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Trauma Multidisciplinary Case Review: Tiny Patients, Big Challenges: A Guide to Pediatric Mass Casualty Response


By Christopher Blake, BSN, RN, CFRN, NR-P, EMS-I , Akron Children's, Akron, OH

Objectives (Educational Content) :

1. Understand the definition and characteristics of pediatric mass casualty incidents. 2. Identify common causes, scenarios, and unique challenges in pediatric mass casualty incidents. 3. Describe the key components of pre-incident preparation, including response planning, personnel training, communication protocols, and resource availability. 4. Explain the principles of pediatric triage, including triage categories and prioritization, and demonstrate pediatric triage techniques. Discuss pediatric-specific medical considerations, age-appropriate interventions, psychological support, and coordination and communication strategies during pediatric mass casualty incidents.

Target Audience:

Emergency medicine, surgery, and trauma providers

Identified Gap:

The American College of Surgeons Committee on Trauma requires a structured effort by trauma programs to demonstrate a continuous process for improving care for injured patients and states that an evidence-based rather than an empiric approach presents more meaningful criteria against which trauma care can be measured. A standardized approach to recurring care issues minimizes unnecessary variation, allow better outcome assessment, and makes changes in care easier to implement and more uniform. They further recommend that all members of the trauma team are knowledgeable about current practices in trauma care, that multidisciplinary education should be ongoing in all trauma centers, and that performance improvement programs should be an important part of educational activities.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:


Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.


Christopher Blake has indicated that he has no relevant financial interest in any pharmaceutical or medical device company and that this activity was developed independent of commercial interest. The commercial/financial relationship listed for this individual has been mitigated.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


American College of Surgeons. (2014). Resources for the Optimal Care of the Injured Patient: 2014. Retrieved from

Centers for Disease Control and Prevention (CDC). (2017). Pediatric Disaster Preparedness and Response Topical Collection. Retrieved from

Federal Emergency Management Agency (FEMA). (2016). Comprehensive Preparedness Guide (CPG) 101: Developing and Maintaining Emergency Operations Plans. Retrieved from

Federal Emergency Management Agency (FEMA). (2019). Pediatric Disaster Response and Emergency Preparedness. Retrieved from d363f0dbd8f0e68a69d8d45ee876c4df/CPG_Pediatrics__508c.pdf.

Reilly, M. J., & Markenson, D. (2007). Health Care Emergency Management: Principles and Practice. Jones & Bartlett Learning.

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