pediatr Emerg Care. 1993;9:329–331
  4. Zaritsky A, French JP, Schafermeyer R, et al. A statewide evaluation of pediatric prehospital and hospital emergency services. Arch Pediatr Adolesc Med. 1994;148:76–81
  5. Youngquist ST, Henderson DP, Gausche-Hill M, et al. Paramedic self-efficacy and skill retention in pediatric airway management. Acad Emerg Med. 2008;15:1295–1303
  6. Mace SE, Bern AI. Needs assessment: are Disaster Medical Assistance Teams up to the challenge of a pediatric disaster?. Am J Emerg Med. 2007;25:762–769
  7. Stankovic C, Mahajan P, Ye H, et al. Bioterrorism: evaluating the preparedness of pediatricians in Michigan. Pediatr Emerg Care. 2009;25:88–92
  8. Shirm S, Liggin R, Dick R, et al. Prehospital preparedness for pediatric mass casualty events. Pediatrics. 2007;120:e756–e761
  9. Markenson D, Redlener I. Pediatric terrorism preparedness national guidelines and recommendations: findings of an evidence-based consensus process. Biosecur Bioterror. 2004;2:301–319
  10. Cicero MX, Baum CR. Pediatric disaster preparedness: best planning for the worst case scenario. Pediatr Emerg Care. 2008;24:478–482
  11. Carley SD, Mackway-Jones K, Donnan S. Delphi study into planning for care of children in major incidents. Arch Dis Child. 1999;80:406–409
  12. Chung S, Shannon M. Reuniting children with their families during disasters: a proposed plan for greater success. Am J Disaster Med. 2007;2:113–117
  13. Brandenburg MA, Watkins SM, Brandenburg KL, et al. Operation Child-ID: reunifying children with their legal guardians after Hurricane Katrina. Disasters. 2007;31:277–287
  14. Brandenburg MA, Arneson WL. Pediatric disaster response in developed countries: ten guiding principles. Am J Disaster Med. 2007;2:151–162
  15. Gausche-Hill M. Ensuring quality in prehospital airway management. Curr Opin Anaesthesiol. 2003;16:173–181
  16. Aharonson-Daniel L, Waisman Y, Dannon YL, et al. Epidemiology of terror-related versus non–terror-related traumatic injury in children. Pediatrics. 2003;112:e280
  17. Quintana DA, Parker JR, Jordan FB, et al. The spectrum of pediatric injuries after a bomb blast. J Pediatr Surg. 1997;32:307–310
  18. Bernardo LM. Pediatric implications in bioterrorism part 1: physiological and psychosocial differences. Int J Trauma Nurs. 2001;7:14–16
  19. Allen GM, Parrillo SJ, Will J, et al. Principles of disaster planning for the pediatric population. Prehosp Disaster Med. 2007;22(6):537–540
  20. Freyberg CW, Arguilla B, Fertel BS, et al. Disaster preparedness: hospital decontamination and the pediatric patient: guidelines for hospitals and emergency planners. Prehosp Disaster Med. 2008;23:166–173
  21. Teran-Maciver M, Larson K. Implications of chemical biological terrorist events for children and pregnant women. MCN Am J Matern Child Nurs. 2008;33:224–232
  22. Committee on Environmental Health and Committee on Infectious Disease . Chemical-biological terrorism and its impact on children. Pediatrics. 2006;118:1267–1278
  23. Skorga P, Persell DJ, Arangie P, et al. Caring for victims of nuclear and radiological terrorism. Nurse Pract. 2003;28:24–41
  24. American Academy of Pediatrics . Committee on Environmental Health. Radiation disasters and children. Pediatrics. 2003;111(6 Pt 1):1455–1466
  25. Hohenhaus SM. Practical considerations for providing pediatric care in a mass casualty incident. Nurs Clin N Am. 2005;40:523–533
  26. Middleton KR, Burt CW. Availability of pediatric services and equipment in emergency departments: United States, 2002-03. Adv Data. 2006;367:1–16
  27. Gausche-Hill M, Schmitz C, Lewis RJ. Pediatric preparedness of U.S. emergency departments: a 2003 survey. Pediatrics. 2007;120:1229–1237
  28. Cyr C. Multivictim emergency care: a case study of organophosphate poisoning in 67 children. J Emerg Nurse. 1988;14:277
  29. Van Amerongen RH, Fine JS, Talbert JL. The Avianca plane crash: an emergency medical system's response to pediatric survivors of the disaster. Pediatrics. 1993;92:105–110
  30. Vukmir RB, Paris PM. The three rivers regatta incident: an EMS perspective. Am J Emerg Med. 1991;81:64–71
