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Major Emergency Response. Libby McGugan Consultant in Emergency Medicine. Major Emergency. Location, number, severity or type of live casualties requires extraordinary resources 3 - 4 times per year in UK We have a statutory duty to provide response. In a nutshell.
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Major Emergency Response Libby McGugan Consultant in Emergency Medicine
Major Emergency Location, number, severity or type of live casualties requires extraordinary resources 3 - 4 times per year in UK We have a statutory duty to provide response
In a nutshell • Major Emergency Standby vs Declared • Verified by CN in emergency dept • Switchboard put out call to duty staff • Staff need to know what to do
Control sites Receiving Hospital – QMH Hospital Control Centre – QMH Board Control - Hayfield House
Major Emergency Declared • QMH Duty Staff should :- Go to Hospital Control Room (Board Room, Management Corridor QMH)- Collect Action CardHeld in Filing Cabinet Small meeting room – keys held by coordinator- Do what it says on the card!
VHK / Forth park Duty registrars informed by hospital coordinator: call in off duty staff to QMH Paeds? O&G?
Cascade call out • Junior docs tasked with cascading callout to off duty staff • Need access to phone numbers of their team • External call barriers will be removed • No calls from juniors, no response
Site Medical Team • Team may be requested to attend scene by MIO if- scene overwhelmed, delayed egress- specific incident • Team likely to consist of - ED cons - Anaesthetic reg / cons - Orthopaedic reg / cons- Surgical reg / cons
Site Medical Team Equipment / PPE stored in ED QMH Specialists need to be familiar with kit
Where to find out Intranet Search for MAJOR EMERGENCY
Feedback • Operational division meetings • Representation from surgical / orthopaedics? • Resilience forum
Summary Departments need to be sure that staff know what to do Need to have access to updated off duty contact numbers Juniors need to be clear about their role in cascading