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 sudden outbreak

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 sudden outbreak of infectious diseases 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 organising 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 the possible outbreak of severe acute respiratory infection (SARI) 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 an infectious disease outbreak 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 temporary facility)

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

7

Exercise description

Exercise 1.A - SCRIPT
Approximate time required Task Instructions for delivery
15 min Exercise briefing

Delivered out of the 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

30 min Assess needs and plan actions

Add inject 1: Rumor about the suspected outbreak: One of the trainees will receive information about suspected SARI from a local health worker

Needs assessment and determining initial actions: organize themselves in smaller groups to work in different areas (e.g. Triage and isolation, IPC, clinical management, referral, vaccination, logistics, communication...)

Decision on continuing emergency medical care to be made

40 min Draft the SOP

Add inject 2: the team will receive generic protocols and guidelines about outbreak control and management in health care settings

Each group will draft the SOP to deal with different aspects of response management 

30 min Arrange field hospital and team preparedness

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

10 min Modify initial plan

Add inject 3: An email from the EMTCC to the team leader will confirm the outbreak

Consider modification of the initial plan based on the recent information

10 min Modify initial plan

Add inject 4: Add inject 4: first patients arrive (or patients arrive with different clinical picture/severity), other patients (non-infectious cases)

Possible actions: triage and isolation, notification and communication, 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.A - Injects ».

8

Injects

Inject number When? To whom? Inject summary
1 At the beginning of the exercise One of the team leaders 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.A - Injects ».

9

Resources needed

Human resources

  • 6 role players for patients

Materials

  • Real equipment for field hospital
10

General considerations

N.A.

11

Key references/Supporting documents

12

Annexes

  1. Exercise 9a - Learning objectives
  2. Exercise 9a - Injects
  3. Exercise 9a - Standard operating procedures form
  4. Exercise 9a - Exercise debriefing
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