  31. Quinn B, Baker R, Pratt J. Hurricane Andrew and a pediatric emergency department. Ann Emerg Med. 1994;23:737–741
  32. McNabb SJN, Kelso KY, Wilson SA, et al. Hurricane Andrew–related injuries and illnesses, Louisiana, 1992. Southern Med J. 1995;88:615–618
  33. Ammerman NT. Report to the Justice and Treasury Departments regarding law enforcement interaction with the Branch Davidians in Waco, Texas Recommendations of Experts for Improvements in Federal Law Enforcement After Waco. Washington (DC): U.S. Department of Justice and U.S. Department of the Treasury; 1993;
  34. Wass AR, Williams MJ, Gibson MT. A review of the management of a major incident involving predominantly pediatric casualties. Injury. 1994;25:371–374
  35. Peek-Asa C, Kraus JF, Bourque LB, et al. Fatal and hospitalized injuries resulting from the 1994 Northridge earthquake. Int J Epidemiol. 1998;27:459–465
  36. Okamura T, Takasu N, Ishimatsu S, et al. Report on 640 victims of the Tokyo subway sarin attack. Ann Emerg Med. 1996;28:129–135
  37. Alfred P. The City of Oklahoma City. Murrah Federal Building bombing April 19, 1995 final report. Stillwater, OK: Fire Protection Publications; 1996;
  38. Sampson P, Crow A. Dunblane: our year of tears. Edinburgh: Mainstream Publishing Co. Ltd.; 1997;
  39. Carley SD, Mackway-Jones K, Donnan S. Major incidents in Britain over the last 28 years: the case for centralised reporting of major incidents. J Epidemiol Community Health. 1998;52:392–398
  40. Perry H, Wright R, Shannon M, et al. Baclofen overdose: drug experimentation in a group of adolescents. Pediatrics. 1998;101:1045–1048
  41. Stolinsky DC, Barham M, Needles CF, et al. Private arsenals and public peril. N Engl J Med. 1998;339:565–566
  42. Nordberg M. When kids kill: Columbine High School shooting. Emerg Med Serv. 1999;28:38–50
  43. Fairbrother G, Stuber J, Galea S, et al. Unmet need for counseling services by children in New York City after the September 11 attacks on the World Trade Center: implications for pediatricians. Pediatrics. 2004;113:1367–1374
  44. Brackbill RM, Thorpe LE, DiGrande L, et al. Surveillance for World Trade Center disaster health effects among survivors of collapsed and damaged buildings. MMWR Surveillance Summaries, April 7. 2006;55(SS02):1–18
  45. BBC World News, 18 dead in German school shooting, Friday, 26 April, 2002. Available at: http://news.bbc.co.uk/2/hi/europe/1952869.stm
  46. Centers for Disease Control . Rapid community health and needs assessments after Hurricane Isabel and Charley—North Carolina 2003-2004. MMWR. 2004;53:840–842
  47. Varia M, Wilson S, Sarwal S. Investigation of a nosocomial outbreak of severe acute respiratory syndrome (SARS) in Toronto, Canada. Canadian Med J. 2003;169:65–69
  48. Poutanen S, Low D, Henry B, et al. Identification of severe acute respiratory syndrome in Canada. N Engl J Med. 2003;348:1995–2005
  49. Stewart S. Tropical Cyclone Report—Hurricane Ivan 2-24 September 2004. National Hurricane Center, December 16, 2004. Available at: http://www.nhc.noaa.gov/pdf/TCR-AL092004_Ivan.pdf
  50. Thomas DE, Gordon ST, Melton JA, et al. Pediatricians' experiences 80 miles up the river: Baton Rouge pediatricians' experiences meeting the health needs of evacuated children. Pediatrics. 2006;117:s396–s401
  51. Timm N, Reeves S. A mass casualty incident involving children and chemical decontamination. Disast Manag Response. 2007;5:49–55
  52. BBC World News . US school siege ends in bloodshed, September 28, 2006. Available at: http://news.bbc.co.uk/2/hi/americas/5387062.stm
  53. Ressel R, Reihart M, Brown S, et al. West Nickel Mines school shooting—how a rural MCI was successfully managed. JEMS. 2008;33:48–56
  54. Raphael Cohen-Almagor R, Haleva-Amir S. Bloody wednesday in Dawson College - the Story of Kimveer Gill, or why should we monitor certain websites to prevent murder. Stud Ethics Law Technol. 2008;2:5–8
  55. The Commonwealth of Virginia . Mass shootings at Virginia Tech: report of the Virginia Tech Review Panel. 2007;Richmond, VA. Available at: http://www.governor.virginia.gov/TempContent/techPanelReport.cfm
