Grand Rounds Recap 6.19.19

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Preparation Planning and Response with Dr. Otten

Disaster: event outside the normal daily experience which overwhelms the response system. An imbalance in the number of victims and the available medical resources. A sudden ecological phenomena of sufficient magnitude to require external assistance. It can also be a combination of all three.

Types:

  • Natural (tornadoes, fires, floods, earthquakes, hurricanes, pandemics)

  • Human (HAZMAT, terrorism, accidents, war, riot)

This is a public health problem:

  • unexpected deaths/injuries

  • may destroys local infrastructure (communication, health care, etc)

  • may cause adverse environmental effects

  • may cause large populations to move

Priorities in a disaster:

  • Changes based on type of disaster (medicine, food, water, clothing, safety, waste removal, sewage, transportation, heat, electricity etc)

Mitigation of disasters:

  • Engineering Factors: site selection (flood plains, tidal areas, fault lines), building construction, bridge/road design, material design, safety/rescue consideration

  • Planning for Response

    • National (FEMA, HHS, NDMS)

    • State (Ohio Emergency Response Agency)

    • Region/county/city (Southwest Ohio, Cincinnati)

Surge  WITH DR. Calhoun

Disaster Communications:

  • Disaster Net Radios: radios used specifically during mass causality incident, typically this is how communication occurs from a command center

  • SurgeNet: Collaborative city-based computer bed tracking/ED status

  • How these work together: SurgeNet is used to look at area ED’s/Hospitals to decide where patients go. This is then communicated by the command center via the Disaster Net Radios.

At UCMC:

  • If notified of an impending disaster by above mechanisms, alert your leadership and find necessary resources (at UC, Charge Nurse binder) which contain the disaster plan. Follow these instructions on who to contact and how to organize. It contains many job action sheets that outline roles and assign tasks.

Fifth Third Bank Shooting Recap WITH DR. Calhoun

Some Statistics:

  • 27 active shooter incidences in the USA in 2018

  • 85 deaths from these incidences

Firth Third Bank Shooting:

  • 29 male gunman with a pistol entered building and began firing

  • Cincinnati PD entered building within 10 minutes and were able to neutralize the threat

  • “Hospital Net” activated by CFD on scene

  • Victims transported within 20 minutes of gunman entering building

  • Arrival at UCMC within 30 minutes of gunman entering building

Active Shooter Situations:

  • Stay out of sight of the shooter, get away from the shooter

  • Active shooters typically do not search out people, they shoot what they see