Evaluation of pediatric gunshot wounds and emergency department dynamics in high-volume incidents

Findings indicate that pediatric gunshot incidents with three or more simultaneous victims, regardless of triage category, significantly affect mortality and ED stay lengths in a center with a single trauma team. This highlights the necessity of defining MCIs based on such patient volumes to optimize emergency care responses and improve outcomes. Establishing objective, outcome-focused criteria for high-volume incidents classification is crucial for enhancing patient care and resource allocation in these critical situations.