Planning and Care Guidelines

Agency for Healthcare Research and Quality
Mass Medical Care with Scarce Resources: A Community Planning Guide
This guide provides community planners—as well as planners at the institutional, State, and Federal levels—with information on planning for and responding to a mass casualty event (MCE).  The product of collaboration between the Department of Health and Human Services Office of Public Health Emergency Preparedness and the Agency for Healthcare Research and Quality (AHRQ), this guide is written by leading experts in six areas related to mass casualty care: prehospital care, hospital and acute care, alternative care sites, palliative care, ethical issues, and legal considerations.

Agency for Healthcare Research and Quality
Pediatric Anthrax: Implications for Bioterrorism Preparedness
This article reviews case reports of pediatric anthrax and compares the clinical symptoms and disease progression variables for the pediatric cases with data on adult anthrax cases reviewed previously.

Agency for Healthcare Research and Quality
Pediatric Terrorism and Disaster Preparedness: A Resource for Pediatricians 
This document (available also in a summary format) through the Agency for Healthcare Research and Quality (AHRQ) recognizes that pediatricians as primary healthcare providers may be the first contacted by families in the event of a disaster.  Because of the pediatricians unique relationship with families this document addresses the responsibility of pediatricians in pediatric disaster preparedness and response.

American College of Obstetricians and Gynecologists
Women and Infants Service Package: National Working Group for Women and Infant Needs in the United States
Pregnant women and newborn infants are two vulnerable populations that are not always included in emergency and disaster planning.  This document provides guidelines to assist in planning for pregnant women and newborn infants during a disaster event.  These guidelines can be utilized by state and local government as well as nongovernmental organizations, private groups and individuals to better meet the needs of pregnant women and newborns.

Centers for Disease and Control and Prevention & U.S. Department of Health and Human Services
Blast Injuries: Pediatrics
This document, which is part of series of blast injury resources, reviews pediatric presentation and care considerations for blast injuries.

Centers for Disease Control and Prevention
Ebola: U.S. Healthcare Workers and Setting
This website provides resources for healthcare providers in planning to care for patients with or suspected ebola. Resources include information for how to care for children, pregnant women and breastfeeding mothers.

Center for Disease Control and Prevention
Radiation Emergencies: Health Information for Specific Groups
This website includes information for the public, first responders, and public health professionals about how to respond to a radiation emergency and the specific needs of pregnant women.

Illinois Emergency Medical Services for Children
Children and Facemasks
Maintaining facemasks on children during an influenza event can be a challenge. This resource provides healthcare professionals and parents/caregivers with key information related to why children need to wear facemasks, who is at higher risk for infection, strategies on keeping facemasks on children, assessing children while they are wearing facemasks, and what to do when supplies of pediatric facemasks are limited.

Illinois Emergency Medical Services for Children
Pediatric Disaster Preparedness Guidelines
This set of guidelines is a resource to assist in addressing the needs of children during disaster planning.  The four phases of disaster (prevention/mitigation, preparedness, response, and recovery) are used as a framework throughout the document to identify the specific needs of children and strategies for meeting those needs.  The manual also contains a handy checklist.   

Illinois Emergency Medical Services for Children
Pediatric and Neonatal Disaster/Surge Pocket Guide
This guide is a resource to assist health care providers with addressing the medical needs of children during a disaster. The medical information provided in this guide should not be considered an exclusive course  for treatment and is meant to be utilized during times of disasters and mass casualty incidents that result in a surge of pediatric and neonatal patients.  Care considerations incorporated into this document include: normal values, triage and assessment tools, treatments and medications, equipment, decontamination, mental health and security.

Illinois Emergency Medical Services for Children
Use of SNS Ventilators in the Pediatric Patient
A surge of pediatric patients in a pandemic may result in many children who require respiratory support in hospitals and alternate care sites that are not used to routinely caring for children on ventilators. These guidelines were developed to provide guidance to clinicians (physicians, nurses and respiratory care providers) with baseline knowledge of pulmonary physiology and the concepts of ventilation, who may find themselves working with ventilators that are not used to on a daily basis. The intent of this document is to provide clinicians with a pediatric resource for Just-in-Time training and set up of the SNS Ventilators. This document includes information on the LP-10 Volume Ventilator, the LTV 1200 Ventilator, and the UNI-VENT® Eagle ™Ventilation System.

New York State Department of Health
Children in Disasters: Hospital Guidelines for Pediatrics in Disasters, 3rd Edition
This document was developed by the New York City Department of Health and Mental Hygiene in collaboration with the Centers for Bioterrorism Preparedness Planning. It provides guidelines for hospitals on 13 topics related to pediatric disaster preparedness including: decontamination, dietary considerations, equipment, family information and support, infection control, pharmaceutical planning, psychosocial considerations, security, surge, staffing, training, transportation and triage.

New York State Department of Health
Pediatric and Obstetrical Emergency Preparedness Toolkit, A Guideline for Hospitals
The New York Department of Health has collaborated with multiple state agencies to develop this tool kit to address the needs of pregnant women and children during times of a disaster. This toolkit was designed as a resource for hospitals that do not routinely provide care to pregnant women and children, particularly those without pediatric intensive care services or obstetrical/newborn services.  It aims to assist these hospitals in planning and strategizing in the provision of protective measures, treatment and acute care for the pediatric and obstetric population during a disaster. 

Radiation Event Medical Management, U.S. Department of Health & Human Services (REMM):
Guidance on Diagnosis & Treatment for Health Care Providers
This site provides evidence-based guidance to healthcare practitioners on radiation event medical diagnosis and management.  It is written with the intent to provide sufficient background and context in order to make complex issues understandable to those without formal radiation medicine expertise. Within the site are guidelines specific to the care of children during a radiation event.

Save The Children USA Foundation
The Unique Needs of Children in Emergencies:  A Guide for the Inclusion of Children in Emergency Operations Plans
This guide was created by the Save the Children USA to help local and state emergency managers/coordinators in their efforts to develop and maintain a Children in Emergencies supplemental document to the community’s standard Emergency Operations Plan (EOP) that addresses the special needs of children.