June 9th, 2026 | 12:30pm – 5:00pm EST

 

Speakers

Dr. Nita Gupta, MD

Medical Director of Disaster & Emergency Preparedness
Pediatric Emergency Medicine Physician, Children’s Minnesota
Adjunct Assistant Professor, University of Minnesota

Dr. Nita Gupta, MD is a board-certified pediatric emergency medicine physician at Children’s Minnesota in Minneapolis, Minnesota. She is the Medical Director of Disaster & Emergency Preparedness and formulated the hospital’s first succinct reunification plan for children. Dr. Gupta is the chair for the Mass Casualty Incident Preparedness Subcommittee after leading efforts for Children’s Minnesota Annunciation School Shooting. She is the lead principal investigator from Children’s Minnesota for HHS ASPR Region V for Kids, a Pediatric Disaster Center of Excellence. Within Region V for Kids, she co-leads the Communications and Reunification Workgroups where she oversees disaster content dissemination and helped develop a pediatric reunification educational series for adult and children’s hospitals. Dr. Gupta is a subject matter expert in pediatric reunification with prior published research determining predictors for better pediatric reunification for both adult and children’s hospitals. Additionally, Dr. Gupta is co-chair for the Media & Outreach Subcommittee for the American Academy of Pediatrics Council on Children and Disasters. Dr. Gupta completed pediatric emergency medicine fellowship at Nationwide Children’s Hospital/Ohio State University in Columbus, Ohio and pediatric residency at Cardinal Glennon Children’s Hospital/Saint Louis University in St. Louis, Missouri.


Tona McGuire, PhD

Clinical Associate Professor in the Dept of Psychiatry and Behavioral Sciences, University of Washington, School of Medicine
Co-Lead, Behavioral Health Strike Team, Washington State Dept of Health

Dr. Tona L. McGuire is a pediatric psychologist working primarily with children and families. She is Clinical Associate Professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington, School of Medicine. She has been involved in disaster preparation and response for 17 years both in her local community as well as internationally, and codeveloped the Health Support Team, a disaster behavioral health curriculum and training. Currently Dr. McGuire sits on the Mental Health Workgroup of the Western Regional Alliance for Pediatric Emergency Management (WRAPEM), an ASPR funded Pediatric Disaster Center of Excellence, and sits on the Mental Health Domain for the Pediatric Pandemic Network, a national HRSA funded grant .The mission of the Pediatric Pandemic Network is to leverage the resources and expertise of children’s hospitals in collaboration with national partners to empower all healthcare systems and their communities to be prepared to provide high-quality pediatric care in everyday emergencies, disasters, and global health threats. She is Behavioral Health representative for the Disaster Clinical Advisory Committee, which plans for the impact of disasters on the regional Puget Sound healthcare system, as well as the State Disaster Medical Advisory Committee which advises the Secretary of Health during disasters. Dr. McGuire was Co-Lead for Washington State Department of Health’s Behavioral Health Strike Team in response to the COVID pandemic. She is the project developer and Clinical Director for the Stepped Triage to TF-CBT project with the Washington State Healthcare Authority and the University of Washington Psychological Services and Training Center.


Niki Shimko, MSN, CCRN, CPN, C-NPT

Critical Care Transport Team Manager
Golisano Children’s Hospital

Niki Shimko has led the pediatric neonatal transport team for over 13 years and has over 27 years of professional nursing experience. Niki is the current President of the Florida Neonatal Pediatric Transport Network Association and a board member of the Florida Association of Critical Care Transport Specialists. In this role, she has enhanced the state-wide disaster response for neonatal and pediatric patients. She was instrumental in spearheading the evacuation of Golisano Children’s Hospital after Hurricane Ian.

She is also a member of the Florida EMS for Children Advisory Council and an Executive Board Member of the National Pediatric Disaster Coalition. Recently, she has become a TEEX instructor for Pediatric Disaster Response and Emergency Preparedness.

Avram Flamm, DO, EMT-P, FACEP, FAEMS

System EMS Medical Director, WellSpan Health
Director, Division of EMS
Department of Emergency Medicine
WellSpan York Hospital

Dr. Flamm is an EMS and Emergency physician who serves as System EMS Medical Director for WellSpan Health and Director of EMS Division of the Department of Emergency Medicine, WellSpan York Hospital. He started his journey in EMS in the late 90s, completed paramedic course in 2001 and has been involved with EMS for over 25 years. Dr. Flamm completed medical school in New York and Emergency Medicine Residency and EMS Fellowship in Pennsylvania where he has been practicing since. He serves as core faculty for the emergency medicine residency program at York Hospital where he teaches residents and medical students. Dr. Flamm serves as a Medical Team Manager with FEMA Urban Search and Rescue Pennsylvania Task Force 1, as the co-chair of PACEP EMS committee, as a Pennsylvania delegate to national ACEP council, committee member of the national ACEP EMS and Disaster Medicine committees, and holds leadership roles in many other local, regional and national Emergency and EMS groups. Dr. Flamm has presented regionally and nationally and published dozens of peer reviewed studies in the field of EMS, emergency medicine, public health and disaster medicine.

