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Disaster Planning
-learning lessons from 7/7
Mike Cross
Director of Pharmacy
Barts and the London NHS Trust
Disaster Planning
Outline
• A reminder of the events of 7/7
• How the events unfolded
• Lessons for the future
Timeline
• 8.52 ‘Power surge’
• 9.07 HEMS alerted by LAS• 9.26 Major incident declared• 10.10 First two casualties arrived• By 10.30 25 casualties arrived• By 11.45 96 casualties• By 12.15 176 casualties• By 3.45 208 casualties
How it evolved…
• 7.45 pm (Thursday)– 27 patients remained– 7 in ITU, 19 on wards, 1 died in theatre
• 10 am Sunday (4 days later)– 7 in ITU, 10 on wards
Meanwhile, in the Pharmacy Department………..
• Major incident 9.28am
• Plan instigated
• A&E pharmacist based in A&E
• Review of stocks
• Clinical staff assigned to facilitate discharge (over 170)
Drug Supplies
• Fluids
• C.D’s
• Replenishing– A&E, HEMS, Theatres, Receiving wards, ITU,
HDU
• TTA’s
• Routine Service
Drug Supplies
• Don’t panic
• How busy can we get?
• Just be prepared– Major incident packs– Fluids– Antidotes / specific preparations
• Police escort
Communications
• Internal bleep, telephone, mobiles all went down.
• Hospital telephones overloaded
• E-mail unaffected
What Have We Done Since?
• Review of communications
• Review contents of major incident supplies
• Scenario planning