Disaster planning for a surgical surge: when mass trauma threatens to overwhelm your operating rooms

Katherine M Kelley¹, Nicole Toscano², Mark L Gestring³, Jeannette Capella⁴, Christopher Newton⁵, Marko Bukur⁶, David V Shatz⁷, Robert D Winfield⁸, Adam Fox⁹, Mary E Fallat¹⁰, Deborah A Kuhls^{11

12}, Galina Glinik¹³, Jay Doucet¹⁴, Jonathan Gates¹⁵, Kyle N Remick¹⁶

Affiliations

¹ Kelley Acute Care Surgery, Pocono Lake, Pennsylvania, USA.
² University of Maryland Medical System, Capital Region Medical Center, Division of Trauma, Largo, Maryland, USA.
³ Department of Surgery, University of Rochester, School of Medicine, Rochester, New York, USA.
⁴ Department of Surgery, The Iowa Clinic, Des Moines, Iowa, USA.
⁵ Department of Surgery, UCSF Benioff Children's Hospital, San Francisco, California, USA.
⁶ Department of Surgery, NYU Langone School of Medicine, Bellevue Hospital Center, New York, New York, USA.
⁷ Department of General Surgery, UC Davis Medical Center, Sacramento, California, USA.
⁸ Department of Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA.
⁹ Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
¹⁰ The Hiram C. Polk, Jr., Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA.
¹¹ Department of Surgery, UNLV School of Medicine, Las Vegas, Nevada, USA.
¹² Division of Trauma, University Medical Center of Southern Nevada, Las Vegas, NV, USA.
¹³ Department of Surgery, Staten Island University Hospital, Staten Island, New York, USA.
¹⁴ Department of Surgery, University of California San Diego Health System, San Diego, California, USA.
¹⁵ Department of Surgery, Hartford Hospital, Hartford, Connecticut, USA.
¹⁶ Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.

PMID: 38020853
PMCID: PMC10649914
DOI: 10.1136/tsaco-2023-001224

Editorial

Disaster planning for a surgical surge: when mass trauma threatens to overwhelm your operating rooms

Katherine M Kelley et al. Trauma Surg Acute Care Open. 2023.

. 2023 Nov 9;8(1):e001224.

doi: 10.1136/tsaco-2023-001224. eCollection 2023.

Authors

Affiliations

¹ Kelley Acute Care Surgery, Pocono Lake, Pennsylvania, USA.
² University of Maryland Medical System, Capital Region Medical Center, Division of Trauma, Largo, Maryland, USA.
³ Department of Surgery, University of Rochester, School of Medicine, Rochester, New York, USA.
⁴ Department of Surgery, The Iowa Clinic, Des Moines, Iowa, USA.
⁵ Department of Surgery, UCSF Benioff Children's Hospital, San Francisco, California, USA.
⁶ Department of Surgery, NYU Langone School of Medicine, Bellevue Hospital Center, New York, New York, USA.
⁷ Department of General Surgery, UC Davis Medical Center, Sacramento, California, USA.
⁸ Department of Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA.
⁹ Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
¹⁰ The Hiram C. Polk, Jr., Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA.
¹¹ Department of Surgery, UNLV School of Medicine, Las Vegas, Nevada, USA.
¹² Division of Trauma, University Medical Center of Southern Nevada, Las Vegas, NV, USA.
¹³ Department of Surgery, Staten Island University Hospital, Staten Island, New York, USA.
¹⁴ Department of Surgery, University of California San Diego Health System, San Diego, California, USA.
¹⁵ Department of Surgery, Hartford Hospital, Hartford, Connecticut, USA.
¹⁶ Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.

PMID: 38020853
PMCID: PMC10649914
DOI: 10.1136/tsaco-2023-001224

Abstract

Mass casualty events particularly those requiring multiple simultaneous operating rooms are of increasing concern. Existing literature predominantly focuses on mass casualty care in the emergency department. Hospital disaster plans should include a component focused on preparing for multiple simultaneous operations. When developing this plan, representatives from all segments of the perioperative team should be included. The plan needs to address activation, communication, physical space, staffing, equipment, blood and medications, disposition offloading, special populations, and rehearsal.

Keywords: disasters; mass casualty incidents; multiple trauma.

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Conflict of interest statement

Competing interests: None declared.

References

1. American College of Surgeons . Resources for optimal care of the injured patient 2022 standards. 2022. Available: file:///C:/Users/kathy/Downloads/2022_vrc_injured-patient-standardsmanua... [Accessed 2 Jun 2023].
1. U.S. Department of Health and Human Services . Administration for Strategic Preparedness and Response, Technical Resources, Assistance Center, and Information Exchange: Mass Casualty Hospital Capacity Expansion Toolkit, April . 2023Available: https://files.asprtracie.hhs.gov/documents/mass-casualty-hospital-capaci...
1. American College of Emergency Physicians . Surgical Department response template. Available: https://www.acep.org/siteassets/uploads/uploaded-files/acep/clinical-and... [Accessed 18 Jun 2023].
1. American Society of Anesthesiologists . Committee on trauma and emergency preparedness (ASA COTEP): OR mass casualty checklist. Available: https://www.asahq.org/resources/resources-from-asa-committees/committee-... - PubMed
1. Kuza CM, McIsaac JH. Emergency preparedness and mass casualty considerations for anesthesiologists. Adv Anesth 2018;36:39–66. 10.1016/j.aan.2018.07.002 - DOI - PMC - PubMed

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Disaster planning for a surgical surge: when mass trauma threatens to overwhelm your operating rooms

Affiliations

Disaster planning for a surgical surge: when mass trauma threatens to overwhelm your operating rooms

Authors

Affiliations

Abstract

Conflict of interest statement

References

Publication types

LinkOut - more resources

Full Text Sources