RT Journal Article SR Electronic T1 Fifteen-minute consultation: An overview of major incidents JF Archives of disease in childhood - Education & practice edition JO Arch Dis Child Educ Pract Ed FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP edpract-2022-323785 DO 10.1136/archdischild-2022-323785 A1 Stefani Widya A1 Rebecca Hewitson A1 Tulsi Patel A1 Damian Roland A1 Christopher Dadnam YR 2022 UL http://ep.bmj.com/content/early/2022/06/28/archdischild-2022-323785.abstract AB Major incidents are rare but require a large amount of preparation, co-ordination and communication across different emergency services and specialities. This ensures that casualties are efficiently managed within the constraints of limited clinical resources. This article aims to provide a brief understanding of what constitutes as a major incident, how it is declared and the chain of command in communication and action, focusing specifically on the paediatric process. It also aims to highlight important considerations that could potentially be missed (eg, the mental health impact, forensic evidence and so on).