disaster exercises – using nlm’s disaster tools & apps jen pakiam february 12, 2015
TRANSCRIPT
Disaster Exercises – Using NLM’s Disaster Tools & Apps
Jen Pakiam
February 12, 2015
NLM’s Disaster Tools/Apps
WISER/CHEMM REMM Digital Pen ReUnite
Hazmat/CBRN tool/app for first responders, EMS, medical professionals
Tool/app giving guidance on clinical diagnosis and treatment of radiation injuries during radiological and nuclear emergencies
Pen with embedded camera to capture writing on specialized paper forming a digital copy
A post-disaster family reunification tool – report or search for missing or found persons on NLM’s People Locator site
Our Disaster Exercise Idea
Strong Earthquake
Widespread damage to buildings & infrastructure• Chem/bio/rad research labs• Nuclear power station• Major hospitals
Many dead & large number of casualties
Need to evacuate injured & deceased to surrounding areas for treatment &/or identification
Disaster Exercise
Why have such a ridiculous disaster scenario?
• To showcase our tools.
• Because if it’s ridiculous… you’re more likely to remember it!
Disaster Exercise StructureEarthquake info:• Gather some info about earthquake injuries, etc. to prepare for what you can expect & what
resources you’ll need.
3 Tool Stations:• Substance Identification – WISER & REMM• Patient Triage – Digital Pen• Patient ID & Family Reunification – ReUnite
Create sitrep & send to Incident Commander• Emergency e-mail communication
Hot Wash• What we learned about the tools• Pros/cons• Any ideas/improvements
Task Sheets
• Role
• Instructions – how to use that tool
• Tasks - things you’d like the participants to do
• Things to think about section
Collect Earthquake Injury Information
• Role: Part of team about to receive victims in the hospital
• Tasks: – Start collecting
earthquake injury-related information
– What equipment, supplies, specialists will be needed? Prepare.
Substance Identification Section
• WISER’s Help Identify feature - for chemical exposures
• REMM – medical treatment procedures for the radionuclides released from labs & nuclear power plant
• Determine :– PPE– Decontamination– Treatment info– Protective distance map
Patient Triage + Patient ID/Family Reunification Sections
Patient Triage (Digital Pen)• How to use the pen• Special paper/forms• Demonstrate digital copy &
summary info
• Questions:– Advantages/disadvantages– Mass casualty considerations– Workable? Tablets & newer
technologies
Patient Identification/Family Reunification (ReUnite)• Play with the app• Enter records• Search for victims
• Questions:– Advantages/disadvantages– PII concerns– Who can access the system vs. who
should?
Persona Cards – Humor/Timely Add-ins
Persona Cards – continued…
Hot Wash
• 10-15mins at the end• Discuss:
– Tools/apps & their pros/cons– How they think they could improve the
procedures in their institution/organization– The exercise itself – what worked/didn’t work
• Feedback
Size of Groups
• For larger groups (15-30 people)– Each group specializes in one tool/app– Report on group findings– Give time at the end for everyone to play with the other
tools/apps– Hot wash – discuss pros/cons or any ideas
• For small groups (4-10 people)– Everyone goes through the stations together– Hot wash – discuss pros/cons or any ideas
General Exercise Structure - ConsiderationsThink about :• Number of participants• Number of helpers• Room size• Audience type(s)• Length of time for exercise• Equipment supply –
– Provided by institution/organization– BYOD– Download apps before exercise starts
• Add some humor/something timely• Be flexible – go with the energy in the room
Questions/Comments?
