Are Tertiary Care Paediatricians Prepared for Disaster Situations?

Mortelmans, Luc; Maebe, Sofie; Dieltiens, Greet; Anseeuw, Kurt; Sabbé, Marc; Voorde, Patrick Van de

doi:10.1017/s1049023x16000078

Cited by 7 publications

(7 citation statements)

References 33 publications

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“…Each have their advantages and disadvantages and, when employed together, can synergistically improve hospital personnel preparedness. Even among tertiary care pediatricians, only 35 % of surveyed responders in a recent international study had disaster training, whereas 53 % felt it should be an obligatory part of their curriculum [14]. Pediatric-specific training should be incorporated in all disaster plans, as even adult centers will receive pediatric patients during a mass casualty.…”

Section: Preparationmentioning

confidence: 99%

“…They found that whereas 95 % of responders anticipated receiving pediatric patients after a mass casualty event, only 44 % of these hospitals had specific emphasis on the pediatric patient as part of their disaster plan [14]. Approximately 50 % of the hospitals had the ability to mobilize pediatric personnel, open pediatric intensive care beds, acquire specific pediatric intensive care supplies, accommodate for isolation, and have access to pediatric subspecialty physicians.…”

Section: Preparationmentioning

confidence: 99%

“…Recent studies have highlighted the need for adequate training in the event of a mass casualty disaster, and pediatric professionals have indicated that they do not feel adequately prepared to care for children during such events [14,17]. Incorporation of pediatric-specific simulation scenarios has helped address this deficiency [1,[18][19][20][21][22][23][24].…”

Section: Introductionmentioning

confidence: 99%

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Planning for the Pediatric Patient During a Disaster

et al. 2016

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Purpose of Review Disaster and mass casualty events are unpredictable and quickly overwhelm response systems. Children are affected by disasters; however, pediatricspecific disaster preparedness is lacking. Preparedness is required at the individual, physician, and hospitals/community levels and constitutes material allocation, education, and communication. Specifically, pediatricians, pediatric subspecialists, and pediatric surgical subspecialists have important roles during a disaster, mass casualty, or pandemic response; thus, integration of both community and subspecialty physicians is important. Disaster response is not limited to planning and response; major efforts in recovery, reunification, community health safety, and follow-up are required. Recent Findings Events have highlighted the need for improved preparation and execution of mass casualty response. There is a need for training in the event of a mass casualty disaster, and pediatric professionals have indicated that they do not feel adequately prepared to care for children during such events. Incorporation of pediatric-specific simulation scenarios can help address this deficiency.Summary Thus, efforts to incorporate pediatric-specific education, disaster simulation, and preparation including a multidisciplinary approach integrating families, physicians, and hospital and community organizations are required.

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Section: Preparationmentioning

confidence: 99%

Section: Preparationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Planning for the Pediatric Patient During a Disaster

et al. 2016

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“…The need for more systematic measures applied is corroborated by the research showing the lack thereof. For example, [ 10 ] show that regular medical students are not prepared to deal with emergency situations, such as natural disasters consequences, as opposed to those who studied medicine in a military school. The same unpreparedness of health professionals to deal with emergencies, ranging from lack of knowledge of protocols and their implementation, was also found in Saudi Arabia, China, and Egypt [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…The following are available online at , Table S1: The main global information collected from the publications. [ 8 , 10 , 11 , 12 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 ,…”

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confidence: 99%

Willingness to Work during Public Health Emergencies: A Systematic Literature Review

2022

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The identification of the factors underlying the willingness or lack thereof to respond to public health emergencies is paramount to informing more capable health services. The interest in this topic appears renewed with each surge of threat, either referring to natural disasters, man-made violence, or epidemic and pandemics. However, there is no systematic approach to the research patterns and related main findings concerning individual and contextual determinants. The present article contributes to this theme through a systematic literature review of a sample of 150 articles published in the last 30 years on the subject of willingness and preparedness of health professionals to deal with public health threats. Our findings show that the research is mainly phenomena and contextual driven, responding to whichever emergency threat is more salient in a given period. Geographically, research on this topic is led by USA and China, mostly solely, while European countries invest in collaborations that are more international. Universities, including health institutes and schools, and researchers at hospitals conduct most of the research on the topic. The main research areas are medicine, psychology, and psychiatry. Pandemics, including COVID-19, influenza, and natural disasters, are the phenomena gauging more attention as opposed to terrorism events and biological accidents. The specific role of health professionals within the institution, their belief in ethical duties, preparation training, and concerns regarding infection of self and family are the main variables influencing the willingness and ability to report to work in public health emergencies.

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Review of the requirements for effective mass casualty preparedness for trauma systems. A disaster waiting to happen?

Gabbe¹,

Veitch²,

Mather³

et al. 2022

British Journal of Anaesthesia

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Mass casualty incidents (MCIs) are diverse, unpredictable, and increasing in frequency, but preparation is possible and necessary. The nature of MCIs requires a trauma response but also requires effective and tested disaster preparedness planning. From an international perspective, the aims of this narrative review are to describe the key components necessary for optimisation of trauma system preparedness for MCIs, whether trauma systems and centres meet these components and areas for improvement of trauma system response. Many of the principles necessary for response to MCIs are embedded in trauma system design and trauma centre function. These include robust communication networks, established triage systems, and capacity to secure centres from threats to safety and quality of care. However, evidence from the current literature indicates the need to strengthen trauma system preparedness for MCIs through greater trauma leader representation at all levels of disaster preparedness planning, enhanced training of staff and simulated disaster training, expanded surge capacity planning, improved staff management and support during the MCI and in the post-disaster recovery phase, clear provision for the treatment of paediatric patients in disaster plans, and diversified and pre-agreed systems for essential supplies and services continuity. Mass casualty preparedness is a complex, iterative process that requires an integrated, multidisciplinary, and tiered approach. Through effective preparedness planning, trauma systems should be well-placed to deliver an optimal response when faced with MCIs.

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Are Tertiary Care Paediatricians Prepared for Disaster Situations?

Abstract: Despite a clear perception of the risks and a high willingness to work, preparedness is limited. The major conclusion is that basics of disaster management should be included in pediatric training.

Cited by 7 publications

References 33 publications

Planning for the Pediatric Patient During a Disaster

Planning for the Pediatric Patient During a Disaster

Willingness to Work during Public Health Emergencies: A Systematic Literature Review

Review of the requirements for effective mass casualty preparedness for trauma systems. A disaster waiting to happen?

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