Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-26T22:50:44.547Z Has data issue: false hasContentIssue false

Evaluation and Gap Analysis of Pediatric Disaster Preparedness Resources

Published online by Cambridge University Press:  07 March 2018

Tessa J. Koeffler
Affiliation:
Keck School of Medicine, University of Southern California, Los Angeles, California
Natalie E. Demeter
Affiliation:
Division of Pediatric Surgery, Children’s Hospital Los Angeles, Los Angeles, California
Lynn Kysh
Affiliation:
Norris Medical Library, University of Southern California, Los Angeles, California
Jeffrey Reeb
Affiliation:
Los Angeles Children in Disasters Working Group, Los Angeles, California Office of Emergency Management, Los Angeles County, Los Angeles, California
Alix Stayton
Affiliation:
Los Angeles Children in Disasters Working Group, Los Angeles, California
Robert Spears
Affiliation:
Los Angeles Children in Disasters Working Group, Los Angeles, California
Rita V. Burke*
Affiliation:
Keck School of Medicine, University of Southern California, Los Angeles, California Division of Pediatric Surgery, Children’s Hospital Los Angeles, Los Angeles, California Los Angeles Children in Disasters Working Group, Los Angeles, California
*
Correspondence and reprint requests to Rita V. Burke, PhD, MPH, Division of Pediatric Surgery, Children’s Hospital Los Angeles, 4650 Sunset Boulevard, Mailstop #100, Los Angeles, CA 90027, USA (e-mail: [email protected])

Abstract

The goal of this research was to identify, summarize, and evaluate pediatric disaster preparedness resources in the United States and to identify areas that need improvement or further development. Using standard literature, gray literature and website reviews, relevant resources were identified and the 50 most relevant resources were studied in depth. Each resource was given a grade of A, B, or C based on content, format, quality, and thoroughness. These resources were divided into 3 categories: (1) hospital resources, (2) school resources, and (3) training/education resources. Half of the 50 resources (25) were given a grade of A, indicating the highest level of quality and thoroughness, with pertinent information presented in a clear format. Sixteen of the resources were given a rating of B, while 9 of the resources were given a rating of C. Over 60% of the resources did not contain culturally sensitive information and more than 60% of the resources did not contain preparedness information for children with disabilities. Resources specific to hospitals and schools were limited in number and quality available, while training/education resources were widely available. In addition, 60% of resources were not specific to schools, children’s hospitals, or to certain occupations (ie, nurses, doctors, teachers, principals). Based on these results, gaps in cultural sensitivity were identified and limitations in resources for children with disabilities and for schools and hospitals currently exist. All these areas require further development in the field of pediatric disaster preparedness (Disaster Med Public Health Preparedness. 2019;13:330–337)

