OMMC Surgery Disaster Preparedness Drills

Simulated Disaster Drills

(TEAM III)

Cluster C - Disaster Scenarios – Gang War

For Surgical Team Captain

Setting:

You are an OMMC surgical resident assigned to Surgical Team III.   You are the Team Captain on duty at the OMMC Surgery ER.  You are NOT the Disaster Control Director. You have 4 junior surgical residents and 3 surgical interns in your team.

1.1 scenario:

During office hours, you receive a phone call transmitting a message

that a gang war has occurred in San Andres Bukid and to expect a lot

of victims being sent to OMMC.

1.2 scenario:

After office hours, you receive a phone call transmitting a message

that a gang war has occurred in San Andres Bukid and to expect a lot

of victims being sent to OMMC.

1.3 scenario:

During office hours, you receive a phone call transmitting a message

that a gang war has occurred in San Andres Bukid. You are asked to

send an ambulance and a team of medical staff to help.

1.4 scenario:

After office hours, you receive a phone call transmitting a message

that a gang war has occurred in San Andres Bukid. You are asked to

send an ambulance and a team of medical staff to help.

1.5 scenario:

During office hours, you got a patient who got injured in a gang war

that has occurred in San Andres Bukid. You were told that there are

a lot of victims. These victims might be brought to OMMC.

1.6 scenario:

After office hours, you got a patient who got injured in a gang war

that has occurred in San Andres Bukid. You were told that there are

a lot of victims. These victims might be brought to OMMC.

Problem-solving and Decision-making:

As the Surgical Team Captain, what will you do next after receiving the phone call in the first 4 scenarios (1.1 to 1.4) and in the last 2 scenarios (1.5 and 1.6) when you learn that more patients will be coming?  List the steps in an order of priority and give a brief description and explanation, if necessary, for each step.

After you are through solving each scenario, construct a table showing the basic similarities and differences, first, in the scenarios themselves and, second, in the steps you will undertake for all the scenarios.

ANSWERS:

General Steps in Disaster Management

•         DECLARATION OF DISASTER

•         NOTIFICATION OF

–        DEPARTMENT DISASTER CONTROL DIRECTOR

•         CREATION OF INCIDENT COMMAND

•         MOBILIZATION OF SCENE RESPONSE TEAM

–        TO PERFORM ON SCENE TRIAGE CLASSIFICATION

–        RENDER LIFE SAVING FIRST AID MEASURES

–        DIRECT THE TRANSPORTATION OF THE INJURED PATIENTS

–        TO TAG ALL PATIENTS GIVEN TREATMENT AT THE SCENE

•         ACTIVATION OF DEPARTMENTAL DISASTER PREPAREDNESS PLAN

•         MOBILIZATION AND ORGANIZATION OF OTHER MEDICAL STAFF AS INDICATED

•         MOBILIZATION OF ANCILLARY SERVICES AS NEEDED

•         CONTROL OF DISASTER

•         DECONGESTION AND POST-DISASTER RECONSTRUCTION

Cluster C1 - Disaster Scenarios – Gang war

For Disaster Control Director/ Surgical Team Captain / Junior Surgical Residents

Scenario:

Ten victims from the San Andres Bukid gang war are now arriving or

have arrived in the OMMC Surgery ER.

Problem-solving and decision-making:

1. Who will serve as the incident commander? What are his roles?

What are his tasks? Is he allowed to operate?

2. A triage has to be done. How do you going about doing this? Who

should be assigned to do the triaging? How is triaging done, place

assignment and color coding?

3. Who should do the treatment and operation if needed?Scenario:

3. Who should do the treatment and operation if needed?

ANSWERS:

1. Team Captain – will act as incident commander

FUNCTIONS:

1.  Executive director of the OMMC Surgery DPP

2.  Takes necessary actions to ensure a safe and efficient operation of            OMMC Surgery DPP.

3.  Is responsible for the initiation and activation of the OMMC Surgery's         Disaster Preparedness Plan.

A Triage has to be done:

            objectives

–        to receive the disaster victims

–        To make a rapid classification of casualties

Triage officer :

                        Any resident who is knowledgeable in classifying casualties rapidly with appropriate coding to facilitate and prioritize treatment.

Coding

                        Black             – for non-salvageable patients

                        Green             – for primary care patients

                                                   or classified as priority three

                        yellow                        – for acute care patient

                                                   or classified as priority two

                        red                  – for critical care patients

                                                   or classified as priority one

How is triaging done?

                        - assign corresponding treatment area for the different codes

                        - classify patient rapidly as they come and give the                                                             corresponding  codes

                        -conduct patients to corresponding areas

3.  Assign other members of the team to do the treatment depending on          their capabilities (task assignment)

note:

            declare codes as needed

Internal Disaster – OMMC OR Explosion

For Surgical Team Captain

Setting:

You are an OMMC surgical resident assigned to Surgical Team I.   You are the Team Captain on duty at the OMMC Surgery ER.  You are NOT the Disaster Control Director. You have 4 junior surgical residents and 3 surgical interns in your team. 

During office hours, there was a big explosion in the operating room of the hospital.  There were about 10 OR personnel (surgeons, anesthesiologists, nurses, nursing aides, and medical interns) who suffered from blast injuries.  About 80% of the operating room was destroyed. 

Problem-solving and Decision-making:

As the Surgical Team Captain, what will you do next after learning of the explosion. List the steps in an order of priority and give a brief description and explanation, if necessary, for each step.

 ANSWERS:

STEPS IN DISASTER MANAGEMENT:

• Declaration of disaster
• Notify disaster control director
• Activation of department’s disaster preparedness plan
• Creation of an incident command ( scene response team)
• Mobilization of surgical and parasurgical staff (task assignment)
• Mobilization and organization of other medical staff as indicated
• Mobilization of ancillary services as indicated
• Control of disaster
• Decongestion of post-disaster reconstruction