Major Emergency Major Emergency ResponseResponse

Libby McGuganLibby McGugan

Consultant in Emergency MedicineConsultant in Emergency Medicine

Major EmergencyMajor Emergency

Location, number, severity or type of live Location, number, severity or type of live casualties requires extraordinary casualties requires extraordinary resourcesresources

3 - 4 times per year in UK3 - 4 times per year in UK

We have a statutory duty to provide We have a statutory duty to provide response response

In a nutshellIn a nutshell

Major Emergency Standby vs DeclaredMajor Emergency Standby vs Declared Verified by CN in emergency deptVerified by CN in emergency dept Switchboard put out call to duty staffSwitchboard put out call to duty staff

Staff need to know what to doStaff need to know what to do

Control sitesControl sites

Receiving Hospital – QMH Receiving Hospital – QMH

Hospital Control Centre – QMHHospital Control Centre – QMH

Board Control - Hayfield HouseBoard Control - Hayfield House

Major Emergency Major Emergency DeclaredDeclared

QMH Duty Staff should :QMH Duty Staff should :

- - Go to Hospital Control Room Go to Hospital Control Room (Board Room, Management Corridor (Board Room, Management Corridor QMH) QMH)

- - Collect Action CardCollect Action Card Held in Filing Cabinet Small meeting Held in Filing Cabinet Small meeting room – keys held by coordinator room – keys held by coordinator

- - Do what it says on the card!Do what it says on the card!

VHK / Forth parkVHK / Forth park

Duty registrars informed by hospital Duty registrars informed by hospital coordinator: call in off duty staff to QMHcoordinator: call in off duty staff to QMH

Paeds?Paeds?

O&G?O&G?

Cascade call outCascade call out

Junior docs tasked with cascading callout to off Junior docs tasked with cascading callout to off duty staffduty staff

Need access to phone numbers of their teamNeed access to phone numbers of their team

External call barriers will be removedExternal call barriers will be removed

No calls from juniors, no responseNo calls from juniors, no response

Site Medical TeamSite Medical Team

Team may be requested to attend scene by Team may be requested to attend scene by MIO ifMIO if- scene overwhelmed, delayed egress- scene overwhelmed, delayed egress- specific incident- specific incident

Team likely to consist of Team likely to consist of - ED cons- ED cons

- Anaesthetic reg / cons - Anaesthetic reg / cons - Orthopaedic reg / cons- Orthopaedic reg / cons- Surgical reg / cons- Surgical reg / cons

Site Medical TeamSite Medical Team

Equipment / PPE stored in ED QMHEquipment / PPE stored in ED QMH

Specialists need to be familiar with kitSpecialists need to be familiar with kit

Where to find outWhere to find out

IntranetIntranet

Search for MAJOR EMERGENCYSearch for MAJOR EMERGENCY

Feedback

Operational division meetings

Representation from surgical / orthopaedics?

Resilience forum

SummarySummary

Departments need to be sure that staff Departments need to be sure that staff know what to doknow what to do

Need to have access to updated off duty Need to have access to updated off duty contact numbers contact numbers

Juniors need to be clear about their role Juniors need to be clear about their role in cascadingin cascading