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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:  30 May 2024

Margherita Difino Open the ORCID record for Margherita Difino [Opens in a new window] ,
Riccardo Stucchi ,
Eric S. Weinstein Open the ORCID record for Eric S. Weinstein [Opens in a new window] ,
Maurizio De Pellegrin Open the ORCID record for Maurizio De Pellegrin [Opens in a new window] ,
Alberto Zoli ,
Giuseppe Maria Sechi  and
Roberto Faccincani Open the ORCID record for Roberto Faccincani [Opens in a new window]
Margherita Difino*
Affiliation:
Vita-Salute San Raffaele University, Milan, Italy
Riccardo Stucchi
Affiliation:
AAT 118 Milano, Agenzia Regionale Emergenza Urgenza (AREU), Milan, Italy ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy
Eric S. Weinstein
Affiliation:
Assistant Professor of Emergency Medicine, University of South Florida, Tampa, Fl, USA Research Associate, CRIMEDIM, Novara, Italy
Maurizio De Pellegrin
Affiliation:
Pediatric Orthopedic Unit, Piccole Figlie Hospital, Parma, Italy Department of Orthopedics, Regional Health Care and Social Agency Papa Giovanni XXIII, Bergamo, Italy
Alberto Zoli
Affiliation:
Agenzia Regionale Emergenza Urgenza (AREU), Milan, Italy
Giuseppe Maria Sechi
Affiliation:
Agenzia Regionale Emergenza Urgenza (AREU), Milan, Italy
Roberto Faccincani
Affiliation:
Head of Emergency Department, ASST Melegnano e Martesana, Milan, Italy
*
Corresponding author: Margherita Difino; Email: difino.margherita@gmail.com.
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Abstract

Terrorist attacks involving children raised concern regarding the preparedness to treat pediatric trauma patients during mass casualty incidents (MCIs). The purpose of this project was to assess the resources available in Milan to respond to MCIs as the 2016 Bastille Day attack in Nice. Literature and guidelines were reviewed and minimal standard requirements of care of pediatric trauma patients in MCIs were identified. The hospitals that took part in the study were asked to answer a survey regarding their resource availability. An overall surge capability of 40-44 pediatric trauma patients was identified, distributed based on age and severity, hospital resources, and expertise. The findings showed that adult and pediatric hospitals should work in synergy with pediatric trauma centers, or offer an alternative if there is none, and should be included in disaster plans for MCIs. Simulations exercises need to be carried out to evaluate and validate the results.

Keywords

pediatrictraumahospital preparednessmass casualty incidentsterror attack
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 18 , 2024 , e94
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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