1. 1 Directions for this Template Use the Slide Master to make universal changes to the presentation, including inserting your organization’s logo, use the Slide Master “View” tab > “Slide Master” Replace placeholders (indicated by brackets [ ] with information specific to your exercise Delete any slides that are not relevant for your exercise Font size should not be smaller than 22 point

2. PHASE III: TABLETOP EXERCISE 2016 STATEWIDE MEDICAL AND HEALTH EXERCISE [Exercise Name/Exercise Date]

3. WELCOME & INTRODUCTIONS

4. 4 Welcome –Name –Position –Agency/Organization –Optional: Icebreaker Logistics –Materials Situation Manual –Follow along! Feedback Form Observer Handout Player Handout WELCOME & OVERVIEW

5. 5 Cell Phones Restrooms Exercise Materials Breakout Discussion Groups Parking validation Mobile phones Evacuation procedures –“This is a real emergency.” ADMINISTRATION

6. 6 SCHEDULE OVERVIEW 0000 Registration 0000 Welcome and Opening Remarks 0000 Module 1: Train Derailment - 30 Minutes Briefing, Plenary Discussion, and Brief-Back 0000 Break 0000 Module 2: Medical Surge, Evacuation, and/or Shelter in Place - 30 Minutes Briefing, Plenary Discussion, and Brief-Back 0000 Lunch 0000 Module 3: Security and Mass Casualty Management - 30 Minutes Briefing, Plenary Discussion, and Brief-Back 0000 Break 0000 Hot Wash 0000 Closing Comments

7. 7 Welcome and Overview MODULE 1: Train Derailment MODULE 2: Medical Surge, Evacuation, and/or Shelter-in-Place MODULE 3: Security and Mass Casualty Management MODULE 4: Debrief Questions and Planning for the Functional Exercise PRESENTATION GUIDE

8. KEY MATERIAL EXERCISE OVERVIEW & GENERAL INFORMATION

9. 9 Name –Statewide Medical & Health Tabletop Exercise Date –[insert date] Scope –4 phases in program Mission Areas –[insert selected] Capabilities –[insert selected PHEP, HPP, or Core Capabilities] EXERCISE OVERVIEW

10. 10 Objectives –[insert selected] Threat/Hazard –[Mass Casualty Incident (MCI)] Scenario –[Train Derailment] Sponsor –CDPH, EMSA, [insert your agency/organization] Participating Organizations –[insert] EXERCISE OVERVIEW

11. 11 Participant Roles & Responsibilities –Players: Respond to situation presented based on current plans, policies, and procedures –Observers: Support Players in developing responses, but do not participate in moderated discussion –Facilitators: Provide situation updates and moderate discussions –Evaluators: Observe and document player discussions –Controllers (if applicable): Control delivery of injects to exercise players GENERAL INFORMATION

12. 12 Exercise Structure –Module 1 – Train Derailment Breakout group discussion and group presentations –Module 2 – Medical Surge, Evacuation, and/or Shelter-in-Place Breakout group discussions and group presentations –Module 3 – Security and Mass Casualty Management Breakout group discussions and group presentations GENERAL INFORMATION

13. 13 Exercise Guidelines –Open, low-stress, no- fault environment –Varying viewpoints are expected –Use current plans/capabilities –Consider different and innovative approaches –Issue identification is not as valuable as recommended actions and improvements GENERAL INFORMATION

14. 14 Assumptions –The exercise is conducted in a no-fault learning environment wherein capabilities, plans, systems, and processes will be evaluated –The exercise scenario is plausible, and events occur as they are presented Artificialities –Impacts across the response community –Some time lapses may be artificially used to achieve the exercise objectives –See page [insert] of your SitMan for more Assumptions & Artificialities GENERAL INFORMATION

15. 15 Exercise Evaluation –Participant Feedback Forms –Exercise Evaluation Guides –Hot Wash Notes Notes from today’s exercise may be used to design and implement the functional exercise GENERAL INFORMATION

16. TRAIN DERAILMENT MODULE ONE

17. 17 Mass Casualty Incidents (MCI) –Any incident in which emergency medical services resources, such as personnel and equipment, are overwhelmed by the number and severity of casualties Events such as: –Building collapses –Train/Bus Collisions –Earthquakes –Bomb/Active Shooter BACKGROUND INFORMATION

