1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. General considerations
  11. Key references/documents
  12. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. General considerations
  11. Key references/documents
  12. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. General considerations
  11. Key references/documents
  12. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. General considerations
  11. Key references/documents
  12. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. General considerations
  11. Key references/documents
  12. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. General considerations
  11. Key references/documents
  12. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. Key references/documents
  11. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. Key references/documents
  11. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. Key references/documents
  11. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. Key references/documents
  11. Annexes
Download Exercise PDF

  1. Introduction
  2. Type of Exercise
  3. Phase of the disaster response
  4. Purpose
  5. Scope
  6. General objectives
  7. Exercise description
  8. Injects
  9. Resources
  10. Key references/documents
  11. Annexes
Download Exercise PDF
1

Title

Adapting EMT operations to a chemical incident

2

Type of Exercise

Table-top + Functional Exercise

3

Phase of the disaster response

Operational response

4

Purpose

The purpose of this exercise is to expose EMT members to the chemical incidents in disaster settings, which can be encountered during EMT deployments. The team will need to quickly assess the situation and upcoming needs and plan necessary actions accordingly. To do this effectively, the team will need to work collaboratively, listening to each other’s knowledge and expertise in different areas and organizing themselves to undertake the different actions.

5

Scope

When the team has already started their activities at the EMT facility in Montyland, they will receive information about cluster of cases suspected to be chemical poisoning followed shortly by an explosion of chemical factory in the area. With the initial data provided and others they can collect, they will have to assess emerging needs and prepare actions to install protective measures for the staff and the patients, change workflows, establish referral systems, and manage suspect cases arriving at the facility.

6

General objectives

  • To perform an initial needs assessment after the suspicion of a chemical incident in the area
  • To plan necessary actions for the potential arrival of suspected cases to the EMT facility
  • To carry out the planned measures on-site (EMT field hospital)

See the complete table with learning objectives in the annex « Exercise 1.B - Learning Objectives ».

7

Exercise description

Exercise 9.B - SCRIPT
Approximate time required Task Instructions for delivery
10 min Exercise briefing

Delivered out of role. The trainers will explain the scenario in which the exercise is set, to allow participants to get immersed in the role and follow instructions.

Simulated setting: The EMT field hospital, Montyland, Earthquake

20 min Initial need assessment

Add inject 1: The local hospital received more than 300 patients with unidentified illness within 2 days. No evidence of infection.

The team should discuss the possible causes, assess the resources and needs.

20 min Reassess the initial plan

Add inject 2: local media report accuses a chemical factory spill of the current outbreak.

The team should reassess the needs and plan the determining initial actions: Personal and team protection (Personal protective equipment (PPE), etc..), decontamination and triage, treatment protocols, continuing emergency medical.

40 min Draft the SOP

Add inject 3: the team will receive generic protocols and guidelines about chemical incidents management in health care settings.

30 min Arrange field hospital and team preparedness

Possible actions: consider re-organize flow in the facility, protect your staff, create decontamination and triage and isolation area, WASH facilities, PPE, staff briefing/training.

20 min Arrival of cases

Add inject 4: The explosion of the chemical factory first surge of patients arrives.

Possible actions: decontamination, communication, referral

10 min Arrival of other basic emergency cases

Add inject 4: Arrival of other emergency cases.

Possible action: Decision to continue receiving medical emergency cases, triage, referral.

30 min Exercise Debriefing

Delivered out of the role. Refer to the annex Debriefing tool.

Total time (approx.): 3 hours

See the detailed description of the injects in the annex « Exercise 1.B - Injects ».

8

Injects

Inject number When? To whom? Inject summary
1 At the beginning of the exercise One of the team members Outbreak rumor
2 15 minutes after Inject 1 To the team SARI generic protocols
3 After drafting the SOPs To the team leader Outbreak confirmation
4 10 minutes after Inject 3 To the team The arrival of suspected cases/emergency cases

See the detailed description of the injects in the annex « Exercise 1.B - Injects ».

9

Resources needed

Human resources

  • 11 role players for patients

Materials

  • Real equipment for field hospital
10

General considerations

N.A.

11

Key references/Supporting documents

12

Annexes

  1. Exercise 9b - Learning objectives
  2. Exercise 9b - Injects
  3. Exercise 9b - Standard operating procedures form
  4. Exercise 9b - Exercise debriefing
Download exercise PDF