Target Audience:

All MD's, PA's, NP's, RN's (Anesthesia, ED/MIC, Pediatrics Pharm D, HBS, Orthopedics, Psychiatry, Surgery, Medicine/Family practice)


Speakers:

  • Group Debrief Lead by Lisa Hung, D.O., Department of Emergency Medicine/Emergency Preparedness (EPC) Co-Chair, Kaiser Permanente San Jose
  • Matthew Scannell, Safety Officer/EPC Co-Chair, Kaiser Permanente San Jose

Planners:

  • Lisa Hung, D.O., Department of Emergency Medicine/Emergency Preparedness (EPC) Co-Chair, Kaiser Permanente San Jose
  • Matthew Scannell, Safety Officer/EPC Co-Chair, Kaiser Permanente San Jose

Session Objectives:

  1. Have our ED, Pediatricians, Surgery, Orthopedics, Anesthesiology, Respiratory, Radiology, Ultrasound, Lab, Pharmacy, Social Services and HICS work together on workflow processes in a mass casualty event
  2.  Have our health care providers become familiar with the location of the mass casualty triage area and treatment areas.  Understand the purpose and the function of Hospital Incident Command System (HICS) during a mass casualty event
  3.    Increase awareness amongst our KSJO medical staff be trained in disaster readiness and be familiar with KSJO emergency operations plan

Content:

Mass shootings in public spaces, bombings at large events, stabbings, vehicles plowing into crowds have been more common domestically and internationally.  The mass casualties for this exercise will be involved in one of the four incidents.  Incident 1 will involve a catering van driving into a crowd of bystanders.  Incident 2 will involve a couple walking into a school pretending to look for their lost child and begin shooting at students and staff in the school hallway with their automatic weapons.  Incident 3 will involve a van colliding into a cargo truck on the freeway causing a multi-car pileup in which the van driver is witnessed to be running away from the van.  The multi-car pileup causes the traffic to become at a standstill.  Incident 4 is a van labeled "Linen Services" drives up to our hospital's loading dock and explodes causing part of the building to collapse in which patients and staff are trapped underneath the rubble.   This mandatory statewide drill will test KSJO's ability to care for a surge of adult and pediatric patients with injuries caused by terrorist activities.

This disaster preparedness drill will educate our medical staff that there is a different mindset of treating patients in a mass casualty setting.  We will learn to make the crucial decision to initiate treatment for the victims who have a higher chance of survival than those who have a lesser chance of survival.  The key is to save lives that are salvageable.  The mass casualties will be directed to the ER ambulance bay in which a triage and treatment areas will be set up for mass casualty patients.  Will utilize SALT (Sort, Assess, Life-threatening Intervention, Treatment/Transport) triage system designated for the mass casualty victims.  We will delegate our medical staff, according to their expertise, to these areas to care for these patients with limited resources in the Ambulance Bay (there are no electrical outlets, no sinks, limited basic equipment) since there will be no available ED beds because the ED is at full capacity.  We will learn to become familiar with using hand-held radios as a way to communicate amongst the triage, treatment areas, and  Hospital Incident Command.   We will learn to keep track of the victims with Sandbox, which is the simulation of the electronic medical record system. Simultaneously, while triaging and treating the victims, will be virtual testing on how to move existing patients out of the Emergency Dept beds for new mass casualty patients.  We will have General Surgery and Orthopedic Surgery teams work together on triaging their victims to the OR.   We will have the Pediatric team transfer the mass casualty pediatric patient(s) to a pediatric care facility since we are not licensed to admit pediatric patients less than 14 years old. We will be coordinating with the Radiologist and Radiology technicians on ordering appropriate images needed to determine the disposition of these patients.  We will be working with Laboratory and Pharmacy to assist in ordering the proper tests, blood transfusions, and medications to treat the victims.  Social Services and Psychiatry will be involved with helping us identify Jane and John Does, family reunification, and psychological support. 


Disclosure:

The speakers and planning committee have no financial relationships to disclose. 


Resources:

Flyer: PDF icon6.13.17_Peds Disaster Drill_Flyer.pdf


Credit Statement:

**Kaiser Permanente San Jose Medical Center is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians.   
Kaiser Permanente San Jose takes responsibility for the content, quality and scientific integrity of this CME activity.                
**Kaiser Permanente San Jose Medical Center designates this Live Course for a maximum of 4.0 AMA PRA Category 1 Credit™        
Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Session date: 
Thursday, November 16, 2017 - 8:00am to 12:00pm
Location: 
Kaiser Permanente San Jose
United States
  • 4.00 AMA PRA Category 1 Credit(s)™
Location: 
Building: 
San Jose Medical Center
Conference room: 
Hospital Large Conference Room

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