The paediatric population is disproportionately affected during mass casualty incidents (MCIs). Several unique characteristics of children merit special attention during natural and man-made disasters because of their age, physiology, and vulnerability. Paediatric anaesthesiologists play a critical part of MCI care for this population, yet there is a deficit of publications within the anaesthesia literature addressing paediatric-specific MCI concerns. This narrative review article analyses paediatric MCI considerations and compares differing aspects between care provision in Australia, the UK, and the USA. We integrate some of the potential roles for anaesthesiologists with paediatric experience, which include preparation, command consultation, in-field care, pre-hospital transport duties, and emergency department, operating theatre, and ICU opportunities. Finally, we propose several methods by which anaesthesiologists can improve their contribution to paediatric MCI care through personal education, training, and institutional involvement.

在大规模伤亡事件 (MCI) 期间，儿科人群受到的影响尤为严重。由于儿童的年龄、生理和脆弱性，在自然和人为灾害期间，儿童的一些独特特征值得特别关注。儿科麻醉师在该人群的 MCI 护理中发挥着关键作用，但麻醉文献中缺乏解决儿科特定 MCI 问题的出版物。这篇叙述性评论文章分析了儿科 MCI 考虑因素，并比较了澳大利亚、英国和美国的护理提供的不同方面。我们将麻醉医师的一些潜在角色与儿科经验相结合，包括准备、指挥咨询、现场护理、院前运输职责以及急诊科、手术室、和 ICU 的机会。最后，我们提出了几种方法，麻醉师可以通过个人教育、培训和机构参与来提高他们对儿科 MCI 护理的贡献。