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Disaster preparedness in French paediatric hospitals 2 years after terrorist attacks of 2015

Guillaume Mortamet1, Noella Lode2, Nadia Roumeliotis3

  • 1Pediatric Intensive Care Unit, Necker Hospital, Paris, France.

Archives of Disease in Childhood
|June 4, 2018
PubMed

Insights

Paediatric hospital preparedness for child mass casualty disasters is highly varied across French centers. This study highlights the need for a national program and standardized guidelines to improve emergency response for children.

Area of Science:

  • Emergency Medicine
  • Pediatric Critical Care
  • Disaster Preparedness

Background:

  • Mass casualty disasters pose unique challenges for pediatric populations.
  • Assessing hospital readiness for pediatric mass casualty events is crucial for effective emergency response.

Purpose of the Study:

  • To evaluate the preparedness of French hospitals for mass casualty disasters involving children.
  • To identify gaps and inform the development of recommendations and training objectives for pediatric disaster response.

Main Methods:

  • A cross-sectional survey (AMAVI-PED study) using electronic questionnaires.
  • Data collected from French physicians in key roles within specialized pediatric acute care.

Main Results:

  • 81% of French University Hospitals participated; all had a disaster plan with pediatric focus.
  • Availability of specialized pediatric personnel (anesthesiologists, surgeons, radiologists) and mobile intensive care units varied significantly.
  • Training and simulation exercises were common, but overall physician-rated hospital readiness was moderate (6/10).

Conclusions:

  • Pediatric disaster preparedness is heterogeneous across French hospitals.
  • A national program and standardized guidelines are necessary to enhance pediatric mass casualty preparedness.
  • Findings will guide the development of targeted recommendations and training for improved child disaster response.
Abstract

Keywords:
disasteremergencymass casualty eventpaediatricspreparednesstraining

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