Lessons Learned From an Active Shooter Full-Scale Functional Exercise In a Newly Constructed Emergency Department. (6th March 2017)

• Record Type: Journal Article
• Authors: Wexler, Bryan; Flamm, Avram
• Is Part Of: Disaster medicine and public health preparedness. Volume 11:Number 5(2017:Oct.)
• Page Start: 522
• Page End: 525
• Publication Date: 2017-03-06
• Subjects: disaster planning, -- mass casualty incidents, -- active shooter, -- hospital emergency preparedness; Disaster medicine -- Periodicals; Emergency management -- Planning -- Periodicals; Public health -- Periodicals; 363.34
• DOI: 10.1017/dmp.2016.181
• Languages: English
• ISSNs: 1935-7893

Abstract

Abstract: Objective: The primary objective of this exercise was to conduct a full-scale functional exercise utilizing an active-shooter-based scenario to test and evaluate hospital response and coordination with local law enforcement. Methods: A multidisciplinary group, including community partners, formulated objectives in accordance with the Homeland Security Exercise and Evaluation Program and defined a scenario. A date to conduct the exercise was chosen on the basis of the expected completion of a large section of the new emergency department but prior to its opening for patient care. Results: The exercise highlighted several strengths, but more importantly, illuminated areas for improvement that might otherwise have been missed in tabletop exercises and smaller-scale drills. Educational opportunities to improve functional skills and protocol were recognized. Conclusion: Conducting a full-scale functional exercise of an active shooter in a newly constructed emergency department prior to opening for patient care provided valuable insight into areas for improvement while minimizing the impact such an exercise can have on daily operations. Should a similar opportunity arise as a result of new facilities being developed or renovations and maintenance requiring temporary closure, we advise hospitals to consider planning an exercise in the area prior to reopening for patient care. ( Disaster Med Public Health Preparedness . 2017;11:522–525)