Full Scale Pediatric Hospital Evacuation: Charting the Course for Interstate Emergency Preparedness in the Aftermath of a Catastrophic Earthquake: Outcomes of a Significant Event Readiness Forum (SERF)

Summary: This presentation will report on medical evacuation challenges involving pediatric specialty hospitals and the capabilities and challenges identified during the October 2022 National Pediatric Disaster Conference Significant Event Readiness Forum (SERF). The event drew pediatric subject matter experts and entities from across the nation to explore opportunities along the disaster response continuum addressing the multi-state and federal capability in the event of a catastrophic earthquake. Over 351 coalition, pediatric, EMS, air-medical state, regional, and national disaster response partners participated in this hybrid event. The purpose of a SERF is to foster information sharing and relationship development with a targeted group of stakeholders who do not always plan together. The presentation will discuss how a Significant Event Readiness Forum provided a framework for stakeholders to understand command structures and situational awareness on the first responder and private sector level is needed to operationally manage military, and private sector medical transportation staging, triage, and deployment of ground and air transport associated with a no-notice catastrophic event. In the event of massive infrastructure disruptions, facilities will be faced with decisions to self-evacuate or shelter in place. Prolonged staging will necessitate going “old school,” informed by lessons learned from our colleagues in war and austere settings. Lessons learned: 1. Facilitated discussions are needed across disciplines and sectors before community planning for pediatrics and other special populations. 2. SERF format results in improved communication and consensus planning across disciplines and private public partnerships. 3. Improvements are needed in developing and testing plans for interoperable interstate communication, coordination, and response. 4. Addressing the “basic” needs of the workforce and community in the first 24 hours for food, water, restrooms, shelter, and emotional support may be one of the most important factors in resilience and recovery.