Pediatric Disaster Preparedness in a Disaster Resource Hospital Network in Los Angeles County

Introduction: Emergencies and disasters could suddenly and significantly require hospitals to provide numerous services to a wide population including children. Studies indicate that children are a particularly vulnerable population during natural and man-made disasters. Although hospitals generally comply with disaster regulations set by the Joint Commission on Accreditation of Hospital Organization, the extent of pediatric preparation is unclear and understudied. This IRB-approved study is designed to determine the level of preparedness for pediatric disasters and understand the barriers and needs of hospitals preparing for such disasters in Los Angeles County.

Methods: Disaster managers and key personnel from 11 of 13 hospitals in a disaster resource network were identified and interviewed. The face-to-face interviews included questions on pediatric disaster experience, plans, preparations, drills, barriers, needs and expectations of outcomes in the event of a pediatric disaster.

Results: Key informants reported high interest and support from hospital leadership in pediatric disaster preparedness. Most respondents, however, indicated that they lacked the knowledge and resources needed to prepare for pediatric emergencies. In addition, respondents also indicated communication problems with the local and county government agencies as well as community agencies that will play a key role in response coordination during a pediatric disaster.

Discussion: Interviews revealed pediatric disaster preparation gaps in technology, guidelines, resources, and coordination between agencies. These findings suggest a need for further studies, increased funding and improvements in technology and guidelines at a national level for pediatric care during disasters.