Evaluation of regional hospitals’ use of children in disaster drills
Keywords:disaster, drills, children, hospital, emergency preparedness
Objective: Describe the prevalence of pediatric casualties in disaster drills by community hospitals and determine if there is an association between the use of pediatric casualties in disaster drills and the proximity of a community hospital to a tertiary children’s hospital.
Design: Survey, descriptive study.
Setting: Tertiary children’s hospital and surrounding community hospitals.
Participants: Hospital emergency management personnel for 30 general community hospitals in the greater Cincinnati, Ohio region.
Main Outcome Measure(s): The utilization of pediatric casualties in community hospital disaster drills and its relationship to the distance of those hospitals from a tertiary children’s hospital.
Results: Sixteen hospitals reported a total of 57 disaster drills representing 1,309 casualties. The overwhelming majority (82 percent [1,077/1,309]) of simulated patients from all locations were 16 years of age or older. Those hospitals closest to the children’s hospital reported the lowest percentage of pediatric patients (10 percent [35/357]) used in their drills.The hospitals furthest from the children’s hospital reported the highest percentage of pediatric patients (32 percent [71/219]) used during disaster drills.
Conclusions: The majority of community hospitals do not incorporate children into their disaster drills, and the closer a community hospital is to a tertiary children’s hospital, the less likely it is to include children in its drills. Focused effort and additional resources should be directed toward preparing community hospitals to care for children in the event of a disaster.
Redlener I, Markenson D: Disaster and terrorism preparedness: What pediatricians need to know. Disease-a-Month. 2004; 50(1): 6-40.
Allen GM, Parrillo SJ,Will J, et al.: Principles of disaster planning for the pediatric population. Prehosp Disaster Med. 2007; 22(6): 537-540.
National Commission on Children and Disasters: 2010 Report to the President and Congress. Rockville, MD: Agency for Healthcare Research and Quality, 2010.
Strauss-Riggs K, Schor KW, Altman BA:Toward a pediatric disaster health core curriculum. Disaster Med Publ Health Preparedness. 2012; 6(2): 88-89.
Fox L, Timm N: Pediatric issues in disaster preparedness: Meeting the educational needs of nurses-are we there yet? J Pediatr Nurs. 2008; 23(2): 145-152.
Ferrer RR, Ramirez M, Sauser K, et al.: Emergency drills and exercises in healthcare organizations: Assessment of pediatric population involvement using after-action reports. Am J Disaster Med. 2009; 4(1): 23-32.
Balasuriya D, Iverson E, Burke RV, et al.: Community Engagement and Pediatric Disaster Readiness in a Large Urban Disaster Resource Hospital Network: The Case of “The Great California ShakeOut”. Disaster Med Publ Health Preparedness. 2012; 6(2): 182-186.
Joint Commission on Accreditation of Healthcare Organizations: Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Oakbrook Terrace, IL: Joint Commission Resources, 2006.
Committee on the Future of Emergency Care for Children in the United States Health System: Emergency Care for Children: Growing Pains.Washington, DC:The National Academies Press, 2007.
Shirm S, Liggin R, Dick R, et al.: Prehospital preparedness for pediatric mass-casualty events. Pediatrics. 2007; 120(4): e756-e761.
Gausche-Hill M, Schmitz C, Lewis RJ: Pediatric preparedness of US emergency departments: A 2003 survey. Pediatrics. 2007; 120(6): 1229-1237.
Becker BM: Children and Disaster. 1st ed. Philadelphia, PA: Elsevier Mosby, 2006.
Burke RV, Iverson E, Goodhue CJ, et al.: Disaster and mass casualty events in the pediatric population. Semin Pediatr Surg. 2010; 19(4): 265-270.
Kanter RK, Moran JR: Pediatric hospital and intensive care unit capacity in regional disasters: Expanding capacity by altering standards of care. Pediatrics. 2007; 119(1): 94-100.
ArcGIS: USA population younger than age 18, 2012. Available at http://www.arcgis.com/home/webmap/viewer.html?services_22bfec05fc944a37ae033fa783e8f03b. Accessed December 1, 2012.
Greater Cincinnati Health Council: Emergency readiness and safety, 2011. Available at http://www.gchc.org/disaster-trauma/disaster/emergency-readiness-and-safety/. Accessed December 1, 2012.
Joint Commission on Accreditation of Healthcare Organizations: Approved: Revisions to Emergency Management Standards for Critical Access Hospitals, Hospitals, and Long Term Care. Oakbrook Terrace: IL: Joint Commission Resources, 2007.
Committee on the Future of Emergency Care for Children in the United States Health System: Emergency Medical Services: At the Crossroads.Washington, DC: The National Academies Press, 2007.
Kanter RK: The 2011 tuscaloosa tornado: Integration of pediatric disaster services into regional systems of care. J Pediatr. 2012; 161(3): 526-530, e521.
McClimon PJ, Hansen TN: Why are children’s hospitals so busy? J Pediatr. 2003; 142(3): 219-220.
Maugh TH: Earthquake: The long road back. Los Angeles Times. February 2, 1994.
Baldwin S, Robinson A, Barlow P, et al.: Moving hospitalized children all over the southeast: Interstate transfer of pediatric patients during Hurricane Katrina. Pediatrics. May 2006; 117(5 Pt 3): S416-S420.
Ballow S, Behar S, Claudius I, et al.: Hospital-based disaster preparedness for pediatric patients: How to design a realistic set of drill victims. Am J Disaster Med. 2008; 3(3): 171-180.
Claudius I, Behar S, Ballow S, et al.: Disaster drill exercise documentation and management: are we drilling to standard? J Emerg Nurs. 2008; 34(6): 504-508.
Fertel BS, Kohlhoff SA, Roblin PM, et al.: Lessons from the “Clean Baby 2007” pediatric decontamination drill. Am J Disaster Med. 2009; 4(2): 77-85.
Ramirez M, Kubicek K, Peek-Asa C, et al.: Accountability and assessment of emergency drill performance at schools. Fam Commun Health. 2009; 32(2): 105-114.
How to Cite
Copyright 2007-2023, Weston Medical Publishing, LLC
All Rights Reserved