Publications

JumpSTART Pediatric MCI Triage Tool

When resources are limited in multi-casualty incidents, it is important for rescuers to triage children as effectively as they triage adults. The JumpSTART triage system, which is based on the widely recognized START (Simple Triage and Rapid Treatment) program, is designed to help providers use objective, instead of emotional, criteria to triage kids.

Drafting Legislation Related to State Pediatric Disaster Preparedness

Since most individuals may not have experience with drafting legislation, this fact sheet provides writing points that use, as examples, the recommendations from the National Commission on Children and Disasters related to improving pediatric disaster preparedness. These recommendations are meant to be a starting point for drafting a legislative proposal, as appropriate, not model legislation itself.

Planning for Children and Youth with Special Health Care Needs

This fact sheet focuses on disaster preparedness for children and youth with special health care needs (CYSHCN). It provides guidance on how families can prepare their child and/or youth, their home, and neighborhood. The sheet also includes a list of useful resources. | Spanish Version

Common Emergencies for Children with Special Health Care Needs

This fact sheet includes a list of common injuries for children and youth with special health care needs (CYSHCN), as well as a guide to the best preparation for an emergency. It also includes the necessary vital information a parent should have available to help emergency providers in treating CYSHCN.

Planning, Management, and Provision of Out-of-Hospital Emergency Care

Disaster preparedness plans must include preparation for children. This guide includes information on writing and implementing child-specific protocols, planning for children who are separated from their parents and at schools and childcare centers when disaster strikes, training providers to care for the pediatric patient, developing equipment and medication dosage forms and delivery systems appropriate for children, and much more.

Disaster Preparedness Exercises Addressing the Pediatric Population

This document contains scenarios and exercises primarily involving children to better prepare EMS, fire department, law enforcement, emergency department, hospital, and long-term care facilities for a disaster situation. Along with the exercises, a check list is provided to help better assist the emergency situations. Updated in 2017.

Pediatric Disaster Preparedness Guidelines

This document was created to promote awareness of children’s unique vulnerabilities in a disaster or mass casualty incident and to guide organizations in integrating pediatric considerations into their disaster plans. Implementing these recommendations and guidelines is only the first step in improving emergency and disaster preparedness for children.A collaborative effort by health care providers, communities, families and individuals is needed to assure preparedness for children in every stage of the planning process.

Suggested Articles

Comparing the Accuracy of Three Pediatric Disaster Triage Strategies: A Simulation-Based Investigation.

Cicero MX, Overly F, Brown L, Yarzebski J, Walsh B, Shabanova V, Auerbach M, Riera A, Adelgais K, Meckler G, Cone DC, Baum CR.

Disaster Med Public Health Prep. 2016 Apr;10(2):253-60. doi: 10.1017/dmp.2015.171. Epub 2016 Jan 8.

PMID: 26744228

60 seconds to survival: A pilot study of a disaster triage video game for prehospital providers.

Cicero MX, Whitfill T, Munjal K, Madhok M, Diaz MCG, Scherzer DJ, Walsh BM, Bowen A, Redlener M, Goldberg SA, Symons N, Burkett J, Santos JC, Kessler D, Barnicle RN, Paesano G, Auerbach MA.

Am J Disaster Med. 2017 Spring;12(2):75-83. doi: 10.5055/ajdm.2017.0263.

PMID: 29136270

Pediatric Disaster Triage: Multiple Simulation Curriculum Improves Prehospital Care Providers' Assessment Skills.

Cicero MX, Whitfill T, Overly F, Baird J, Walsh B, Yarzebski J, Riera A, Adelgais K, Meckler GD, Baum C, Cone DC, Auerbach M.

Prehosp Emerg Care. 2017 Mar-Apr;21(2):201-208. doi: 10.1080/10903127.2016.1235239. Epub 2016 Oct 17.

PMID: 27749145

Simulation training with structured debriefing improves residents' pediatric disaster triage performance.

Cicero MX, Auerbach MA, Zigmont J, Riera A, Ching K, Baum CR.

Prehosp Disaster Med. 2012 Jun;27(3):239-44. doi: 10.1017/S1049023X12000775. Epub 2012 Jun 13.

PMID: 22691308

Correlation Between Paramedic Disaster Triage Accuracy in Screen-Based Simulations and Immersive Simulations.

Cicero MX, Whitfill T, Walsh B, Diaz MCG, Arteaga GM, Scherzer DJ, Goldberg SA, Madhok M, Bowen A, Paesano G, Redlener M, Munjal K, Auerbach M.

Prehosp Emerg Care. 2018 Aug 21:1-7. doi: 10.1080/10903127.2018.1475530. [Epub ahead of print]

PMID: 30130424

Creation and Delphi-method refinement of pediatric disaster triage simulations.

Cicero MX, Brown L, Overly F, Yarzebski J, Meckler G, Fuchs S, Tomassoni A, Aghababian R, Chung S, Garrett A, Fagbuyi D, Adelgais K, Goldman R, Parker J, Auerbach M, Riera A, Cone D, Baum CR.

Prehosp Emerg Care. 2014 Apr-Jun;18(2):282-9. doi: 10.3109/10903127.2013.856505. Epub 2014 Jan 8.

PMID: 24401167

60 Seconds to Survival: A Multisite Study of a Screen-based Simulation to Improve Prehospital Providers Disaster Triage Skills.

Cicero MX, Whitfill T, Walsh B, Diaz MC, Arteaga G, Scherzer DJ, Goldberg S, Madhok M, Bowen A, Paesano G, Redlener M, Munjal K, Kessler D, Auerbach M.

AEM Educ Train. 2018 Jan 31;2(2):100-106. doi: 10.1002/aet2.10080. eCollection 2018 Apr.

PMID: 30051076

Correlation Between Paramedic Disaster Triage Accuracy in Screen-Based Simulations and Immersive Simulations.

Cicero MX, Whitfill T, Walsh B, Diaz MCG, Arteaga GM, Scherzer DJ, Goldberg SA, Madhok M, Bowen A, Paesano G, Redlener M, Munjal K, Auerbach M.

Prehosp Emerg Care. 2018 Aug 21:1-7. doi: 10.1080/10903127.2018.1475530. [Epub ahead of print]

PMID: 30130424