Page 9 - August 2019 Ulupono

Keys to success in this situation include:
1. Establishing the alternate triage sites (note that the auditorium is normally used for the “Yellow” area, but there was a CPR class that day)
2. Setting up an arrival station outside to sort the incoming injuries. In our exercise scenario, they arrived in groups on a van or bus. But in most mass shooting type events the injured self-present to the hospital via personal vehicles.
3. Establishing the Incident Command Post to manage all aspects of the event from coordination with external authorities and assets, internal staff and space utilization, management of the media, etc.
4. Setting up a station to assist with patient/family reunification.
5. Coordination with surgery department
6. Internal transportation between units
and, of course,
7. Communications.
As far as dealing with radioactive contamination, life-saving actions
always take precedence over concern for radioactivity. Once the patient is stabilized, then controls are taken to limit spread of contamination.
All of these actions start with the “Mass Casualty Protocol Cards,” which are single page, yellow, laminated checklists Velcroed to the wall in almost all units of the hospital. All should be familiar with the location and general content. These actions get the entire hospital moving in the right direction and will save critical time.
Thanks to all who volunteered as injured, family members, or drill controllers
and evaluators. These events are large productions and cannot be put on without your generous support. Special thanks our awesome moulage team of Tricia Matsuki, exercise coordinator, and Chloe Hamilton, Infection Preventionist. The injuries were very realistic and impressive!
AUGUST 2019 - ULUPONO
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