Neonatal and pediatric regionalized systems in pediatric emergency mass critical care
Published Date:Nov 2011
Source:Pediatr Crit Care Med. 12(6 0):S128-S134.
Corporate Authors:for the Task Force for Pediatric Emergency Mass Critical Care
Emergency Mass Critical Care
Emergency Medical Services
Health Planning Councils
Intensive Care Units, Neonatal
Intensive Care Units, Pediatric
Mass Casualty Care
Mass Casualty Incidents
Pediatric Critical Care
Regional Health Planning
Regional Systems Of Care
Pubmed Central ID:PMC4561175
Funding:CC999999/Intramural CDC HHS/United States
Improved health outcomes are associated with neonatal and pediatric critical care in well-organized, cohesive, regionalized systems that are prepared to support and rehabilitate critically ill victims of a mass casualty event. However, present systems lack adequate surge capacity for neonatal and pediatric mass critical care. In this document, we outline the present reality and suggest alternative approaches.
In May 2008, the Task Force for Mass Critical Care published guidance on provision of mass critical care to adults. Acknowledging that the critical care needs of children during disasters were unaddressed by this effort, a 17-member Steering Committee, assembled by the Oak Ridge Institute for Science and Education with guidance from members of the American Academy of Pediatrics, convened in April 2009 to determine priority topic areas for pediatric emergency mass critical care recommendations.
Task Force Recommendations
States and regions (facilitated by federal partners) should review current emergency operations and devise appropriate plans to address the population-based needs of infants and children in large-scale disasters. Action at the state, regional, and federal levels should address legal, operational, and information systems to provide effective pediatric mass critical care through: 1) predisaster/mass casualty planning, management, and assessment with input from child health professionals; 2) close cooperation, agreements, public-private partnerships, and unique delivery systems; and 3) use of existing public health data to assess pediatric populations at risk and to model graded response plans based on increasing patient volume and acuity.
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