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Planning for major incidents involving children by implementing a Delphi study
K Mackway-Jones1, S D Carley, J Robson
1Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK. kmackway@fs1.mci.man.ac.uk
Archives of Disease in Childhood
|April 20, 1999
Summary
This study offers practical guidance for planning major incidents involving children, detailing implementation strategies for regional and local responses across all phases. It emphasizes local adaptation of expert recommendations for effective pediatric emergency management.
Area of Science:
- Emergency Medicine
- Pediatric Critical Care
- Disaster Preparedness
Background:
- Planning for major incidents involving children presents unique challenges.
- Existing guidelines require practical implementation strategies for regional and local application.
Purpose of the Study:
- To provide a practical approach for planning major incidents involving children.
- To guide the implementation of expert Delphi study principles at regional and local levels.
- To cover all phases of incident response, including preparation, management, medical support, and recovery.
Main Methods:
- Expert Delphi study to establish general principles.
- Development of practical implementation guidance for regional and local planning.
- Inclusion of checklists, equipment considerations, and action cards for key roles.
Main Results:
- A comprehensive framework for pediatric major incident planning is presented.
- Specific tools like checklists, action cards, and a primary triage algorithm are provided.
- Emphasis on the secondary-tertiary interface, including specialized pediatric teams.
Conclusions:
- Effective planning for pediatric mass casualty incidents requires a practical, adaptable approach.
- Local interpretation and implementation of expert guidance are crucial for successful outcomes.
- The study provides actionable tools and strategies for improving pediatric emergency response capabilities.