1. Major Emergency Response Libby McGugan Consultant in Emergency Medicine

2. Major Emergency  Location, number, severity or type of live casualties requires extraordinary resources  3 - 4 times per year in UK  We have a statutory duty to provide response

6. In a nutshell  Major Emergency Standby vs Declared  Verified by CN in emergency dept  Switchboard put out call to duty staff  Staff need to know what to do

7. Control sites  Receiving Hospital – QMH  Hospital Control Centre – QMH  Board Control - Hayfield House

8. Major Emergency Declared  QMH Duty Staff should : - Go to Hospital Control Room (Board Room, Management Corridor QMH) - Collect Action Card Held in Filing Cabinet Small meeting room – keys held by coordinator - Do what it says on the card!

9. VHK / Forth park  Duty registrars informed by hospital coordinator: call in off duty staff to QMH  Paeds?  O&G?

10. Cascade call out  Junior docs tasked with cascading callout to off duty staff  Need access to phone numbers of their team  External call barriers will be removed  No calls from juniors, no response

11. Site Medical Team  Team may be requested to attend scene by MIO if - scene overwhelmed, delayed egress - specific incident  Team likely to consist of - ED cons - Anaesthetic reg / cons - Orthopaedic reg / cons - Surgical reg / cons - Anaesthetic reg / cons - Orthopaedic reg / cons - Surgical reg / cons

12. Site Medical Team  Equipment / PPE stored in ED QMH  Specialists need to be familiar with kit

13. Where to find out  Intranet  Search for MAJOR EMERGENCY

14. Feedback   Operational division meetings   Representation from surgical / orthopaedics?   Resilience forum

15. Summary  Departments need to be sure that staff know what to do  Need to have access to updated off duty contact numbers  Juniors need to be clear about their role in cascading