TABLE 6

Surge Capacity Principles for Hospitals

Principles
Preparation
 Obtain PPE, showers, and other emergency-response equipment
 Stockpile pediatric supplies
 Stockpile or plan for additional pediatric pharmaceuticals
 Perform drills; consider tabletop exercises using pediatric victims
 Familiarize with wt-based dosing (eg, milligrams of medication per kilogram of body wt) for pediatric emergency medicines
Response
 Anticipate a 1:5:7 ratio of critically ill/urgently ill (“walking wounded”)/well (“worried well”) casualties96,97
 Anticipate the “second-wave” phenomenon98
 Reserve the emergency department for critically ill patients
 Perform triage and decontamination outside of the hospital
 Put protocols in place to prevent campus security from unauthorized intrusion
 Identify and use alternate sites of care; identify transportation options