TY - JOUR
T1 - Paediatric patients in mass casualty incidents
T2 - a comprehensive review and call to action
AU - Society for Pediatric Anesthesia Disaster Preparedness Special Interest Group
AU - Desmond, Matthew
AU - Schwengel, Deborah
AU - Chilson, Kelly
AU - Rusy, Deborah
AU - Ingram, Kristyn
AU - Ambardekar, Aditee
AU - Greenberg, Robert S.
AU - Belani, Kumar
AU - Perate, Alison
AU - Gangadharan, Meera
N1 - Publisher Copyright:
© 2021 British Journal of Anaesthesia
PY - 2022/2
Y1 - 2022/2
N2 - The paediatric population is disproportionately affected during mass casualty incidents (MCIs). Several unique characteristics of children merit special attention during natural and man-made disasters because of their age, physiology, and vulnerability. Paediatric anaesthesiologists play a critical part of MCI care for this population, yet there is a deficit of publications within the anaesthesia literature addressing paediatric-specific MCI concerns. This narrative review article analyses paediatric MCI considerations and compares differing aspects between care provision in Australia, the UK, and the USA. We integrate some of the potential roles for anaesthesiologists with paediatric experience, which include preparation, command consultation, in-field care, pre-hospital transport duties, and emergency department, operating theatre, and ICU opportunities. Finally, we propose several methods by which anaesthesiologists can improve their contribution to paediatric MCI care through personal education, training, and institutional involvement.
AB - The paediatric population is disproportionately affected during mass casualty incidents (MCIs). Several unique characteristics of children merit special attention during natural and man-made disasters because of their age, physiology, and vulnerability. Paediatric anaesthesiologists play a critical part of MCI care for this population, yet there is a deficit of publications within the anaesthesia literature addressing paediatric-specific MCI concerns. This narrative review article analyses paediatric MCI considerations and compares differing aspects between care provision in Australia, the UK, and the USA. We integrate some of the potential roles for anaesthesiologists with paediatric experience, which include preparation, command consultation, in-field care, pre-hospital transport duties, and emergency department, operating theatre, and ICU opportunities. Finally, we propose several methods by which anaesthesiologists can improve their contribution to paediatric MCI care through personal education, training, and institutional involvement.
KW - CRBNE (chemical, biological, radiological, nuclear, explosive)
KW - paediatric MCI
KW - paediatric anaesthesia
KW - paediatric disaster
KW - paediatric mass casualty
KW - paediatric triage
UR - http://www.scopus.com/inward/record.url?scp=85120854852&partnerID=8YFLogxK
U2 - 10.1016/j.bja.2021.10.026
DO - 10.1016/j.bja.2021.10.026
M3 - Review article
C2 - 34862001
AN - SCOPUS:85120854852
SN - 0007-0912
VL - 128
SP - e109-e119
JO - British journal of anaesthesia
JF - British journal of anaesthesia
IS - 2
ER -