Type
Concepts in Disaster Medicine
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Gausche-Hill, M. Pediatric disaster preparedness: are we really prepared? J Trauma. 2009;67(2):S73-S76. https://doi.org/10.1097/TA.0b013e3181af2fff.Google Scholar
2. Allen, GM, Parrillo, SJ, Will, J, Mohr, JA. Principles of disaster planning for the pediatric population. Prehosp Disaster Med. 2007;22(6):537-540.Google Scholar
3. Ginter, PM, Wingate, MS, Rucks, AC, et al. Creating a regional pediatric medical disaster preparedness network: imperative and issues. Matern Child Health J. 2006;10(4):391-396.Google Scholar
4. Centers for Bioterrorism Preparedness Program Pediatric Task Force. Hospital guidelines for pediatric preparedness. http://www.nyc.gov/html/doh/downloads/pdf/bhpp/hepp-peds-childrenindisasters-010709.pdf. Updated August 2008. Accessed October 25, 2015.Google Scholar
5. The Pediatric Disaster Preparedness Subcommittee. EMSC pediatric disaster preparedness guidelines: hospitals. Emergency Medical Services Authority. http://www.emsa.ca.gov/media/default/pdf/emsa198.pdf. Published March 24, 2010. Accessed October 25, 2015.Google Scholar
6. Loma Linda University Children’s Hospital. Pediatric/neonatal disaster reference guide. http://www.cchealth.org/ems/pdf/Pediatric-Neonatal-Disaster-Reference-Guide.pdg=f. Published September 26, 2013. Accessed October 23, 2015.Google Scholar
7. Michigan Department of Health and Human Services. Planning for children in disasters: a hospital toolkit. https://www.michigan.gov/documents/mdch/Planning_for_Children_in_Disasters_15_495237_7.pdf. Accessed October 27, 2015.Google Scholar
8. Pediatric readiness toolkit. National Pediatric Readiness Project (PEDS Ready) website. http://www.pediatricreadiness.org/readiness-toolkit. Accessed October 27, 2015.Google Scholar
9. Emergency preparedness. California Primary Care Association website. http://www.cpca.org/index.cfm/health-center-resources/emergency-preparedness/. Accessed October 25, 2015.Google Scholar
10. Disaster preparedness – children. Illinois Medical Emergency Response Team (IMERT) website. http://imert.org/links/Child_Preparedness.asp. Accessed October 27, 2015.Google Scholar
11. King County Healthcare Coalition Pediatric Triage Task Force. Hospital guidelines for management of pediatric patients in disasters. http://www.nwhrn.org/media/King-Co-Pediatric-Toolkit-2010.pdf. Published March 17, 2010. Accessed October 27, 2015.Google Scholar
12. California Thoracic Society Pediatric Committee. Disaster preparedness: a resource directory to help pediatrician’s prepared themselves, their hospital/clinic, their patients and their family. https://www.calthoracic.org/sites/default/files/disaster-prep-resource.pdf. Published November 21, 2007. Updated April 2, 2008. Accessed October 25, 2015.Google Scholar
13. Emergency preparedness. Children’s Mercy Kansas City website. https://www.childrensmercy.org/Patients_and_Families/Your_Childs_Health/Health_and_Safety_Resources/Emergency_Preparedness/. Accessed October 25, 2015.Google Scholar
14. International Finance Corporation (IFC). Disaster and emergency preparedness: guidance for schools. http://www.ifc.org/wps/wcm/connect/8b796b004970c0199a7ada336b93d75f/DisERHandbook.pdf?MOD=AJPERES. Published 2010. Accessed October 27, 2015.Google Scholar
15. National Resource Center for Health and Safety in Child Care and Early Education. Caring for our children: national health and safety performance standards guidelines for early care and education programs, 3rd edition. http://cfoc.nrckids.org/WebFiles/CFOC3_updated_final.pdf. Updated August 2011. Accessed October 27, 2015.Google Scholar
16. Readiness and Emergency Management for Schools (REMS) Technical Assistance Center. The U.S. Department of Education, Office of Safe and Healthy Students website. https://rems.ed.gov/. Accessed October 27, 2015.Google Scholar
17. What’s the plan? Emergency preparedness planning in child care settings. Kansas Department of Health and Environment website. http://www.kdheks.gov/bcclr/emergency_preparedness_planning.htm. Updated 2015. Accessed October 27, 2015.Google Scholar
18. Disaster preparedness. National Association of School Nurses (NASN) website. https://www.nasn.org/ToolsResources/DisasterPreparedness. Updated December 2015. Accessed January 18, 2016.Google Scholar
19. Disaster preparation and response. National Center for Homeless Education (NCHE) website. http://www.center.serve.org/nche/dis_prep.php. Accessed October 27, 2015.Google Scholar
20. United States General Services Administration (GSA). Child care emergency preparedness toolbox. http://www.gsa.gov/graphics/pbs/Child_Care_Emergency_Preparedness_Toolbox.pdf. Published September 2011. Accessed October 27, 2015.Google Scholar
21. American Academy of Pediatrics. Foltin GL, Schonfeld DJ, Shannon MW, eds. Pediatric Terrorism and Disaster Preparedness: A Resource for Pediatricians. Rockville, MD: Agency for Healthcare Research and Quality.Google Scholar
23. Youth preparedness. American Red Cross. http://www.redcross.org/prepare/location/home-family/children. Accessed November 4, 2015.Google Scholar
24. Caring for children in a disaster. Centers for Disease Control and Prevention (CDC) website. http://www.cdc.gov/childrenindisasters/. Updated May 9, 2016. Accessed May 27, 2016.Google Scholar
25. Pediatric disaster preparedness toolbox. Emergency Medical Services for Children (EMSC) National Resource Center website. http://www.emscnrc.org/emsc-resources/toolboxes/pediatric-disaster-preparedness-toolbox. Accessed October 27, 2015.Google Scholar
26. Children and disasters. Extension Disaster Education Network (EDEN) website. http://eden.lsu.edu/topics/families/children/Pages/default.aspx. Updated January 11, 2016. Accessed May 27, 2016.Google Scholar
27. Children and disasters. Federal Emergency Management Agency (FEMA) website. https://www.fema.gov/children-and-disasters. Updated May 24, 2016. Accessed May 27, 2016.Google Scholar
