TABLE 7

Surge-Capacity Principles for Hospitals

Preparation
    Obtain PPE, showers, and other emergency-response equipment
    Stockpile supplies
    Stockpile or plan for additional pharmaceuticals
    Perform drills; consider tabletop exercise
Response
    Anticipate a 1:5:7 ratio of critically ill/urgently ill (“walking wounded”)/well (“worried well”) casualties
    Anticipate the “second-wave” phenomenon
    Reserve the emergency department for critically ill patients
    Perform triage and decontamination outside the hospital
    Ensure campus security from unauthorized intrusion
    Identify and utilize alternate sites of care; identify transportation options