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MCI Surge in the Era of Hospital Crowding

Creating immediate surge capacity for critically injured patients in a mass casualty incident (MCI) is critical in MCI response. However, the current era of hospital overcrowding and emergency department (ED) boarding has undermined the ability of the ED to create surge capacity. Brigham and Women’s Hospital has leveraged the buffer zone concept within their ED to temporarily and rapidly increase capacity to care for critical patients during an MCI.

In this CHA-member on-demand learning session, Dr. Goldberg highlights Brigham and Women’s Hospital’s experience with developing and implementing buffer zones as part of their institution’s MCI plans and highlight the lessons learned during the operationalization of their buffer zone plan.

CHA Checklist: Hospital Surge Planning

Developed by the California Hospital Association’s Hospital Preparedness Program, this tool is designed to assist in evaluating and enhancing hospital surge capacity planning. It provides a comprehensive list of key components of surge planning, including staffing, space, supplies, communication, patient care, quality, training, and exercises.

Health Care Surge: Overview

Planning for health care surges during disasters is crucial for hospitals to ensure they can effectively respond to sudden increases in patient volume. Disasters can overwhelm medical facilities–having surge plans in place allow hospitals to optimize resource allocation, manage staff and equipment efficiently, and maintain continuity of care for both surge and non-surge patients.

Hospital Burn Resource Manual

This Burn Resource Manual has been created as a tool for use by the Emergency Departments in all Los Angeles County Hospitals. The materials were developed and/or selected from the burn literature by a Burn Task Force. This Burn Task Force was created by the Los Angeles County Emergency Medical Services Agency. This multi-disciplinary group included the Medical Directors and Administrative Nurses from the three burn centers in Los Angeles County, one center in Orange County and one center in San Bernardino county and representatives of the Emergency Medical Services Agency.

Bombing / IED Resources for Hospitals

These resources are essential for enhancing hospital preparedness and response capabilities in the event of bomb threats and mass casualty incidents. They provide valuable guidance on assessing and improving security protocols, ensuring hospitals are ready to handle potential threats. Hospitals can also benefit from strategies for expanding their capacity to manage a sudden influx of patients during emergencies, ensuring continued efficiency and quality of care.