Bridging the gap: Disaster preparedness for medically complex pediatric patients

jpedsurg.org

Medically complex children (CMC) are most widely defined as pediatric age patients who meet the following domains: chronic medical condition, functional limitations, family needs, and increased healthcare utilization. Most recently in 2024, Millar et al. published a modified delphi study in which specific criteria were identified for each of the four domains within the framework [1]. In short, contrary to other groups of children, CMC stand out in their unique and intense dependence on health systems and caregivers to remain alive.

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Article · Sep 2025 · 1 min read

In brief

This article addresses emergency preparedness strategies for medically complex children (CMC), a vulnerable population with chronic conditions, functional limitations, and high healthcare dependence. It explores the unique challenges these patients face during disasters and the critical need for coordinated planning between families, caregivers, and health systems to ensure continuity of life-sustaining care.

Medically complex children (CMC) require chronic care, have functional limitations, high healthcare use, and significant family support needs.
CMC have unique, intense dependence on health systems and caregivers for survival, distinguishing them from other pediatric populations.
2024 Millar study established specific criteria across four domains to standardize identification of medically complex pediatric patients.

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