A scenario trainees hope to never face

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By Shannon Arledge, Center for Domestic Preparedness

 Sirens wail as ambulances deliver more patients to the makeshift decontamination site set up outside the hospital’s emergency department entrance. Medics and hospital staffers race to triage the new patients. It’s a nightmare scenario that everyone prays will never happen, but must be prepared to face.

FEMA’s Center for Domestic Preparedness, Anniston, Ala., conducted its first Integrated Capstone Event in March 2012. The event is a unique training approach that allows the center toEmergency responders attending the Hospital Emergency Response Training for Mass Casualty Incidents course decontaminate simulated survivors and rush them to waiting hospital personnel attending the Healthcare Leadership for Mass Casualty Incidents course.

combine multiple courses in a single end-of-course exercise. ICE events may include students from ten different disciplines —ranging from law enforcement to healthcare – who interact, communicate, and respond to a full-impact mass casualty incident.

Over the past few years, the center has identified professional groups from single organizations and regions that want specific training to meet organizational shortfalls, meet certification requirements, or spike improvements. To further        enhance the learning environment, the CDP has crafted smaller versions of ICE -- mini ICEs -- that are tailored to the needs of a cohort, but include students from only one or two courses. The most recent mini event trained an integrated group of students from two healthcare courses—Healthcare Leadership and Hospital Emergency Response Training for Mass Casualty Incidents

“When organizations send multiple employees to courses that include the ICE component, staffs are immersed in a dynamic, multi-disciplinary learning environment that is typically not achieved by exercises at our home institutions,” said J.T. Flick, emergency manager for Westchester Medical Center in Valhalla, N.Y. “Not only does it provide consistent training environments and material, but it also is a great team building opportunity for staff that typically has little interaction.”  

“The CDP will conduct full-scale ICE events quarterly and offer mini ICE scenarios throughout the year,” said Denis Campeau, CDP’s director of training and education. “Both ICE versions provide a training experience unlike a typical exercise and allow emergency responders to mix with colleagues from other agencies.”Healthcare professionals in the Healthcare Leadership for Mass Casualty Incidents course accesses symptoms and injuries to a patient simulator during a recent Integrated Capstone Event, at FEMA’s Center for Domestic Preparedness, Anniston, Ala.

This event leveraged the CDP’s Noble Training Facility, wheremore than 17,000 healthcare professionals have received training since early 2007. The facility is the nation’s only hospital dedicated solely to preparing the healthcare, public health, and environmental health communities for mass casualty events.

“The Integrated Capstone Event combines multiple courses in a final culminating exercise that promotes an interdisciplinary response to a mass casualty incident,” said Mallory Lowe, ICE development lead at the CDP. “The mini ICE provides opportunities for jurisdictions and organizations to exercise multiple elements together. Additionally, we can adapt the mini ICE to the jurisdiction’s training needs and desired exercise objectives.”

“The mini ICE was very beneficial. I’m walking away from this experience with a tremendous awareness of how -response agencies and their emergency responders come together,” said Richard Hilton, administrator and chief executive officer at OCH Regional Medical Center, Starkeville, Miss. “The ICE training demonstrates the need to work jointly, having the ability to communicate with all branches of response and meet the community’s emergency safety needs.”

“Healthcare plays a critical role in mass casualty response. Understanding what resources and assets are available and the speed in which these are received only improves the ability for delivery of life saving quality care,” said Hilton.

Regardless of size, ICEs challenges responders in a complex all-hazards environment to include initial call-out, scene size up, rescue, decontamination, pre-hospital treatment, crime scene management, evidence collection, and hospital response. Event scenarios focus on the foundations of CDP training—incident management, mass casualty response, and emergency response to a catastrophic natural disaster or terrorist act. Training at the center for state, local, and tribal responders is fully funded by the FEMA.

To learn more about the Center for Domestic Preparedness, visit CDP.dhs.gov or call 866-213-9553.

Last Updated: 
07/24/2014 - 16:00
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