RESUMO
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Assuntos
Humanos , Medicina de Emergência/educação , Medicina de Desastres/educação , Especialização/tendências , Danos Globais , Saúde Global/tendências , Emergências em Desastres/análise , Gestão de Desastres/análiseRESUMO
Introducción: Los servicios de urgencias pediátricos (SUP) deben tener planes de actuación ante una catástrofe, para poder actuar rápida y eficazmente. Objetivos: a) Conocer si los SUP españoles tienen planes de catástrofes; b) describir sus características, y c) si contemplan las necesidades pediátricas. Material y métodos: Estudio observacional descriptivo multicéntrico, mediante encuestas dirigidas a responsables de los SUP de España. Se incluyen preguntas sobre los planes de catástrofes externas (PCE) y sobre los planes de catástrofes internas (PCI). Resultados: De 44 encuestas enviadas, 25 hospitales responden. Dieciocho disponen de PCE, con una antigüedad de 10 años y que se revisa cada 3 años o más (9 hospitales), bienalmente (4) y anualmente (2). El PCE es conocido por el personal en 11/18 hospitales. En 13/18 hospitales nunca se realizan simulacros del PCE. Veintiún hospitales disponen de PCI, con una antigüedad de 8 años y frecuencia de revisión de cada 3 años o más (11), bienalmente (3) y anualmente (3). El PCI es conocido por el personal en 13/21 hospitales. Nunca se realizan simulacros del PCI en 12/21. Los PCI incluyen plan de evacuación (22), incendios (19), amenazas de bomba (13) e inundaciones (9). En 9 hospitales, los planes son pediátricos; en 7, son planes generales que contemplan las necesidades de los niños; el resto no tiene en cuenta a víctimas pediátricas. Conclusiones: La mayoría de SUP dispone de planes de catástrofes, pero estos están poco actualizados, son poco conocidos y la mitad no tiene en cuenta al paciente pediátrico. Es necesario mejorar los planes de catástrofe(AU)
Introduction: Paediatric Emergency Departments (PED) should have written disaster plans, to ensure a rapid and efficient response. Objectives: 1) to determine if Spanish PED have written disaster plans, 2) to describe the characteristics of these plans, and 3) if paediatric victims were included in them. Material and methods: Descriptive multicentre study based on questionnaires sent to physicians in charge of different Spanish PED. The structured survey included questions about external emergency plans (EEP) and internal emergency plans (IEP). Results: Twenty-five out of 44 surveys were replied. Eighteen PED had an EEP, most of them had been written 10 years ago and were reviewed every 3 years or more. In 11/18 PED, the EEP was well-known by health care providers. Drills were never performed in 13/18 PED. Twenty-one PED had an IEP, most of them had been written 8 years ago and were reviewed every 3 years or more. In 13/21 PED, IEP was well-known by health care providers but drills were never performed in 12/21 PED. IEP included evacuation plans (22), fire emergency plans (19), bomb threat plan (13) and flood plans (9). Nine PED have paediatric-specific disaster plans and in 7 PED, disaster plans included adult and paediatric victims. Children were not included In 1 EEP and in 5 IEP. Conclusions: Most of PED have written disaster plans, but these plans are old, unknown by health care providers and almost half of them do not include paediatric victims. It is necessary to improve disaster planning in Spanish PED(AU)
