Biomedical Engineering Reference
In-Depth Information
The CDC recommends the following compo-
nents of preparedness and response in healthcare
facilities:
21.9.5 Participants and their Roles
during production
Half of the students play themselves, providing
crowd control, decontamination, and triage; the
other half play casualties seeking treatment inside
the ED.
One actor guides the staff of the treatment
facility, while another guides the casualties.
Surveillance and triage
Clinical evaluation
Infection control and respiratory hygiene
Patient isolation and cohorting
Engineering and environmental controls
Exposure reporting and evaluation
Staffing needs and personnel policies
Facility access controls
Supplies and equipment
Communication and reporting
21.9.6 Simulation Resources and
Requirements
Conference room, with chairs arranged to define
five regions of the process:
Note that each of these actions map directly to
areas of responsibilities of key components of any
treatment facility.
Dirty Triage
Decontamination
Clean triage
Expectant
Entrance to the ED
21.9 EXAMPLE 3: Clinical and
Non-clinical Students
21.9.1 Students
ED and ED augmenters, security, first respon-
ders, facilities/maintenance staff, and communica-
tions/networks personnel.
Props: Playing cards, blue painters tape, red food
coloring, operating-room (OR) caps, audiovisual
recordings of action for the review phase, and a
debriefing arena for replay and analysis of the action.
21.9.7 Scenario Outline
The casualties will do anything to gain access to
the ED in hopes of getting treatment, while the
staff of the treatment facility will try to maintain
an orderly casualty flow.
First, the participants arrange the chairs into
circles representing the five regions listed above.
Simple signs should be taped on the chairs to
clearly identify the function of each region.
Second, with playing cards, randomly assign half
the students to be facility staff (thosewho receive red
cards) and the other half (those who receive black
cards) to be casualties. One actor directs the faculty
staff to gather round for their “care” instructions,
while another asks all the casualties to leave the
room to receive their “assault” instructions.
21.9.2 Instructor's Teaching Objectives
Familiarization with command, control, commu-
nication and collaboration actions required for
successful crowd control, decontamination, and
triage of mass casualties seeking help and respon-
sibilities during a city-wide bio-crisis.
21.9.3 Students' Goals
Successfully manage the large flow of casualties
through the decontamination to securely separate
the clean from the dirty, employ clinical judgment
to separate the expectant from the treatable, and
then provide a secure place for the former while
guiding the latter into the ED.
21.9.7.1 Red Rules—told to red players
(facility staff) only
All wear a distinctive treatment-facility staff
“uniform,” such as an OR hat. Those holding
21.9.4 Setting
Parking lot outside the entrance to the ED (see
Figure 21.3).
