Pediatric Emergency Playbook

No one ever wants to find himself in this situation. A factory explodes. A building catches fire. A multi-vehicle traffic collision. Or an act of terrorism.     Very quickly, we have to scrap business as usual. We have to adapt to our new circumstances.     Definition of a mass casualty incident (MCI):     An incident which produces multiple casualties such that emergency services, medical personnel and referral systems within the normal catchment area cannot provide adequate and timely response and care without unacceptable mortality and/or morbidity.     In other words, our demand far outpaces our resources.     "If you can hear the sound of my voice, follow me". Those patients are GREEN, minor.     Otherwise, we need a system to distinguish those who can be DELAYED, IMMEDIATE, or EXPECTANT (soon to be deceased).     Use Simple Triage and Rapid Treatment (START) for 8 or older, Jum