  56. IBN Live Network News . Death toll in Hyderabad serial blasts rises to 44, August 25, 2007. Available at: http://ibnlive.in.com/news/death-toll-in-hyderabad-serial-blasts-rises-to-41/47450-3.html
  57. Beven JL, Kimberlain TB. National Hurricane Center, Tropical Cyclone Report—Hurricane Gustav (AL072008), 25 August–4 September 2008 January 22, 2009. Available at: http://www.nhc.noaa.gov/pdf/TCR-AL072008_Gustav.pdf
  58. Berg R. National Hurricane Center, Tropical Cyclone Report—Hurricane Ike (AL092008), 1-14 September 2008, January 23, 2009. Available at: http://www.nhc.noaa.gov/pdf/TCR-AL092008_Ike.pdf
  59. Castle N. Triage and transport decisions after mass casualty incidents. Emerg Nurse. 2006;14:22–25
  60. Maningas PA, Robison M, Mallonee S. The EMS response to the Oklahoma City bombing. Prehosp Disaster Med. 1997;12:80–85
  61. Cook L. The World Trade Center attack: the paramedic response: an insider's view. Crit Care. 2001;5:301–303
  62. State of Colorado Columbine Review Commission . The report of Governor Bill Owen's Columbine Review Commission. Denver: State of Colorado; 2001;
  63. Mell H, Sztajnkrycer MEMS. Response to Columbine. Lessons Learned. Internet J Rescue Disaster Med. 2005;5:1
  64. Callaghan WM, Rasmussen SA, Jamieson DJ, et al. Health concerns of women and infants in times of natural disasters: lessons learned from Hurricane Katrina. Matern Child Health J. 2007;11:307–311
  65. McCain C, Davis R. Devastation in Katrina's wake. JEMS. 2005;30:20–26
  66. Armstrong JH, Frykberg ER. Lessons from the response to the Virginia Tech shootings. Disaster Med Pub Health Prep. 2007;1(1 Suppl):S7–S8
  67. Sztajnkrycer MD, Madsen BE, Alejandro BA. Unstable ethical plateaus and disaster triage. Emerg Med Clin North Am. 2006;24:749–768
  68. Cone DC, Koenig KL. Mass casualty triage in the chemical, biological, radiological, or nuclear environment. Eur J Emerg Med. 2005;12:287–302
  69. Lerner EB, Schwartz RB, Coule PL, et al. Mass casualty triage: an evaluation of the data and development of a proposed national guideline. Disaster Med Pub Health Prep. 2008;2:S25–S34
  70. Holt GR. Making difficult ethical decisions in patient care during natural disasters and other mass casualty events. Otolaryngol Head Neck Surg. 2008;139:181–186
  71. Veatch RM. Disaster preparedness and triage. Mt Sinai J Med. 2005;72:236–241
  72. Garner A, Lee A, Harrison K, et al. Comparative analysis of multiple-casualty incident triage algorithms. Ann Emerg Med. 2001;38:541–548
  73. Reisner A. Triage. In:  Ciottone GR editors. Disaster medicine. 3rd ed.. Philadelphia, PA: Elsevier Mosby; 2006;p. 283–289
  74. Hodgetts T, Mackway-Jones K. Major incident medical management and support: the practical approach at the scene. 2nd ed. London: BMJ Books; 2002;
  75. Super G, Groth S, Hook R, et al. START: simple triage and rapid treatment plan. Newport Beach, CA: Hoag Memorial Presbyterian Hospital; 1994;
  76. Kahn CA, Schultz CH, Miller KT, et al. Does START triage work? An outcomes assessment after a disaster. Ann Emerg Med. 2009;[Epub ahead of print]
  77. Benson M, Koenig KL, Schultz CH. Disaster triage: START, then SAVE—a new method of dynamic triage for victims of a catastrophic earthquake. Prehosp Disaster Med. 1996;11:117–124
  78. Gorelick MH, Shaw KN, Baker MD. Effect of ambient temperature on capillary refill time in healthy children. Pediatrics. 1993;92:699–702
  79. Romig LE. Pediatric triage—a system to JumpSTART your triage of young patients at MCIs. JEMS. 2002;37:52–63
  80. Hodgetts T, Hall J, Maconochie I, et al. Paediatric triage tape. Prehosp Immediate Care. 1998;2:155–159
  81. Baldwin S, Robinson A, Barlow P, et al. Moving hospitalized children all over the southeast: interstate transfer of pediatric patients during Hurricane Katrina. Pediatrics. 2006;117(5 pt 3):s416–s420
  82. Weiner DL, Manzi SF, Waltzman ML, et al. The national disaster medical system: a pediatric perspective. Pediatrics. 2006;117:S405–S411

PII: S1522-8401(09)00052-4

doi: 10.1016/j.cpem.2009.06.004

Clinical Pediatric Emergency Medicine
Volume 10, Issue 3 , Pages 173-185 , September 2009

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