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Learning from Wildfire Disaster Experience in California NICUs.
Amy L Ma1, Ronald S Cohen1, Henry C Lee1,2
1Department of Pediatrics, Stanford University, Stanford, CA 94305, USA.
Children (Basel, Switzerland)
|October 6, 2020
Summary
California NICU teams developed creative strategies to safely evacuate vulnerable infants during wildfire disasters. Essential elements included equipment, transport, and teamwork for disaster preparedness.
Area of Science:
- Environmental Health
- Neonatal Medicine
- Disaster Management
Background:
- Wildfires pose significant risks to vulnerable populations, including infants in neonatal intensive care units (NICUs).
- California has experienced numerous wildfires, necessitating robust disaster preparedness plans for healthcare facilities.
Purpose of the Study:
- To investigate how California NICU healthcare personnel managed neonatal transfers during wildfire events.
- To identify lessons learned for enhancing disaster preparedness in NICUs.
Main Methods:
- Identified California fires using official and media sources.
- Determined affected hospitals and contacted NICU staff via the California Perinatal Quality Care Collaborative (CPQCC) database.
- Conducted interviews and surveys, analyzing responses to understand transfer protocols and challenges.
Main Results:
- Key elements for successful neonatal transfer during wildfires included specialized equipment (bassinets, backpacks), efficient ambulance access and transport, and meticulous documentation.
- Healthcare teams demonstrated exceptional teamwork, adaptability, and utilized unconventional strategies to ensure infant safety.
- Ingenious and surprising methods were employed by healthcare teams for NICU infant evacuation.
Conclusions:
- Effective disaster preparedness in NICUs requires a multi-faceted approach addressing equipment, logistics, and team coordination.
- Cross-functional teamwork and a willingness to adapt roles are crucial for managing neonatal transfers during extreme weather events like wildfires.
- Sharing these innovative strategies can improve NICU resilience and infant safety during future disasters.
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