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

  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

  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

  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

  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

  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

  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

  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
1

Title

Responding to a mass casualty incident


2

Type of Exercise

Functional exercise


3

Phase of the disaster response

Operational


4

Purpose

The purpose of this exercise is to practice the team response to a mass casualty incident (MCI) during an EMT deployment. During disasters EMTs have to be prepared for the management of possible MCI happening in the area. Competencies such as coordination, communication, triage and clinical management of cases should be exercised so all team members are organised and prepared in the event of an MCI.


5

Scope

In this exercise a MCI event will be simulated, following an aftershock in Montyland. The whole team will have to organise to deal with the high number of casualties arriving at the EMT facility, while constantly communicating with the EMTCC and other partners in the area.


6

General objectives

  • To effectively communicate with the EMTCC for situation awareness and coordination of a MCI
  • To appropriately organise as a team and manage a MCI

See the complete table with learning objectives in the annex « Exercise 5 - Learning Objectives ».


7

Exercise description

Approximate time required Task Instructions for delivery
15 min Exercise briefing Deliver out of role. The trainers will explain the scenario in which the exercise is set to allow participants to get immersed in the role. The trainers will also tell EMT members they are going to receive some considerations in case an MCI is simulated. Trainers will:

  • Present the casualty cards and explain how to read and interpret them
  • Highlight participants should only use the parameters provided in the casualty cards
  • Inform about the resources and communication means they would have in such case (radio/phone, provide the number)
Simulated setting: 2 pm, 6 days after deployment. The team is working at the EMT facility in Montyland.
5 min Information about an aftershock in the area All EMT members should be at the EMT facility, as if they were working on their normal activities.

Add inject 1: The team leader will received a call form the Red Cross informing about an aftershock in the area and possible casualties soon arriving to the EMT.

The team should get ready for the arrival of casualties.
10 min First casualties arrive Add inject 2: The first 11 casualties will arrive at the EMT facility.

The team will start triaging and treating the first wave of casualties.
10 min First communication with the EMTCC While the team is managing the first wave of casualties, the team leader should keep in communication with other partners in the area:

Add inject 3: The team leader will received a call from the EMTCC officer, who asks the EMT to work as a first triage and treatment facility.
5 min Second communication with the EMTCC Add inject 4: The team leader will received a call from the EMTCC officer, who informs about more casualties arriving.

The team should continue treating the patients in the facility and prepare for a second wave of casualties.
30 min The rest of casualties arrive Add inject 5: The second wave of casualties arrive.

The team will continue working to deal with all the casualties.
15 min Medical evacuation to Hiking hospital Add inject 6: The EMT-CC request medical evacuation to Hiking hospital.

The team will continue managing the casualties and prepare to transfer the patients. The exercise will continue for 15 minutes more, or until all casualties have been admitted in the facility and under treatment.
30 min Exercise debriefing Delivered out of role. Refer to the annex « Exercise Debriefing »
Total (approx.): 2 h
8

Injects

Inject number When? To whom? Inject summary
1 At the start of the exercise To the team leader, via phone/radio Message from the Red Cross about an aftershock in the area
2 5 min after inject 1 To all team First casualties arrive
3 10 min after inject 2 To the team leader, via phone/radio First communication with the EMTCC - EMT to be a triage facility
4 10 min after inject 3 To the team leader, via phone/radio Second communication with the EMTCC - More casualties arriving
5 5 min after inject 4 To the EMT facility Rest of casualties arrive (spaced)
6 30 min after inject 5 To the team leader, via phone/radio Third communication with the EMTCC - Evacuation to Hiking hospital

See the detailed description of the injects in the annex « Exercise 5 - Injects ».


9

Resources

Human resources

  • 3 trainers (one of them will be the training manager)
  • 3 facilitators (one will take the role of the Red Cross colleague and EMTCC officer, one or two should be coordinating the casualties).
  • 2 actors to take the roles of local red cross volunteers (at least)
  • 55 Actors to take the role of casualties
  • Make-up professional

Materials

  • EMT full facility
  • Casualty cards
  • Triage tags
  • 2 stretchers
  • Radios or phone
  • Make up materials
  • Optional: Ambulance

10

General considerations

Before starting the exercise make sure:

Trainers and facilitators have carefully read the exercise objectives and description

The EMT facility is ready for the simulation

All the needed materials (see Resources section) are available

All the casualties (roles players) are appropriately dressed and have understood their role and actions during the exercise
Basic health and safety procedures are applied during the exercise. Provide information to the role players about possible health and safety threats (e.g. lifting people/stretchers, touching or handling medical or logistics material, etc.)


11

Key references/Supporting documents


12

Annexes

  1. Exercise 5 - Learning objectives
  2. Exercise 5 - Injects
  3. Exercise 5 - Casualty Storyboards
  4. Exercise 5 - Dynamic Casualty cards
  5. Exercise 5 - Makeup info
  6. Exercise 5 - Data collection cards (optional)
  7. Exercise 5 - Exercise debriefing

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