• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of archdischArchives of Disease in ChildhoodVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
Arch Dis Child. May 1999; 80(5): 406–409.
PMCID: PMC1717908

Delphi study into planning for care of children in major incidents

Abstract

This paper describes a Delphi study used to identify and improve areas of concern in the planning of care for children in major incidents. The Delphi was conducted over three rounds and used a multidisciplinary panel of 22 experts. Experts were selected to include major incident, immediate care, emergency medicine, and paediatric specialists. This paper presents a series of consensus statements that represent the Delphi group's opinion on the management of children in major incidents. The statements cover all phases of major incident planning and response. Paediatric services may play a vital role in the preparation and response to a major incident involving children. This paper represents a consensus view on how best to plan and respond to major incidents involving children. An accompanying paper describes the practical implementation of this guidance.

Full Text

The Full Text of this article is available as a PDF (86K).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Carley S, Mackway-Jones K, Donnan S. Major incidents in Britain over the past 28 years: the case for the centralised reporting of major incidents. J Epidemiol Community Health. 1998 Jun;52(6):392–398. [PMC free article] [PubMed]
  • Lewis FR, Trunkey DD, Steele MR. Autopsy of a disaster: the Martinez bus accident. J Trauma. 1980 Oct;20(10):861–866. [PubMed]
  • Myers GJ, Colgan MT, VanDyke DH. Lightning-strike disaster among children. JAMA. 1977 Sep 5;238(10):1045–1046. [PubMed]
  • Brismar B, Bergenwald L. The terrorist bomb explosion in Bologna, Italy, 1980: an analysis of the effects and injuries sustained. J Trauma. 1982 Mar;22(3):216–220. [PubMed]
  • Bliss AR. Major disaster planning. Br Med J (Clin Res Ed) 1984 May 12;288(6428):1433–1434. [PMC free article] [PubMed]
  • Cyr JC. Multivictim emergency care: a case study of organophosphate poisoning in sixty-seven children. J Emerg Nurs. 1988 Sep-Oct;14(5):277–279. [PubMed]
  • Brown MG, Marshall SG. The Enniskillen bomb: a disaster plan. BMJ. 1988 Oct 29;297(6656):1113–1116. [PMC free article] [PubMed]
  • Vukmir RB, Paris PM. The Three Rivers Regatta accident: an EMS perspective. Am J Emerg Med. 1991 Jan;9(1):64–71. [PubMed]
  • van Amerongen RH, Fine JS, Tunik MG, Young GM, Foltin GL. The Avianca plane crash: an emergency medical system's response to pediatric survivors of the disaster. Pediatrics. 1993 Jul;92(1):105–110. [PubMed]
  • Wass AR, Williams MJ, Gibson MF. A review of the management of a major incident involving predominantly paediatric casualties. Injury. 1994 Aug;25(6):371–374. [PubMed]
  • Mallonee S, Shariat S, Stennies G, Waxweiler R, Hogan D, Jordan F. Physical injuries and fatalities resulting from the Oklahoma City bombing. JAMA. 1996 Aug 7;276(5):382–387. [PubMed]
  • Carley SD, Mackway-Jones K. The casualty profile from the Manchester bombing 1996: a proposal for the construction and dissemination of casualty profiles from major incidents. J Accid Emerg Med. 1997 Mar;14(2):76–80. [PMC free article] [PubMed]
  • Wardrope J, Hockey MS, Crosby AC. The hospital response to the Hillsborough tragedy. Injury. 1990 Jan;21(1):53–57. [PubMed]
  • Leonard RB. Role of pediatricians in disasters and mass casualty incidents. Pediatr Emerg Care. 1988 Mar;4(1):41–44. [PubMed]
  • Levitin HW, Siegelson HJ. Hazardous materials. Disaster medical planning and response. Emerg Med Clin North Am. 1996 May;14(2):327–348. [PubMed]
  • Sharpe DT, Foo IT. Management of burns in major disasters. Injury. 1990 Jan;21(1):41–57. [PubMed]
  • Fong F, Schrader DC. Radiation disasters and emergency department preparedness. Emerg Med Clin North Am. 1996 May;14(2):349–370. [PubMed]
  • Rutherford WH, de Boer J. The definition and classification of disasters. Injury. 1983 Jul;15(1):10–12. [PubMed]
  • Davenport M, Howard ER. Paediatric surgical manpower in the 1990s. Ann R Coll Surg Engl. 1996 Mar;78(2 Suppl):66–69. [PubMed]
  • Milne E, Whitty P. Calculation of the need for paediatric intensive care beds. Arch Dis Child. 1995 Dec;73(6):505–507. [PMC free article] [PubMed]
  • Holbrook PR. Pediatric disaster medicine. Crit Care Clin. 1991 Apr;7(2):463–470. [PubMed]
  • Leonard RB. Role of pediatricians in disasters and mass casualty incidents. Pediatr Emerg Care. 1988 Mar;4(1):41–44. [PubMed]
  • Stalcup SA, Oscherwitz M, Cohen MS, Crast F, Broughton D, Stark F, Goldsmith R. Planning for a pediatric disaster -- experience gained from caring for 1600 Vietnamese orphans. N Engl J Med. 1975 Oct 2;293(14):691–695. [PubMed]
  • Carley S, Mackway-Jones K. Are British hospitals ready for the next major incident? Analysis of hospital major incident plans. BMJ. 1996 Nov 16;313(7067):1242–1243. [PMC free article] [PubMed]
  • Champion HR, Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME. A revision of the Trauma Score. J Trauma. 1989 May;29(5):623–629. [PubMed]
  • Eichelberger MR, Gotschall CS, Sacco WJ, Bowman LM, Mangubat EA, Lowenstein AD. A comparison of the trauma score, the revised trauma score, and the pediatric trauma score. Ann Emerg Med. 1989 Oct;18(10):1053–1058. [PubMed]
  • Goodman CM. The Delphi technique: a critique. J Adv Nurs. 1987 Nov;12(6):729–734. [PubMed]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Group

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • PubMed
    PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...