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Disaster preparedness in French paediatric hospitals 2 years after terrorist attacks of 2015
  1. Guillaume Mortamet1,
  2. Noella Lode2,
  3. Nadia Roumeliotis3,
  4. Florent Baudin4,5,
  5. Etienne Javouhey4,5,
  6. François Dubos6,
  7. Julien Naud7
  8. on behalf of the Groupe Francophone de Réanimation et Urgences Pédiatriques (GFRUP)
  1. 1 Pediatric Intensive Care Unit, Necker Hospital, Paris, France
  2. 2 Pediatric Transport Team, SMUR Robert Debré, SAMU de Paris, Hôpital Assistance Publique des Hôpitaux de Paris, Paris, France
  3. 3 Pediatric Intensive Care Unit, CHU Sainte-Justine, Montreal, Quebec, Canada
  4. 4 Pediatric Intensive Care Unit, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France
  5. 5 UMR T_9405, UMRESTTE, Ifsttar, Université Claude Bernard Lyon 1, Lyon, France
  6. 6 Pediatric Emergency Unit and Infectious Diseases, Hôpital Roger Salengro, CHU Lille, Lille, France
  7. 7 Pediatric Transport Team, SMUR Bordeaux, CHU Bordeaux, Bordeaux, France
  1. Correspondence to Dr Guillaume Mortamet, Pediatric Intensive Care Unit, Necker Hospital, Paris 75015, France; mortam{at}


Objective We aimed to determine paediatric hospital preparedness for a mass casualty disaster involving children in both prehospital and hospital settings. The study findings will serve to generate recommendations, guidelines and training objectives.

Design and setting The AMAVI-PED study is a cross-sectional survey. An electronic questionnaire was sent to French physicians with key roles in specialised paediatric acute care.

Results In total, 81% (26 of 32) of French University Hospitals were represented in the study. A disaster plan AMAVI with a specific paediatric emphasis was established in all the paediatric centres. In case of a mass casualty event, paediatric victims would be initially admitted to the paediatric emergency department for most centres (n=21; 75%). Paediatric anaesthesiologists, paediatric surgeons and paediatric radiologists were in-house in 20 (71%), 5 (18%) and 12 (43%) centres, respectively. Twenty-three (82%) hospitals had a paediatric specialised mobile intensive care unit and seven (25%) of these could provide a prehospital emergency response. Didactic teaching and simulation exercises were implemented in 20 (71%) and 22 (79%) centres, respectively. Overall, physician participants rated the level of readiness of their hospital as 6 (IQR: 5–7) on a 10-point readiness scale.

Conclusion Paediatric preparedness is very heterogeneous between the centres. Based on the study findings, we suggest that a national programme must be defined and guidelines generated.

  • disaster
  • preparedness
  • training
  • emergency
  • mass casualty event
  • paediatrics
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  • Contributors GM, NL, JN and FD designed the study. GM, FB and EJ collected and analysed the data. GM, NR, FB, EJ and JN wrote the manuscript, which was reviewed and approved by all the authors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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