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Children’s Health Care in Mass-Casualty Incidents: A Systematic Literature Review

Published online by Cambridge University Press:  18 October 2021

Victor S.L.P. Costa ,
Giovanna M. Stéfani ,
Helio A. Ferenhof ,
Fabiana S. Lima  and
Maíra Cola Open the ORCID record for Maíra Cola [Opens in a new window]
Victor S.L.P. Costa
Affiliation:
Federal University of Santa Catarina (UFSC), Department of Health Sciences, Campus Araranguá, Araranguá, Brazil
Giovanna M. Stéfani
Affiliation:
Federal University of Santa Catarina (UFSC), Department of Health Sciences, Campus Araranguá, Araranguá, Brazil
Helio A. Ferenhof
Affiliation:
Federal University of Santa Catarina (UFSC), Post-Graduate Program in Engineering and Knowledge Management, Technological Center (CTC), Campus Reitor João David Ferreira Lima, Florianópolis, Brazil
Fabiana S. Lima
Affiliation:
Federal University of Santa Catarina (UFSC), Postgraduate Program in Information and Communication Technologies, Campus Araranguá, Araranguá, Brazil
Maíra Cola*
Affiliation:
Federal University of Santa Catarina (UFSC), Department of Health Sciences, Campus Araranguá, Araranguá, Brazil
*
Correspondence: Maíra Cola, PhD Department of Health Sciences Campus Araranguá, Gov. Jorge Lacerda Rode, Km 35.4, Jardim das Avenidas Federal University of Santa Catarina (UFSC) 88905-355, Araranguá, SC, Brazil E-mail: [email protected]
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Abstract

Objectives:

Considering the pediatric peculiarities and the difficulty of assisting this population in mass-casualty situations, this study aims to identify the main topics regarding children’s health care in mass-casualty incidents (MCIs) that are discussed in the Emergency Medicine area.

Methods:

This systematic review was performed according to the recommendations of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and registered with the PROSPERO database of systematic reviews with the number CRD42021229552. The last update of the search in the databases was on May 27, 2021 and resulted in 45 documents to be analyzed. The inclusion criteria included the peer-reviewed academic papers in English, Portuguese, Spanish, and Italian languages; the databases used were PubMed, Scopus, MEDLINE/Bireme (Virtual Library of Health - VLH), and Web of Science, which execute the query on the topic, keywords, or abstracts. Also, to be included, documents that were available with full-text access through CAPES, Google, or Google Scholar. Books, non-academic research, and content in languages other than the presented ones were represented as exclusion criteria.

Results:

From the resulting papers, 21 articles served as the basis for this analysis. Revealed were the year of publication, the first author’s institution nationality, topic, and disaster management phase for each study, which allow other researchers to understand the main topics regarding children’s health care in MCIs.

Conclusions:

The topics regarding child’s health care in MCIs found in the primary studies of this review, in order of frequency, were: Disaster Response (including the following sub-topics: simulation, education, quality of care, use of technological tools, and damage analysis); Triage; and Disaster Planning. The Emergency Medicine operation was focused on harm reduction after the occurrence of an MCI. Further studies focusing on the pre-disaster and post-disaster phases are needed.

Keywords

childrendisasteremergency medicinemass-casualty incidentpediatric emergency medicine
Type
Systematic Review
Information
Prehospital and Disaster Medicine , Volume 36 , Issue 6 , December 2021 , pp. 739 - 746
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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