WRAP-EM Products

Resources developed by or in partnership with WRAP-EM

Every guide, template, checklist and exercise kit WRAP-EM has been produced for the region — with its partners in burn care, telehealth, law and emergency management — organized by the problem it solves. Each is free to download and built for the provider or planner who needs it now.

43documents, guides and tools
10topic areas, from surge to reunification
5ready-to-run tabletop exercise kits
2019–2026continuously updated; newest editions marked

Find it by topic

The collection grew one need at a time — a surge, a burn incident, a new law, a request from a partner. Grouped by topic, it reads as a set: start with the planning products, move to the clinical references your teams will reach for during an incident, then to the exercises that test whether the plan holds.

About

About WRAP-EM and its initiatives

Who WRAP-EM is, what it does, and the materials behind its named initiatives.

1 document + 6 initiatives
Planning

Pediatric surge and crisis standards of care

WRAP-EM's foundational planning products.

6 resources
Planning

Legal, policy and everyday readiness

The planning context around clinical response: the law that governs an emergency declaration, the community partners a hospital needs before the incident, the assets that can be requested, and the threats that arrive over the network rather than the ambulance bay.

5 resources
Response

Mass casualty and active threat

Children in a mass casualty incident demand rapid triage, coordinated patient movement and care from teams that may not routinely treat pediatric patients.

3 resources
Response

Evacuation, transport and reunification

Moving pediatric patients out of a facility and back to their families is where adult-oriented plans most often break down.

4 resources
Clinical

Respiratory illness and infectious disease

Built during successive pediatric respiratory surges for emergency departments and non-pediatric clinicians caring for children while specialty beds are full or transfer is delayed.

5 resources
Clinical

Just-in-time support for non-pediatric providers

Adult providers will care for children in any large incident.

3 resources
Partnership · WRBDC

Burn surge

Developed with the Western Region Burn Disaster Consortium — 26 burn centers based in Utah — under WRAP-EM's ASPR award.

8 resources
Clinical · CBRN

Radiological and nuclear countermeasures

A two-part series on pharmaceutical countermeasures — antidotes and cytokines — after radiation exposure or internal contamination.

2 resources
Exercise

Tabletop exercise kits

Five complete, HSEEP-aligned pediatric tabletop exercises for healthcare coalitions and hospitals — about three hours each, in person or virtual, with six numbered files from preparation to after-action.

5 resources
About

About WRAP-EM and its initiatives

1 document + 6 initiatives

The Western Regional Alliance for Pediatric Emergency Management develops regional pediatric disaster planning and response capabilities that match resources to needs in a catastrophic incident. Established in 2019 and serving more than 14 million children across the western United States, WRAP-EM works by identifying the gaps children face in a crisis, building public, private and healthcare partnerships across the spectrum of pediatric disaster care, and elevating those partnerships to improve care in disasters and everyday emergencies. This section collects the overview material and the resources behind its named initiatives.

WRAP-EM Overview (Two-Pager)

Mission, what WRAP-EM does, and how it builds regional partnerships to deliver specialized care to pediatric patients in a catastrophic incident.

PDF · 4.31 MB · Sep 2024

WRAP-EM initiatives

WRAP-EM’s named initiatives — training, planning tools, triage systems and exercises. Each opens in a new tab.

Course

Pediatric Disaster Management Course

A comprehensive, in-person modular training series led by credentialed subject-matter experts, equipping healthcare professionals and disaster responders with the knowledge and skills to meet the unique needs of children in disasters.

Playbook

Pediatric Surge Playbook

A just-in-time reference tool for pediatric surge management — operational considerations, response strategies and linked resources for facilities, systems and coordination networks, with a companion resource table.

Mental health

Kids in Crisis Initiative

Support for emergency departments and their partners in managing the pediatric mental-health surge — acute trauma, suicidal ideation, developmental and behavioral emergencies, and children with “nowhere else to go.”

