Hospital professional staff awareness of hospital plans for the provision of teams for medical support in case of disasters

Mariya Georgieva Georgieva; Rostislav Kostadinov; Mariya Anastasova Semerdjieva-Filipova; Elena Vladimirova Valkanova

doi:10.2298/VSP231229015G

Mariya Georgieva Georgieva Medical University of Plovdiv, Faculty of Public Health, Department of Epidemiology and Disaster Medicine, Plovdiv, Bulgaria https://orcid.org/0000-0001-5108-0846
Rostislav Kostadinov Medical University of Plovdiv, Faculty of Public Health, Department of Epidemiology and Disaster Medicine, Plovdiv, Bulgaria
Mariya Anastasova Semerdjieva-Filipova Medical University of Plovdiv, Faculty of Public Health, Department of Health Care Management, Plovdiv, Bulgaria
Elena Vladimirova Valkanova Medical University of Plovdiv, Faculty of Public Health, Department of Epidemiology and Disaster Medicine, Plovdiv, Bulgaria

DOI: https://doi.org/10.2298/VSP231229015G

Keywords: bulgaria;, disaster medicine;, disaster planning;, medical staff, hospital;, surveys and questionnaires.

Abstract

Background/Aim. Resuscitation and surgical medical aid are the most important medical procedures in disaster relief operations. The limited time frame available for life-saving activities in such circumstances demands that resuscitation and surgical medical teams be established and trained for timely reaction and disaster medical support prior to disaster occurrence. The aim of the study was to analyze the awareness among the hospital medical staff in the Plovdiv Region of the hospital response plan in case of disaster, which concerns surgical and resuscitation team composition and tasks for disaster medical support. Methods. An anonymous survey, consisting of 55 questions about hospital staff awareness of the medical activities described in the hospital disaster medical support plan, was conducted between July and September 2019 among 295 hospital medical professionals in the Plovdiv Region, Bulgaria. Descriptive statistics and Pearson’s χ² test were used in the statistical analysis of results. Results. The survey showed that the majority of medical staff demonstrated complete ignorance regarding the presence, number, and tasks of the specialized medical teams planned for hospital disaster response. Employees of multidisciplinary hospitals for active treatment were more familiar with the aforementioned plans than their colleagues from the university multidisciplinary hospitals. Conclusion. Insufficient awareness about human resources foreseen for disaster medical support negatively impacts the hospital surge capacity, leading to inadequate medical assistance in such cases. Hospital tactical disaster preparedness must be ameliorated by conducting a more rigorous training program among medical staff related to the planned hospital activities in case of disastrous events, especially for those working in emergency departments, intensive care units, and surgical departments.

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