How not to make your Disaster drill a Disaster What you will take away today Ins and outs of a drill Anatomy of a victim scenario View a video of drill Lessons Learned 1
Plan Drill Hot Wash or Debrief Anatomy of Drills The Plan What is the objective of the drill Type of incident Liability Victims Setup and flow of victims Placing victims 2
Type of Scenario Small Classroom scenario 1 5 victims Medium size 5 20 victims Large Large Scale 20 100 plus victims Clear Objectives Write your objectives down Write the definition of a successful drill Use % or actual numbers Define key points observers need to look 3
Guidelines for a successful Exercise Properly triage 95% of the victims Transport successful 85% of the victims to the correct location One victim deteriorates from critical to dead in the triage area did they address this Deal with an aftershock, ensuring safety of all DRT members on scene did they do a safety check Clear Critiques Points Task Yes/No Notes 1. Did the team have proper gear 2. Did they have defined roles and worked in pairs 3. Did they search in the correct direction starting to the right 4. Did theyproperly identify any areas of safety risk 5. How did they handle victims 6. Did they properly assess and tag the victims per the START Triage protocol 4
The scenario Type of incident Earthquake Fire/explosion Collision Vitals Respirations Perfusion Mental Status Action Victim Scenario Anatomy of a scenario Victim Signs & Symptom Victim 1 Vital Signs: Respirations 25/min Perfusion < 2 seconds Mental Status can follow instructions Able to Walk Yes The victim was in Earthquakedisaster The victim was in Earthquake disaster, with the following injuries abrasions to the right ear and abrasions to the face, they are ambulatory, their respirations are 25/min, mental status is can follow instructions and a cap refill of < 2 seconds they are scared. 5
The Drill Check In Victims Setting the scene Let the participants work the issue Have numerous observers More points of view Use video and pictures Get supplies back at the end of the drill Disaster Drills Victims Where to get victims United Way Boy Scouts Girl Scouts Youth Groups Drama clubs 6
Liability Make sure you have a Release From Liability form Get a Photo Release form Insurance Boy Scouts/Girl Scouts Covered under BSA insurance provided they fill out tour permit Adult supervision Ensure no one has latex allergies If they do just use makeup Release of Liability Sign In # Victim # Moulage # Release of Liability I, and my heirs, in consideration of my participation in the Fillmore Fire Dept Drill- on July 18,, 2009 - in the _- City of Fillmore, CA, hereby release First on Scene Training LLC, its officers, employees and agents, and any other people officially connected with this event, from any and all liability for damage to or loss of personal property, sickness or injury from whatever source, legal entanglements, imprisonment, death, or loss of money, which might occur while participating in this event. Specifically, I release said persons from any liability or responsibility for (my physical condition, for the condition or selection of course route and for the presence or actions of any other participants). I am aware of the risks of participation, which include, but are not limited to, (the possibility of sprained muscles and ligaments, broken bones, fatigue and latex allergies,. I hereby state that I am in sufficient physical condition to accept a rigorous level of physical activity). I understand that participation in this program is strictly voluntary and I freely chose to participate. I understand that First on Scene Training LLC does not provide medical coverage for me. I verify that I will be responsible for any medical costs I incur as a result of my participation. CAUTION the moulage may stain clothes. LATEX Allergies The moulage contains latex which in some people may cause an allergic reaction. I confirm I do NOT have any Latex Allergies Photo/Media Release I grant First on Scene Training LLC the right to use, reproduce, productize, assign and/or distribute photographs, films, video, and sound recordings of me for use in materials they may create. I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELASE OF LIABILITY AND A CONTRACT AND I SIGN IT ON MY OWN FREE WILL. Age: (Participant name) Address: Telephone number: ( ) email Date: (Participant signature) (Parent or guardian's signature if under l8) 7
What Victims need Old clothes Will get messy Change of clothes Plastic bag Take old clothes home Strip & Flip Bathing suit underneath old clothes Not to bring any valuables The Good, The Bad The Ugly Debrief Everyone involved has an opportunity to comment Leader takes notes and is NOT JUDGEMENTAL Show as many pictures as possible at the debrief if possible Look for ways to make it better MAKE PEOPLE FEEL GOOD ABOUT PARTICAPATING 8
Lessons Learned Pick your Victims carefully Lessons Learned Match victims with wardrobe 9
Lessons Learned Do not let victims improvise too much Lessons Learned Too much of a good thing 10
Lesson Learned Victims too bloody resulting in unmanageable triage Not enough victims recycle them, pretend they have been transported to hospital and have them rejoin disaster Be very organized with your victims and scenarios make sure victims tags match moulage and victim scenario Ross Kocen First on Scene Training LLC www.first-on-scene.com 805 279-5221 11