What a helpful simulation video to show how the emergency medical system and hospitals and all their staff to coordinate with each other during a disaster in a community

I once worked on the day an MCI, I was working regular duty that day on an ambulance. It was still early and the ER was alerted and getting ready. It was an explosion at a plant in Louisian. We entered to ER with a patient that was not related to the MCI but the patient was seizing. We could not find anyone in the ER to help us as we waited on the wall. Everyone was busy getting ready. As we waited our patient began to seize. There was no one to help us in the ER. I had to run out of the ER and grab the ALS bag from the unit and the paramedic had to treat the patient in the hall. An IV was started in route. Moral of the story. Patients are still coming in so be ready. Later that day I did a return trip to the same hospital. Not one patient from the MCI made it to that hospital, they were sent elsewhere.

This is a great simulation training video. I found it helpful to show this to EMT teams so they have an idea what might be going on at the hospital while they are in the field.

Helpful to see this. You all should have recruited some theater students. The "victims" were pretty dull and didn't do anything to "amp" up the drill.

Things to consider: 1 - Ammonia explosion yet none of the paramedics at the site of the explosion are wearing masks or other breathing apparatus. What happened to the ammonia fumes? 2 - No mention of ammonia effects within the hospital. Wouldn't the patients need to be decontaminated, preferably during transportation to the hospital? However, many patients will be contaminated then transported in personally operated vehicles and arrive while still contaminated. 3 - It would be helpful to see coordination with other hospitals as a Mass Casualty Incident (MCI) of this scale would overload a single hospital. Also, hospitals vary in terms of their ability to provide emergency/trauma care. 4 - Coordination should also involve other first responders. For example, police would be needed for traffic management and would establish crime scene procedures at the site of the MCI explosion. Fire department personnel would also accompany the ambulances responding and would have breathing apparatus available, as well as water/chemicals that could assist with decontamination. They mentioned a fire having occurred, so the fire captain on site would manage it as a fire site as well as a crime scene, at least until the fire was completely extinguished. 5 - Given that a car assaulted the crowd and then triggered an ammonia leak, typical of a terrorist attack, another concern is a second explosion that targets first responders. Was this given any consideration? There could be a second MCI that injures and degrades the ability of first responders to provide care. This is still a great exercise, but the scale is fairly small. Perhaps a city wide exercise that forces more co-ordination would be even more helpful. This would be quite useful before Cincinnati is struck by an actual tornado or floods (Ohio River) of the type that devastated nearby Kentucky in 2021 and 2022, respectively.

That day of the bridge collapse is I ended up in Region hospital ER and Janice as well as the other side of her own life.

Called a code orange 🧡 in some hospitals. In Minnesota twin cities metro areas after I-35W bridge collapse in August 1,2007. And I was hurt badly and I was carried away from the sidewalk and the MPLS cop Thurston who carried me to the medic rigs there were 3 rigs.

when they do a simulation do they actually discharge real hospital patients

Always in Ohio…