28. Pediatric disaster/multicasualty preparedness. Loyola University Health System – Illinois Emergency Medical Services for Children website. http://www.luhs.org/depts/emsc/disaster.htm. Updated May 23, 2016. Accessed May 27, 2016.Google Scholar
30. Pediatric Emergency Care Council (PECC). Checklist tool for pediatric disaster preparedness. National Association of State EMS Officials (NASEMSO). https://nasemso.org/Councils/PEDS/documents/NASEMSO-Pediatric-Disaster-Preparedness-Checklist-Tool-2014draft.pdf. Published October 1, 2014. Accessed October 27, 2015.Google Scholar
31. Johnson, HL, Ling, CG, Gulley, KH. Curriculum recommendations for disaster health professionals: the pediatric population. National Center for Disaster Medicine and Public Health (NCDMPH) website. https://ncdmph.usuhs.edu/Documents/PediatricCurriculumRecommendations-201306.pdf. Published June 2013. Accessed October 27, 2015.Google Scholar
32. Natural disasters. The National Child Traumatic Stress Network (NCTSN) website. http://www.nctsn.org/trauma-types/natural-disasters. Accessed October 27, 2015.Google Scholar
33. National Commission on Children and Disasters. 2010 Report to the President and Congress. https://archive.ahrq.gov/prep/nccdreport/nccdreport.pdf. Published October 2010. Accessed November 4, 2015.Google Scholar
34. Early childhood disaster-related resources. Office of Human Services Emergency Preparedness and Response website. http://www.acf.hhs.gov/programs/ohsepr/early-childhood. Accessed October 27, 2015.Google Scholar
35. Pediatric Disaster and Resource Training Center. Children’s Hospital Los Angeles website. http://www.chla.org/pediatric-disaster-resource-and-training-center. Accessed October 27, 2015.Google Scholar
36. Preparing for emergencies. Save the Children website. http://www.savethechildren.org/site/c.8rKLIXMGIpI4E/b.6206913/k.68FA/Preparing_for_Emergencies.htm. Updated December 2014. Accessed November 4, 2015.Google Scholar
37. Berne, R. Disaster preparedness resource guide for child welfare agencies. The Annie E. Casey Foundation. http://www.aecf.org/m/resourcedoc/AECF-DisasterPreparednessResourceGuide-2009.pdf. Published March 2009. Accessed October 27, 2015.Google Scholar
38. Responding to the needs of children and families following disaster. American Psychological Association (APA) website. http://www.apa.org/research/action/disaster.aspx. Accessed November 4, 2015.Google Scholar
39. Emergency preparedness. ChildCare Aware of America website. http://usa.childcareaware.org/advocacy-public-policy/crisis-and-disaster-resources/. Updated 2015. Accessed October 27, 2015.Google Scholar
40. Disaster preparedness and response. Child Welfare Information Gateway website. https://www.childwelfare.gov/topics/management/disaster-preparedness/. Accessed October 27, 2016.Google Scholar
41. Disaster and crisis response. Children’s Health Fund website. http://www.childrenshealthfund.org/healthcare-for-kids/disaster-and-crisis-response. Updated 2013. Accessed October 27, 2015.Google Scholar
42. National Pediatric Disaster Coalition. Coyote Crisis Collaborative website. http://www.npdcoalition.org/. Accessed October 27, 2015.Google Scholar
43. Van der Zande, I. Taking charge of safety before, during and after a disaster. KidPower website. https://www.kidpower.org/blog/taking-charge-of-safety/. Published June 27, 2012. Accessed November 4, 2015.Google Scholar
44. National Advisory Committee on Children and Disasters (NACCD). Public Health Emergency website. http://www.phe.gov/Preparedness/legal/boards/naccd/Pages/default.aspx. Updated May 25, 2016. Accessed May 27, 2016.Google Scholar
45. Children and disasters. National Center for Disaster Preparedness, Earth Institute, Columbia University website. http://ncdp.columbia.edu/research/children-and-disasters/. Accessed October 27, 2015.Google Scholar
46. Disaster preparedness and relief. National Resource Center for Permanency and Family Connections website. http://www.hunter.cuny.edu/socwork/nrcfcpp/disaster_relief.html. Updated July 8, 2009. Accessed October 27, 2015.Google Scholar
47. Parents can teach kids about hazards and disaster preparedness. Pacific Disaster Center website. http://www.pdc.org/news-n-media/pdc-updates/Parents-can-teach-kids-about-hazards-and-disaster-preparedness/. Published March 24, 2014. Accessed October 27, 2015.Google Scholar
48. Disasters and emergencies: keeping children and youth safe. FamilyVoices website. http://www.familyvoices.org/work/caring?id=0004. Published 2013. Accessed October 27, 2015.Google Scholar
49. Coping after a natural disaster. Zero to Three [National Center for Infants, Toddlers and Families] Website. https://www.zerotothree.org/resources/1096-coping-after-a-natural-disaster. Published April 20, 2012. Accessed October 27, 2015.Google Scholar
50. Disasters: is your family prepared? National Center for Missing and Exploited Children website. http://www.missingkids.com/disasters. Accessed October 27, 2015.Google Scholar
51. Tragic events. The Fred Rogers Company website. http://www.fredrogers.org/parents/special-challenges/tragic-events.php. Accessed November 4, 2015.Google Scholar
52. Disaster preparedness. United Advocates for Children and Families (UACF) website. http://www.uacf4hope.org/disaster-preparedness. Published 2015. Accessed October 27, 2015.Google Scholar
53. The Disaster Preparedness Committee. Disaster preparedness. YMCA of San Diego County website. http://www.ymca.org/crs/resources/disaster-preparedness.html. Accessed October 27, 2015.Google Scholar
54. Dolan, MA, Krug, SE. Pediatric disaster preparedness in the wake of Katrina: lessons to be learned. Clin Pediatr Emerg Med. 2006;7(1):59-66.Google Scholar
55. Burke, RV, Iverson, E, Goodhue, CJ, Neches, R, Upperman, JS. Disaster and mass casualty events in the pediatric population. Semin Pediatr Surg. 2010;19(4):265-270.Google Scholar