Evidence map›Paper›PMID 40329186›Full record

ReviewInternational journal of emergency medicine2025

Pediatric emergency disaster preparedness: a narrative review of global disparities, challenges, and policy solutions.

Chibuike Daniel Onyejesi, Mohamed Alsabri, Jose Carlos Del Castillo Miranda, Mayam Mohamed Aziz, Muskaan Doulat Ram, Eslam Moumen Abady, Sohaila Mohamed Abdelbar

Abstract readReview
In one paragraph

Review in International journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Chibuike Daniel OnyejesiDepartment of Pediatrics, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.ORCID http://orcid.org/0000-0002-8645-7487
Mohamed AlsabriPediatric Emergency Medicine, St. Christopher's Hospital for Children, Philadelphia, PA, USA. alsabri5000@gmail.com.ORCID http://orcid.org/0000-0002-7278-2289
Jose Carlos Del Castillo MirandaFacultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru.ORCID http://orcid.org/0000-0002-5215-7718
Mayam Mohamed AzizFaculty of Medicine, Menoufia university, Menof, Menoufia, Egypt.ORCID http://orcid.org/0009-0007-3003-4462
Muskaan Doulat RamDow University of Health Sciences, Karachi, Pakistan.ORCID http://orcid.org/0000-0002-5701-6906
Eslam Moumen AbadyFaculty of Medicine, Tanta university, Gharbia Governorate, Egypt.ORCID http://orcid.org/0009-0007-2087-3297
Sohaila Mohamed AbdelbarFaculty of Medicine, Kasr Al Ainy Medical School, Cairo University, Cairo, Egypt.ORCID http://orcid.org/0009-0007-8615-6637

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisasters, whether natural or man-made, pose significant challenges to healthcare systems, with children being among the most vulnerable populations. Pediatric Emergency Departments (PEDs) require specialized protocols to address children's distinct physiological, psychological, and developmental needs in other to respond adequately to disasters. While international guidelines for disaster preparedness exist, significant disparities persist across different healthcare settings, particularly in low-resource regions where preparedness measures remain inadequate. This review examines the current state of pediatric disaster preparedness, analyzing insights from past disasters to highlight key challenges, gaps, and opportunities for improvement. Special attention is given to global frameworks, existing protocols, and how lessons from successful disaster responses can inform future strategies, particularly in resource-limited settings.

aimsThis review aims to assess the readiness of PEDs for disaster scenarios by identifying deficiencies and proposing strategies to enhance preparedness. It explores infrastructure requirements, workforce training, triage protocols, and mental health considerations specific to pediatric populations. Additionally, it assesses international frameworks and best practices to inform policy recommendations for strengthening pediatric-focused disaster response globally.

conclusionPediatric disaster preparedness remains inadequate across global healthcare systems, particularly in resource-limited settings. While international protocols exist, their implementation varies widely, leaving gaps in staff training, resource allocation, and mental health support. Addressing these gaps requires a multi-faceted approach that includes enhanced training programs, improved resource allocation, and integration of mental health services into disaster protocols. By adopting evidence-based strategies and fostering interdisciplinary collaborations, healthcare systems can develop more resilient and child-focused emergency response frameworks. Strengthening disaster preparedness in PEDs is essential to ensuring equal opportunities for care and effective treatment for children in times of crisis.

Identifiers

PMID40329186
PMCPMC12057144

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.