Disaster management among pediatric surgeons: preparedness, training and involvement

Area of Science:

• Disaster Medicine
• Public Health Policy
• Surgical Preparedness

Background:

• Mass casualty events necessitate robust disaster response systems.
• Recent disasters reveal deficiencies in preparedness and infrastructure.
• The role of pediatric surgeons as first receivers in mass casualty events is undefined.

Purpose of the Study:

• To assess the baseline experience, preparedness, willingness, and availability of pediatric surgeons.
• To determine factors influencing pediatric surgeons' participation in disaster response.
• To inform disaster planning regarding healthcare professional roles.

Main Methods:

• Anonymous online survey of American Pediatric Surgical Association members (2007).
• Exploration of demographics, disaster experience, perceived preparedness, attitudes, and availability.
• Univariate, bivariate, and logistic regression analyses were performed.

Main Results:

• 77% felt responsible, but only 24% felt prepared; 74% desired more training.
• Disaster experience (OR 4.0) and leadership roles (OR 2.0) significantly increased preparedness.
• Willingness to respond was influenced by contractual agreements, combat experience, and prior disaster experience.

Conclusions:

• A significant gap exists in pediatric surgeons' perceived preparedness and need for further training.
• Current training may be insufficient; disaster planners must address logistical issues for healthcare workers.
• Enhanced disaster preparedness training is crucial to bolster participation and readiness.