TY - JOUR T1 - Planning for major incidents involving children by implementing a Delphi study JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 266 LP - 266 DO - 10.1136/adc.82.3.266b VL - 82 IS - 3 AU - IAN MACONOCHIE AU - LT COL TIM HODGETTS AU - JOHN HALL Y1 - 2000/03/01 UR - http://adc.bmj.com/content/82/3/266.9.abstract N2 - Editor,—The proposed paediatric triage algorithm in Mackway-Jones et al's study1has a number of important flaws: (1) few children younger than 10 months are ambulatory(2) there is no airway opening manoeuvre(3) capillary refill time is affected by the ambient temperature; refill time measured at the sternum and forehead only have a Gaussian distribution.2 To rely solely on the capillary refill time increases the number of priority 1 (immediate) children especially in cold surroundings(4) the paediatric trauma score (even with the Eichelberger modification) is inappropriate as the systolic blood pressure is required. The ability to measure it at the incident, the need for different cuff sizes, and the time it takes when faced by a large number of casualties rule this score out(5) there is no account made for the change in physiological parameters with age.  We have devised a triage system (on a waterproof … ER -