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Utilizing a Pediatric Disaster Coalition Model to Increase Pediatric Critical Care Surge Capacity in New York City

Michael Frogel1, Avram Flamm2, Mayer Sagy3

  • 11Department of Pediatrics,Maimonides Medical Center,Brooklyn,New York.

Disaster Medicine and Public Health Preparedness
|June 14, 2017
PubMed

Insights

Establishing a Pediatric Disaster Coalition (PDC) is crucial for managing mass casualty events involving children. This model facilitated pediatric critical care (PCC) surge planning, creating over 150 additional beds.

Area of Science:

  • Disaster Medicine
  • Public Health Preparedness
  • Pediatric Critical Care

Background:

  • Mass casualty events can overwhelm pediatric critical care (PCC) capacity.
  • A gap exists in regional and local preparedness for pediatric mass casualty incidents.
  • The New York City (NYC) Pediatric Disaster Coalition (PDC) was formed to address these challenges.

Purpose of the Study:

  • To demonstrate the necessity of disaster planning for pediatric populations.
  • To provide a replicable model for establishing a PDC.
  • To facilitate PCC surge planning within communities.

Main Methods:

  • Formation of the NYC Pediatric Disaster Coalition (PDC) with multidisciplinary experts.
  • Development of recommendations for PCC surge capacity focusing on space, staff, stuff, and systems.
  • Assistance to 15 hospitals in creating PCC surge plans using templates and site visits.
  • Drill implementation in seven hospitals to test surge plans.

Main Results:

  • The PDC successfully assisted 15 hospitals in developing PCC surge plans.
  • An additional 153 potential PCC surge beds were identified through these plans.
  • The developed model is adaptable for communities of various sizes and locations.

Conclusions:

  • Pediatric disaster planning and PCC surge capacity are essential.
  • The described PDC model offers a stepwise, replicable approach for communities.
  • This initiative enhances regional readiness for pediatric mass casualty events.

Keywords:
disaster coalitiondisaster drilldisaster preparednesspediatric critical care surge capacitysurge plan

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