Keeping PEDIATRICS in Pediatric Disaster Management: Before, During, and in the Aftermath of Complex Emergencies

Kelly, Frances C.

doi:10.1016/j.ccell.2010.10.005

Cited by 9 publications

(10 citation statements)

References 90 publications

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“…13,25 History has revealed that pediatricians and other pediatric providers are eager to help children affected by major disasters. 1,13,14,39,56 Although much progress has been made in addressing the needs of children affected by disasters, work remains to protect the risk of liability for those health care providers who step up to help the most vulnerable among us. 11 Areas of liability protection inequity deserve attention.…”

Section: Discussionmentioning

confidence: 99%

“…The relative weight of each of the intersecting forces influences medical decision-making, which drives actions. 1,13,38,39 If demand is matched by readiness and adequate resources, providers may not be faced with an environment of care that is different from that under normal conditions. 14 For example, health care entities with policies for addressing times of extreme surges in patient volume, such as during an infectious disease epidemic or after a single, contained community event (such as a train crash), have a better ability to scale up operations as needed.…”

Section: Altered Health Care Environment and Practice During A Disastermentioning

confidence: 99%

“…A disaster, simply defined, is when community resources are challenged by an evolving circumstance, usually an acute event of unpredictable impact that has the potential for health effects, property damage, and disruption of services. 1 The timing of a disaster can be sudden and unexpected, or it can be slow and continual, each process having the potential of building up to the point of resource exhaustion. 2 In general, disasters may be caused by environmental phenomena (eg, hurricanes, blizzards, floods, and earthquakes), natural or induced infectious exposures (eg, H1N1 influenza, Ebola, and bioterrorism), or man-made hazards (eg, industrial accidents and terrorism).…”

Section: Introductionmentioning

confidence: 99%

“…[6][7][8][9] Four years later, Hurricane Katrina directed national focus to the response side and the unique challenges of caring for children during disasters. 1,[10][11][12] Countless children, many displaced from families, received medical care during Hurricane Katrina and in the days to weeks after its devastation. 6,13 Over the past decade, that experience has been memorialized to help us understand how disaster conditions alter the provision of medical care and create liability risks for providers who are working in those conditions.…”

Section: Introductionmentioning

confidence: 99%

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Understanding Liability Risks and Protections for Pediatric Providers During Disasters

et al. 2019

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Although most health care providers will go through their careers without experiencing a major disaster in their local communities, if one does occur, it can be life and career altering. The American Academy of Pediatrics has been in the forefront of providing education and advocacy on the critical importance of disaster preparedness. From experiences over the past decade, new evidence and analysis have broadened our understanding that the concept of preparedness is also applicable to addressing the unique professional liability risks that can occur when caring for patients and families during a disaster. Concepts explored in this technical report will help to inform pediatric health care providers, advocates, and policy makers about the complexities of how providers are currently protected, with a focus on areas of unappreciated liability. The timeliness of this technical report is emphasized by the fact that during the time of its development (ie, late summer and early fall of 2017), the United States went through an extraordinary period of multiple, successive, and overlapping disasters within a concentrated period of time of both natural and man-made causes. In a companion policy statement (www.pediatrics.org/cgi/doi/10.1542/peds.2018-3892), recommendations are offered on how individuals, institutions, and governments can work together to strengthen the system of liability protections during disasters so that appropriate and timely care can be delivered with minimal fear of legal reprisal or confusion.Drs Santucci and Anderson substantially contributed to the conception and design of the policy statement and technical report, analysis and interpretation of information and references, writing of specific portions of the manuscripts, critical review, and revisions; Dr McDonnell substantially contributed to refining the conception and design of the policy statement and technical report, analysis and interpretation of information, critical review, and revisions; Dr Altman was responsible for the original ideas, conception, and design of the policy statement and technical report, acquisition and analysis of information and references, design of articles, outline of topics, draft of both manuscripts and writing of specific portions, compilation of other authors' contributions, editing, critical review and revisions, and response

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Section: Discussionmentioning

confidence: 99%

Section: Altered Health Care Environment and Practice During A Disastermentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Understanding Liability Risks and Protections for Pediatric Providers During Disasters

et al. 2019

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“…21,[31][32][33] In light of the nursing shortage, the pediatric critical care community will need to consider strategies to increase the number of nurses trained in pediatrics, as well as modify pediatric disaster preparedness plans to adapt to the shortage. 21,[31][32][33] In light of the nursing shortage, the pediatric critical care community will need to consider strategies to increase the number of nurses trained in pediatrics, as well as modify pediatric disaster preparedness plans to adapt to the shortage.…”

Section: Prepping For the Inevitablementioning

confidence: 99%