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What if Nice Terrorist Attack Would Have Happened in Milan? Drawing a Disaster Plan for Mass Casualty Incidents Involving the Pediatric Population

Published online by Cambridge University Press:  31 October 2024

Margherita Difino ,
Stucchi Riccardo ,
Eric S. Weinstein ,
Maurizio De Pellegrin ,
Alberto Zoli ,
Giuseppe Maria Sechi  and
Roberto Faccincani
Margherita Difino
Affiliation:
Vita-Salute San Raffaele University, Milano, MI, Italy
Stucchi Riccardo
Affiliation:
AAT 118 Milano, Agenzia Regionale Emergenza Urgenza (AREU), Milano, MI, Italy ASST Grande Ospedale Metropolitano Niguarda, Milano, MI, Italy
Eric S. Weinstein
Affiliation:
Center for Research and Training in Disaster Medicine, Humanitarian Aid, and Global Health (CRIMEDIM), Novara, NO, Italy Department of Emergency Medicine, University of South Florida Morsani College of Medicine, Tampa, Florida, USA
Maurizio De Pellegrin
Affiliation:
Ospedale Piccole Figlie, Parma, PR, Italy
Alberto Zoli
Affiliation:
Direzione Generale, Agenzia Regionale Emergenza Urgenza (AREU), Milano, MI, Italy
Giuseppe Maria Sechi
Affiliation:
Direzione Sanitaria, Agenzia Regionale Emergenza Urgenza (AREU), Milano, MI, Italy
Roberto Faccincani
Affiliation:
Emergency Department, Humanitas Mater Domini, Castellanza, VA, Italy
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Abstract

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Objective

Asymmetric warfare, conflict and terrorist attacks involving children raise concerns regarding the preparedness to respond to mass casualty incidents involving pediatric patients. The objective of this project was to assess the resources available in the metropolitan Milan area to develop a priority dispatch plan for a mass casualty incident with pediatric patients.

Methods

A focused search of the medical literature and clinical guidelines established a minimal standard requirements of care of pediatric patients involved in an MCI to determine the surge capabilities in terms of number of patients and severity of injuries for each study hospital in the metropolitan Milan area.

Results

The hospitals that took part in the study were either adult trauma centers or pediatric hospitals in the metropolitan Milan area. The overall surge capability identified was of 40-44 pediatric patients involved in an MCI involving pediatric patients, distributed based on age and severity and based on the hospital resources and expertise.

Conclusions

The findings from the metropolitan Milan area shows the basis for non-Pediatric Trauma Center adult and pediatric hospitals to work in synergy to develop MCI response plans involving pediatric patients. Simulations exercises will need to be carried out to evaluate and validate the plans.

Type
Abstract
Information
Disaster Medicine and Public Health Preparedness , Volume 18 , 2024 , e171
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.
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