Airplane Crash

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Airplane Crash
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Who makes up the Exercise Team?

• Laurie Mazurik MD FRCPC
• Emergency Medicine Physician
• Sunnybrook Health Science Centre, Toronto,CANADA
• Maud Huiskamp Advanced Care Paramedic
• Lead Educator, Sunnybrook-Osler Centre for
  Pre-Hospital Care, Toronto, CANADA
• Rick Verbeek MD FRCPC Medical Director SOCPC

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Use Exercises as a way to learn fromeach other
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Why?

• You can discover more in an hour of play
• than in a year of conversation

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The same can be said about

• Your community
• When a disaster strikes, the size of your
  community changes
• You learn a lot about each other

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The Schedule

• Orientation
• Impact
• Response
• Debrief

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The Script

• Fictional
• Has elements from the Air France Crash in
  Toronto, August 2005

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The Exercise Rules
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Staff at Incident

• Sort /Triage casualties
• Begin treatment
• Transfer to hospitals

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Lets do a walk through
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You are notified of Incident

• Activate Hospital Disaster Plan
• Assign Roles
• Send 1-2 staff to Incident Site
• Begin Moving patients out of ED

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How will you organize your teams?
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Now lets do a patient assessment
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Patient Information Cards

• Patient Number
• Approx Age
• Gender
• Vitals Injuries
• Unique identifiere.g. birthmark, etc
• Nationality may have
• Religion may have
• ATTACH TO CHART. WRITE NUMBER TOP RIGHT.

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ATTACH TRIAGE DOT

• Redcritical immediate care
• Yellowurgent within one hour
• Greennon-urgent deferrable
• Black palliative or deceased

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To move a Patient
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From Incident to hospital

• Use an Ambulance
• Staff to go with Ambulance to give handover
• Give report to receiving ED
• Go back to scene to get another patient

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Ok, lets walk through again
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Incident Occurs

• Roles Assigned
• Incident Team arrives at Scene
• ED staff discharge and transfer patients out of ED

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Patients

• Triage/Treat
• Send from scene
• Arrive at ED
• Triage/Treat
• Transfer out of ED

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Track

• Patient Locations/Time
• Supply consumption/patient
• Communication between responders

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Do you think you are ready?
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Murphys Law

• If it can go wrong it will go wrong
• AND it will go wrong at the worst possible time

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Remember Team ABCs

• Adapt, and
• Be
• Creative

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So it begins
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Airplane Crash
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1.Weather Watch News

• Storm building of Coast of Oman
• Residents watch as high waves hit beach

Stage 1
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2.Weather Watch News

• Residents fear it may be another cyclone

Stage 1
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3. Airport Remains Open

• Air France A320 with a manifest of 309 persons
  has been cleared to land
• They have been advised of high wind sheer on
  landing by other pilots

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4. On Final Approach

• Pilot is heard saying the wind and rain is too
  strong
• He is unsure if he should abort landing
• Then commits to land

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5. Plane veers off runway
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6. Passengers seen fleeing from Aircraft
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7. It then explodes
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8.Smoke causes driving hazard
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9.Police first on scene
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10. Rescue Vehicles Follow
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11.Families of Passengers Upset. Want
Information
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12. Seriously Injured Brought Out
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13. Ambulances Line Up outside Hospitals
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14.Students Among victims
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15. Families overwhelming Hospitals

• Hospitals crowded with casualties AND those
  seeking information

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16.Survivors Confirmed
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17. Preliminary Reports

• Crash due to lightening striking aircraft just
  before landing

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18. Rescue Continues
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19. Last of critically injured moved out.
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• A parent says his two children were on the
  aircraft
• Returning from a school trip abroad
• SLIDE 20

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21.Children among missing
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22. Fire under control. Fate of 309 passengers
and crew still unknown.
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23.Press Conference
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Take 5-10 minutes

• Prepare your team to present a summary of its
  debrief

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Present debriefs 2-5 minutes each

• Hospitals 1-4
• Incident Team
• Observers

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Questions??
Inter-professional Disaster Emergency Action
Studies