Triage system

PsySTART® Rapid Mental Health Triage

Psychological Simple Triage and Rapid Treatment — a rapid mental-health triage and point-of-care decision-support system that links behavioral health to disaster systems of care in real time.

Triage tool

TRAIN® — Triage by Resource Allocation for INpatients

A novel disaster triage tool from Lucile Packard Children’s Hospital Stanford that rapidly assesses hospitalized patients’ transport needs for partial or vertical evacuation, using standardized language for transport requests across a region.

Exercises

Virtual Tabletop Exercises (VTTX)

Five complete, HSEEP-aligned pediatric tabletop exercises for healthcare coalitions and hospitals — about three hours each, in person or virtual, with six numbered files from preparation to after-action.

Planning

Pediatric surge and crisis standards of care

6 resources

WRAP-EM's foundational planning products. The Playbook and its companion table are the reference for pediatric surge management at any operational level; the Crisis Standards of Care template extends that planning to the point where demand exceeds resources.

WRAP-EM Pediatric Surge PlaybookCore product

Reference tool for pediatric surge management during, or in anticipation of, a surge incident. Operational considerations, candidate response strategies and linked resources for the major challenges of pediatric surge.

PDF · 1.45 MB · Jul 2023

WRAP-EM Pediatric Surge Resource Table

Companion to the Playbook. A quick-reference Excel table of pediatric surge resources organized by topic and operational level, for use in preparedness and response at every tier of disaster response.

Excel · 93 KB · Jul 2023
Planning

Legal, policy and everyday readiness

5 resources

The planning context around clinical response: the law that governs an emergency declaration, the community partners a hospital needs before the incident, the assets that can be requested, and the threats that arrive over the network rather than the ambulance bay.

WRAP-EM Legal Resource Guide (Nov 2024)Guide

Legal and policy issues in public health emergency declarations and healthcare disaster response: lessons from recent disasters, licensing, credentialing and privileging, telehealth, indemnification, family reunification and data.

PDF · 2.16 MB · Nov 2024

WRAP-EM Deployable Assets Catalog, 2026 EditionNew

Reference guide to disaster response assets at the federal, national, regional and state levels for the WRAP-EM region — DMAT, TCCT, DMORT, IMAT, US&R and others. Produced by the WRAP-EM Deployable Assets focus group.

PDF · 2.24 MB · Aug 2026
Response

Mass casualty and active threat

3 resources

Children in a mass casualty incident demand rapid triage, coordinated patient movement and care from teams that may not routinely treat pediatric patients. These guides put the right tools in front of those teams without a search.

Response

Evacuation, transport and reunification

4 resources

Moving pediatric patients out of a facility and back to their families is where adult-oriented plans most often break down. These products cover the decision to evacuate, the paperwork that travels with the child, and the reception site that receives the family.

Pediatric Patient Evacuation FormTool

Excel-based tool for capturing and categorizing the care requirements of neonatal and pediatric patients during an emergency evacuation. Integrates with TRAIN® tool levels and pediatric levels of care; entry takes about a minute per patient.

Excel · 71 KB · Nov 2024

WRAP-EM Hospital Reception Site TemplateTemplate

Template for a hospital plan to stand up a Hospital Reception Site for families during a mass casualty incident or epidemic. Built on the national Hospital Incident Command System with supplemental positions and customized practices.

Template · 1.22 MB · Aug 2023

WRAP-EM and SRS Reunification TTX — Exercise SpotlightSpotlight

High-level summary of a discussion-based reunification exercise and aggregated participant feedback, highlighting collaboration, capacity-building and WRAP-EM technical assistance. Not an after-action report; contains no jurisdiction-specific operational detail.

PDF · 194 KB · Feb 2026
Clinical

Respiratory illness and infectious disease

5 resources

Built during successive pediatric respiratory surges for emergency departments and non-pediatric clinicians caring for children while specialty beds are full or transfer is delayed.

