Lessons From the 2013 Boston Marathon: Incorporating Residents Into Institutional Emergency Plans

Schlosser, Katherine R.; Creedon, Jessica K; Michelson, Kenneth A.; Michelson, Catherine D.

doi:10.1542/peds.2017-0688

Cited by 7 publications

(8 citation statements)

References 9 publications

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“…Evaluations and planning have focused on mass casualty incidents isolated to specific communities. [13][14][15] There has been no published and distributed plan instituted for residents in a population health scenario such as that presented by COVID-19. For example, residents' roles in the disaster response to the Boston Marathon bombing was unclear.…”

Section: Trainee Allocationmentioning

confidence: 99%

“…There was no understanding if residents would be expected to provide surge staffing or if they would be stratified by experience. 13 Though most hospitals train nurses and attendings for mass-casualty events, fewer than half train residents. 14,15 This is a gap in medical education that should be addressed because these incidences are, unfortunately, becoming more frequent.…”

Section: Trainee Allocationmentioning

confidence: 99%

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Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19)

Ross

Lauer

Miles

et al. 2020

Journal of the American College of Surgeons

108

100

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The novel coronavirus (COVID-19) was first diagnosed in Wuhan, China in December 2019 and has now spread throughout the world, being verified by the World Health Organization as a pandemic on March 11. This had led to the calling of a national emergency on March 13 in the US. Many hospitals, healthcare networks, and specifically, departments of surgery, are asking the same questions about how to cope and plan for surge capacity, personnel attrition, novel infrastructure utilization, and resource exhaustion. Herein, we present a tiered plan for surgical department planning based on incident command levels. This includes acute care surgeon deployment (given their critical care training and vertically integrated position in the hospital), recommended infrastructure and transfer utilization, triage principles, and faculty, resident, and advanced care practitioner deployment.

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Section: Trainee Allocationmentioning

confidence: 99%

Section: Trainee Allocationmentioning

confidence: 99%

Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19)

Ross

Lauer

Miles

et al. 2020

Journal of the American College of Surgeons

108

100

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“…In addition, the residency plans to incorporate hurricane preparation and evacuation training into the annual intern orientation. [3][4][5][6][7]…”

Section: Discussionmentioning

confidence: 99%

Hurricane Ida Emergency Medicine Resident Disaster Response

Fenton

Flitter

Kessler

et al. 2022

Prehosp. Disaster med.

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This report describes the medical response, action plan, and after-action summary adopted by the Louisiana State University (LSU) New Orleans - Emergency Medicine (EM) Residency Program in response to Hurricane Ida which occurred in New Orleans, Louisiana (USA) late August through early September 2021. New Orleans has an estimated 385,000 people within the 350 square miles surrounding the metropolitan area, with greater than one million residents in all of Louisiana. In the two-week time span during and following the event, residents, nurses, attendings, ancillary staff, and Emergency Medical Services (EMS) managed a substantial intensification in daily EM activities due to a substantial lack of resources (ie, food, electricity, water, housing, medications, oxygen, and primary care). This report outlines the redistribution of emergency department (ED) residents within the primary clinical site, University Medical Center New Orleans (UMCNO); describes the daily communication flow from the chief residents and program director; describes the daily EM response; describes the pre- and post-action plans based on those efforts during hurricane operations; and summarizes the obtained information.

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“…Residents and fellows have added substantial value to previous emergency response situations for several reasons. 8,9 These physicians represent a sizeable, skilled workforce that is easily accessible, rapidly mobilized, and often geographically clustered. They are also adept at navigating electronic health record systems, allowing them to transfer to other roles and locations with minimal additional training.…”

Section: Introductionmentioning

confidence: 99%

Knowing Your Team: Rapid Assessment of Residents and Fellows for Effective Horizontal Care Delivery in Emergency Events

Dennis¹,

Highet²,

Kendrick³

et al. 2020

Journal of Graduate Medical Education

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Background Horizontal care, in which clinicians assume roles outside of their usual responsibilities, is an important health care systems response to emergency situations. Allocating residents and fellows into skill-concordant clinical roles, however, is challenging. The most efficient method to accomplish graduate medical education (GME) assessment and deployment for horizontal care is not known. Objective We designed a categorization schema that can efficiently facilitate clinical and educational horizontal care delivery for trainees within a given institution. Methods In September 2019, as part of a general emergency response preparation, a 4-tiered system of trainee categorization was developed at one academic medical center. All residents and fellows were mapped to this system. This single institution model was disseminated to other institutions in 2020 as the COVID-19 pandemic began to affect hospitals nationally. In March 2020, a multi-institution collaborative launched the Trainee Pandemic Role Allocation Tool (TPRAT), which allows institutions to map institutional programs to COVID-19 roles within minutes. This was disseminated to other GME programs for use and refinement. Results The emergency response preparation plan was disseminated and selectively implemented with a positive response from the emergency preparedness team, program directors, and trainees. The TPRAT website was visited more than 100 times in the 2 weeks after its launch. Institutions suggested rapid refinements via webinars and e-mails, and we developed an online user's manual. Conclusions This tool to assess and deploy trainees horizontally during emergency situations appears feasible and scalable to other GME institutions.

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Lessons From the 2013 Boston Marathon: Incorporating Residents Into Institutional Emergency Plans

Cited by 7 publications

References 9 publications

Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19)

Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19)

Hurricane Ida Emergency Medicine Resident Disaster Response

Knowing Your Team: Rapid Assessment of Residents and Fellows for Effective Horizontal Care Delivery in Emergency Events

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