Why Pediatric Emergency Departments Are not Ready for Disasters

Abstract

Pediatric Emergency Departments (PEDs) face significant challenges in disaster preparedness due to children’s unique physiological, developmental, and psychological vulnerabilities. Key issues include inadequate training, lack of pediatric-specific protocols, resource constraints, and communication barriers, which disproportionately affect pediatric outcomes during crises. A comprehensive literature search was conducted using PubMed, Scopus, and Web of Science databases (2014–2024). Search terms included “pediatric disaster preparedness,” “emergency departments,” “triage systems,” and “resource limitations.” Peer-reviewed articles focusing on PEDs, disaster protocols, and pediatric vulnerabilities were included. The review identified critical gaps: inconsistent pediatric triage systems (e.g., JumpSTART), shortages of age-appropriate equipment, and insufficient mental health support. Over 50% of PEDs lacked disaster plans tailored for children. Training deficiencies and reliance on adult-oriented protocols further exacerbated risks. Innovations such as telehealth, portable diagnostics, and community collaboration showed promise in bridging preparedness gaps. Strengthening pediatric disaster readiness requires standardized protocols, dedicated funding, and multidisciplinary training. Integrating telehealth, stockpiling pediatric resources, and fostering global partnerships are essential to safeguard children during disasters. Policymakers must prioritize pediatric-specific strategies to enhance resilience and equity in emergency responses.