Pediatric HFNC Pearls & Pitfalls

Pediatric high-flow nasal cannula protocols and patient-placement guidance for bronchiolitis surge. Protocol details matter when deciding where a bronchiolitis patient is placed.

PDF · 171 KB · Nov 2023
Clinical

Just-in-time support for non-pediatric providers

3 resources

Adult providers will care for children in any large incident. These references bring pediatric fundamentals to the bedside and describe how telehealth can put a pediatric specialist in the room remotely.

WRAP-EM Telecritical Care ChecklistChecklist

Checklist of the issues to settle before a tele-critical-care engagement between hospitals. Written for COVID-19 coverage; applicable to other telemedicine initiatives.

PDF · 110 KB · Apr 2024
Partnership · WRBDC

Burn surge

8 resources

Developed with the Western Region Burn Disaster Consortium — 26 burn centers based in Utah — under WRAP-EM's ASPR award. The set runs from coalition-level surge planning down to a card that clips to a badge.

WRBDC Burn Surge Planning ToolkitPlanning

Guidance for healthcare coalitions, burn centers, state preparedness professionals and other stakeholders planning for a burn mass casualty incident — any burn incident where capacity or capability significantly compromises care.

PDF · 5.91 MB · Jan 2024

WRBDC Burn Injury Guidelines for CareClinical

Guides patient care and resources for single or multiple burn patients, written so that non-burn facilities can provide acute care. Application depends on clinician judgment at the point of care.

PDF · 4.44 MB · Jan 2024

Burn Mass Casualty Incident MedPic App FAQsTool

FAQ for the BMCI MedPic App, which lets physicians receiving burn patients in a mass casualty confer by image with burn providers at an ABA Western Region Burn Disaster Consortium burn center.

PDF · 381 KB · May 2024

Where to start. Planners: the Surge Planning Toolkit. Clinicians at a non-burn facility: the Guidelines for Care, then the Pocket Guide and Badge for the shift. During an incident: the MedPic App FAQs and the Hospital Pushpack.

Clinical · CBRN

Radiological and nuclear countermeasures

2 resources

A two-part series on pharmaceutical countermeasures — antidotes and cytokines — after radiation exposure or internal contamination. The pediatric edition fills a documented gap in countermeasure research; the adult edition is its companion just-in-time reference.

Exercise

Tabletop exercise kits

5 resources

Five complete, HSEEP-aligned pediatric tabletop exercises for healthcare coalitions and hospitals — about three hours each, in person or virtual, with six numbered files from preparation to after-action. The kits have their own page with scenarios, module themes and how-to guidance.

Triage and Decontamination

Hazmat / CBRN — school bus crash beside an industrial zone; contaminated children self-present before field decon.

Kit (zip) · 2.8 MB · Sep 2026

Pediatric Trauma Surge

Mass casualty — rural charter-bus rollover with dozens of pediatric trauma patients and degraded EMS access.

Kit (zip) · 2.81 MB · Sep 2026

Running a kit. Agenda, roles, the six-file sequence and each kit's scenario and modules are laid out on the VTTX Exercise Toolkits page. Read that first; download the kits here or there.

Acknowledgement

These resources were developed by the Western Regional Alliance for Pediatric Emergency Management (WRAP-EM) and its partners, including the Western Region Burn Disaster Consortium, the Pediatric Pandemic Network, Region V for Kids, the EMSC Innovation and Improvement Center, Emergency Preparedness Solutions, LLC, and the WRAP-EM focus groups. Development was supported by the U.S. Department of Health and Human Services, Administration for Strategic Preparedness and Response, under award number 6 U3REP190616. The content is solely the responsibility of the authors and does not necessarily represent the official views of HHS ASPR.

Clinical documents are references to support, not replace, clinician judgment at the point of care. Check the date on each item; where a newer edition exists it is marked.

© Copyright WRAP-EM 2026, Portal Developed by TKABE Technologies, LLC. 2019-2026

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