title: [Are we prepared for a disaster? Spanish multicentre study].
abstract: BACKGROUND
  Paediatric Emergency Departments (PED) should have written disaster plans, to ensure a rapid and efficient response.
  
  
  OBJECTIVE
  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.
  
  
  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.
authors.affiliation: Urgencias de Pediatría, Hospital Universitario de Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España. cparra@hsjdbcn.org
authors.forename: C
authors.initials: C
authors.lastname: Parra Cotanda
authors.forename: S
authors.initials: S
authors.lastname: Asensio Carretero
authors.forename: V
authors.initials: V
authors.lastname: Trenchs Sainz de la Maza
authors.forename: C
authors.initials: C
authors.lastname: Luaces Cubells
mesh_terms: D002648:Child; D004189:Disaster Planning / Q000592:standards*; D006801:Humans; D010372:Pediatrics; D013030:Spain; D011795:Surveys and Questionnaires