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Completing the Disaster Cycle for Children in CBRN Events: Introducing the Pediatric After-Action Report for

Shandiz Moslehi1,2, Sajjad Narimani2,3

  • 1Health Management and Economics Research Centre, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.

Disaster Medicine and Public Health Preparedness
|August 11, 2026
PubMed

Insights

A new Pediatric After-Action Report (PAAR) template aids in evaluating children's response to radiation and nuclear (R/N) incidents. This tool ensures systematic assessment and improvement of R/N disaster preparedness for pediatric populations.

Area of Science:

  • Disaster medicine
  • Pediatric emergency response
  • Public health preparedness

Background:

  • Children face unique biological and psychosocial risks during radiation and nuclear (R/N) incidents.
  • Existing disaster response tools lack specific evaluations for pediatric needs post-incident.
  • A systematic method is needed to assess and improve child-specific responses during R/N recovery phases.

Purpose of the Study:

  • To introduce a specialized Pediatric After-Action Report (PAAR) template.
  • To address the gap in systematic evaluation of pediatric response during R/N incidents.
  • To enhance preparedness for R/N disaster scenarios involving children.

Main Methods:

  • Synthesized disaster cycle principles and pediatric disaster medicine literature.
  • Incorporated documented operational gaps from R/N incidents.
  • Developed core functional domains and corrective action frameworks specific to R/N pediatric challenges.

Main Results:

  • The PAAR template offers a comprehensive instrument for evaluating pediatric response.
  • Covers R/N-specific triage, medical countermeasures, sheltering, mental health, and reunification.
  • Includes targeted questions and a corrective action framework for improved preparedness.

Conclusions:

  • The PAAR enables rigorous, pediatric-focused after-action reviews.
  • Ensures systematic assessment and continuous improvement of children's needs.
  • Essential for integrating into exercises and real-incident recovery to close the disaster cycle for vulnerable populations.
Abstract

Keywords:
CBRN preparednessafter-action reportnuclear incidentpediatric disaster medicinepsychological first aidradiation emergency

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