Clinical Scorecard: Research Priorities in Pediatric Disaster Medicine: A Consensus Overview
At a Glance
Category
Detail
Condition
Pediatric disaster medicine addressing unique risks and outcomes for children during natural disasters and emergencies
Key Mechanisms
Disaster preparedness, mitigation and prevention, response, recovery, and education tailored to pediatric needs
Target Population
Children affected by natural disasters and emergencies in the United States
Care Setting
Health care systems, emergency response, community and governmental disaster preparedness frameworks
Key Highlights
Children experience disproportionately greater harm than adults during disasters due to unique physical, psychological, and developmental vulnerabilities.
A modified Delphi consensus process was used to develop a national pediatric disaster medicine research agenda prioritizing preparedness, mitigation, response, recovery, and education.
The Pediatric Pandemic Network (PPN) collaborates nationally to enhance pediatric disaster preparedness and response through research and expert consensus.
Guideline-Based Recommendations
Diagnosis
Recognize the unique physical and psychological impacts of disasters on children to inform tailored assessment and triage.
Management
Develop and implement pediatric-specific disaster preparedness plans including training, education, and community engagement.
Incorporate mitigation and prevention strategies that address pediatric vulnerabilities to reduce disaster impact.
Ensure response efforts prioritize pediatric needs immediately following disasters.
Monitoring & Follow-up
Use structured expert consensus methods like the modified Delphi process to continuously refine pediatric disaster medicine research priorities and practices.
Risks
Disproportionate harm to children due to developmental and social factors.
Uneven distribution of disaster risk influenced by social stratification and age.
Patient & Prescribing Data
Children exposed to natural disasters and emergencies
Research priorities emphasize ethical baseline data collection, community engagement, and resilience building to improve pediatric disaster outcomes.
Clinical Best Practices
Engage multidisciplinary experts including pediatricians, emergency physicians, nurses, policymakers, and patient advocates in disaster planning and research.
Apply a structured consensus approach (modified Delphi) to identify and prioritize research gaps and needs in pediatric disaster medicine.
Align pediatric disaster research and preparedness efforts with established disaster cycle phases: preparedness, mitigation and prevention, response, recovery, and education.
by Yae Sul Jeong, Cullen Clark, Charmaine Lo, Sara Huston, Sarita Chung, Eric Goralnick, Nathan Timm, Chris Wright, Brandon Kappy, Dennis Ren, April Parish, Charles G. Macias, Rachel Stanley
FOXC1 duplications were the second most common monogenic finding among genetically solved juvenile open-angle glaucoma cases in one registry, supporting the use of copy-number variant analysis in early-onset glaucoma testing.