Online Program

Statewide Pediatric Disaster Planning: An Assessment of Critical Care Resources

Tuesday, November 3, 2015 : 5:15 p.m. - 5:30 p.m.

Ruth Kafensztok, Dr.P.H., Public Health Sciences Department, Loyola University Chicago, Maywood, IL
Laura Prestidge, RN, BSN, MPH, IL EMS for Children Program, Loyola University Chicago, Maywood, IL
Evelyn Lyons, RN, MPH, IL EMS for Children Program, Illinois Department of Public Health, Maywood, IL
Daniel Leonard, MS, MCP, IL EMS for Children Program, Loyola University Chicago, Maywood, IL
This presentation describes an assessment of the pediatric/neonatal critical care capacity within the state of Illinois, which was conducted by the Illinois EMS for Children (IL EMSC) program to support its statewide efforts in pediatric disaster preparedness. Mass casualty incidents involving large numbers of critically ill or injured children, could rapidly overwhelm tertiary care facilities, and require a surge in treatment capacity which may include strategies such as expansion of serviced beds and system decompression (transfer of lower acuity patients to other hospitals to increase number of available critical care beds). In order to assess the pediatric/neonatal critical care capabilities in Illinois and selected border state hospitals, the IL EMSC program surveyed the state’s Pediatric Intensive Care Units (n=25), and the Perinatal System Level III Neonatal Intensive Care Units (n=30) and Level II-E nurseries (n=23). The survey was a structured telephone interview conducted with managers of pediatric and neonatal ICUs between April and June, 2013. Questions were designed to capture capacity information regarding licensed and “ready-for-use” beds, respiratory equipment (ventilators and Continuous Positive Airway Pressure devices), critical care transport, inpatient surgical and non-surgical specialist availability, selected specialized pediatric/neonatal services, and existence of pediatric disaster surge plans. The survey questionnaire was tailored for each facility type (PICU, NICU, Level II-E), and the response rates were 96%, 100% and 96%, respectively. Aggregate data for the critical care capacity measures were prepared to examine statewide and regional disaster preparedness capacity, and provide baseline data that can benefit statewide disaster planning efforts.

Learning Areas:

Administration, management, leadership
Program planning
Public health administration or related administration

Learning Objectives:
Explain the need for pediatric- and neonatal-specific disaster planning. Describe components of a pediatric/neonatal critical care capacity assessment for the purpose of statewide and regional disaster planning. Discuss pediatric/neonatal critical care capacity metrics to aid planning for potential surge in treatment capacity during disasters involving this population group.

Keyword(s): Emergency Preparedness, Children and Adolescents

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked for over 15 years with the Illinois EMS for Children program, a partnership between the Illinois Department of Public Health and LUC's Department of Emergency Medical Services. I have been a co-investigator in state and federally funded grants focused on statewide injury surveillance data and pediatric emergency preparedness, respectively. My research interests focus on injury surveillance and data systems, motor vehicle traffic injuries, and utilization of emergency medical services.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.