 

Agenda

12:30pm – 1:00pm Welcome, Introductions, and Tribute to Dr. Michael Frogel
Dr. George Foltin
1:00pm – 2:00pm Lessons Learned from a Real-Life Event: Patient Tracking & Family Reunification
Dr. Nita Gupta, MD

On August 27, 2025, just before 8:30 am Annunciation Catholic School in Minneapolis, Minnesota underwent a school shooting resulting in the tragic death of 2 children and 26 other children injured. This presentation discusses the events that enfolded that day specifically for patient tracking and family reunification. The presentation will review the reunification process from registration to recovery, teach strategies for appropriate staff, space, stuff and system, and highlight best practice resources for successful pediatric reunification.

2:00pm – 3:00pm Pediatric Disaster Management: Module 6 Disaster Mental Health, Providing for the wellbeing of victims and their caregivers
Tona McGuire, PhD

Pediatric Disaster Management (PDM) is a modular training series course to prepare individuals to effectively respond to pediatric needs in disaster situations. It is designed for both pediatric providers with limited disaster experience and adult providers familiar with disaster response seeking specialized pediatric training. Module 6 addresses the mental health impacts on children and their caregivers, providing a process by which disaster healthcare responders can be prepared to provide “tiered” support to their pediatric patients and families when mental health resources are scarce or unavailable.

3:00pm – 4:00pm Storm Surge and Small Survivors: The High-Stakes Hospital Evacuation
Niki Shimko, MSN, CCRN, CPN, C-NPT

Since the start of the 21st century to 2022, Florida has been impacted by 79 tropical and subtropical cyclones. On September 28, 2022, Southwest Florida sustained a direct hit from a Category 5 hurricane, Hurricane Ian. Hurricane Ian was to date, the most deadly hurricane to impact Florida in this time frame. Due to the loss of water pressure, government agencies mandated the evacuation of three local hospitals. One of the hospitals, Golisano Children’s Hospital, was included in the evacuation. Evacuating critically ill neonates provide added vulnerabilities due to their complexity and can be difficult to safely and efficiently evacuate in a disaster. In 2017, the Florida Neonatal and Pediatric Transport Network Association, being experts in the state for the safe transport of neonates, developed a disaster response plan. This plan was used in 2019 to evacuate 5 neonates from the West Coast of Florida. This disaster plan is now a part of the Florida Ambulance Deployment Plan. No one imagined using the disaster response plan to the magnitude we did on September 29, 2022. Golisano Children’s Hospital evacuated a total of 81 patients to 15 out-of-county healthcare facilities throughout the state in a 36-hour period. The neonatal intensive care unit (NICU) census on September 29 was 68, which decreased to zero. Seven babies were discharged to their parents, and 61 babies were evacuated. One neonate was delivered in the middle of the evacuation, stabilized, and evacuated. Of the 62 evacuated babies, 21 were categorized as level 3/ critical care, and the others were intensive care level 2 patients. The other patients included eight from the pediatric intensive care unit, six from the pediatric medical unit, three from the pediatric oncology unit, and two from the pediatric emergency department. There were no reported adverse events. Conclusion Despite our extensive prior experience with hurricanes, we continue to learn and hope our knowledge will be beneficial to others facing similar challenges. Disaster planning, networking, and the relationships between the FACTS and FNPTNA groups were the key drivers of the successful evacuation. Knowledge sharing within the group regarding resources, practices, and passion for the best patient outcomes, showed the dedication to the safe transport of critically ill neonate and pediatric patients.

4:00pm – 5:00pm The End of Safe Zones: What Modern Conflict Teaches Health Systems and EMS About Preparedness
Avram Flamm, DO, EMT-P, FACEP, FAEMS

Recent global conflicts have made clear that health systems and EMS are no longer insulated from direct or indirect threats. This session examines how advances in technology — including drones, AI and cyber warfare — shift targeting patterns, erode traditional protections and have fundamentally altered the risk landscape for civilian health systems and prehospital responders in the US. Learners will explore operational lessons drawn from modern conflict and translate them into actionable strategies to enhance resilience, continuity of operations, and patient care within their own health system and EMS environments.

 

CME Credits

4.5 CME credits will be available for this conference. If you would like to receive credits, please make a $20 check payment to:

Make check out to: Maimonides Medical Center
Memo line must read: PDC CME 6/9/26
Mail check to:
Linda Giosso-Gomes
Dept of Pediatrics
977-48th Street
Brooklyn, NY 11219

 

Contact

For any questions or concerns, please contact:
John Jermyn
jjermyn@maimo.org
646-915-2050