18. 18 Responding Departments/ Agencies can include: –EMS/Ambulance –Fire –Police –Search & Rescue –HAZMAT –Utility/Public Works –Hospitals –Transportation agencies –Media –NGOs –Public Health BACKGROUND INFORMATION

19. 19 MCI Response Flow: –Triage –Treatment –Transport BACKGROUND INFORMATION

20. 20 Will there be enough: –Staff? –Space? –Stuff? (supplies & equipment) –System? (i.e. patient tracking) Special considerations: –Media –HAZMAT BACKGROUND INFORMATION

21. 21 Train collision and derailment in a crowded, busy intersection Two school buses, carrying 60 K-8 th students are hit Tank cars carrying [insert substance] overturn and are leaking MODULE ONE Train Derailment

22. 22 Accident happens at 0800 Local first responders arrive on-scene within minutes Fire arrives on-scene and declares the area potentially unsafe Evacuation / shelter-in-place order is considered for a radius of one mile from the train The area that may be evacuated includes businesses, healthcare facilities, and residences MODULE ONE Train Derailment

23. 23 Elect a group spokesperson Use the Situation Manual and exercise materials to take notes Focus on –Strengths –Areas for improvement As it pertains to: –Doctrine –Organization –Personnel –Training –Equipment –Support DISCUSSION FORMAT

24. MEDICAL SURGE, EVACUATION, AND/OR SHELTER IN PLACE MODULE TWO

25. 25 Law Enforcement begins securing the evacuation zone/communicating the shelter-in-place order Parents and family members of children from the buses are requesting information First responders on scene are requesting additional mental health support at the scene of the crash MODULE TWO Medical Surge, Evacuation, and/or Shelter in Place

26. 26 EMS identifies at least one long term care facility that needs to be evacuated EMS requests additional bed availability information Additional transport vehicles are being requested through mutual aid Media have swarmed the scene of the derailment, and local agencies MODULE TWO Medical Surge, Evacuation, and/or Shelter in Place

27. 27 Elect a group spokesperson Use the Situation Manual and exercise materials to take notes Focus on –Strengths –Areas for improvement As it pertains to: –Doctrine –Organization –Personnel –Training –Equipment –Support DISCUSSION FORMAT

28. SECURITY AND MASS CARE MANAGEMENT MODULE THREE

29. 29 Law Enforcement is having difficulty communicating and enforcing the evacuation/shelter-in- place orders, and requesting additional staff to assist A press conference has been scheduled for 1100 MODULE THREE Security and Mass Care Management

30. 30 Public Health and EMS are coordinating transport of additional supplies The local school from which the buses came from is requesting information about the status of their students Disgruntled residents near the crash are contacting local city representatives MODULE THREE Security and Mass Care Management

31. 31 A local media channel is reporting an incident at a local hospital in which a child was released to someone who was not their legal guardian At 1115, HAZMAT has declared that the scene is secure and there is no longer any danger from the [insert substance] MODULE THREE Security and Mass Care Management

32. 32 Elect a group spokesperson Use the Situation Manual and exercise materials to take notes Focus on –Strengths –Areas for improvement As it pertains to: –Doctrine –Organization –Personnel –Training –Equipment –Support DISCUSSION FORMAT

33. 33 CONCLUSION OF THE DISCUSSION-BASED TABLETOP

34. DEBRIEF QUESTIONS & FUNCTIONAL EXERCISE PLANNING MODULE FOUR

35. 35 Debrief questions Exercise levels –Level of play –DOC/EOC activation Exercise duration Scenario development Participation Testing of plans & procedures Role of State agencies Closing Comments MODULE FOUR

36. 36 Please complete your Participant Feedback Form or Evaluation Notes/EEGs and return them to an Exercise Facilitator at Registration Please clean up your area and take all your materials with you Additional materials can be found at the Statewide Medical and Health Exercise Program website: www.californiamedicalhealthexercise.com CONCLUSION

37. PHASE III: TABLETOP EXERCISE 2016 STATEWIDE MEDICAL AND HEALTH EXERCISE [Exercise Name/Exercise Date]