Transcript Scenario Ext 13 PPT Food Contamination

Table Top Exercise
BIOLOGICAL ATTACK
FOOD CONTAMINATION
Tabletop Exercise
Introduction
• Introduction of players
• How the exercise will be played
• Questions and answers
Narrative
• The Universal Adversary terrorist group has
delivered liquid Clostridium botulinum to preselected terrorist plant workers. Two batches
of prepared luncheon meats & three batches of
orange juice are contaminated with C.
botulinum, with distribution to the West Coast,
a southwestern state, and in the Northeast.
Over the last three days, adults, children and
the elderly became seriously ill with botulism.
Hospitals in these cities are overwhelmed with
the large number of cases requiring critical
care. Your facility is located in one of the
impacted areas.
Scenario Event 1
• 08:30 –
Two patients were admitted earlier in the
day exhibiting signs of facial paralysis and
difficulty in breathing, and were diagnosed
with C. Botulinum. Since that time, State
authorities have informed the facility of the
attack and possible impact on the locality.
Expectations are of a large number of
victims.
Scenario Event 2
• 10:00 –
Patients begin arriving, many of whom self
present. The ED is stressed but
functioning. The media is arriving and are
locating themselves at different areas on
the hospital grounds.
Scenario Event 3
• 10:15 –
Official information from agencies
regarding the attack and the impact are
sketchy. Rumors are circulating about the
effects of the attack on other areas of the
country.
Some members of the media are
attempting to gain entry to the facility
through the ambulance bay.
Scenario Event 4
• 10:30 –
As patients arrive, the ED notices a larger
than expected number of adolescent
victims.
The total number of victims presenting at
your facility appear to be exceeding
expectations.
Scenario Event 5
• 11:30 –
Medications, especially antitoxin, needed
for treatment are beginning to dwindle.
Scenario Event 6
• 13:30 –
Members of the local police department,
as well as representatives from the FBI
and State Police arrive as part of their
investigation.
Break
10 minutes
Please return promptly
Scenario Event 7
• 21:30 –
Used disposable supplies and equipment
are being left exposed at various areas.
The number of actual cases of C.
Botulinum appears to have subsided,
however there is an increase of worriedwell presenting themselves to the ED.
Scenario Event 8
• 04:30 –
The attending staff is beginning to show
signs of stress. A few incidents of minor
altercations within the medical staff have
been reported. One nurse has passed out,
breaking a number of vials of antitoxin in
her fall.
Scenario Event 9
• 08:30 –
There have been no new cases in the last
2 ½ hours. The patients admitted are
stabilized and resting and the patient
surge has ended.
Hot wash
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Player’s feedback
Evaluator feedback
Group discussion
Suggestions for improvement