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Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

Jan 14, 2015

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Health & Medicine

Marilyn Hollier, CPP, CHPA, International Association for Healthcare Security and Safety; Director of Hospitals and Health Centers Security, University of Michigan Division of Public Safety and Security delivered this presentation at the 2013 Safe and Secure Hospital Conference. The comprehensive program addressed the following issues:

Early intervention via early reporting of disruptive, aggressive, and bullying behaviour to minimise work place violence
An innovative training model to help clinicians, security and policy makers respond to the problems of challenging behaviours
Therapeutic sedation in the Emergency Department: Best practice in managing the highly agitated patient
A systems approach to the prevention of Occupational Violence and Aggression (OVA)
Contract management security: The change from in-house security to contract security
Role of the Risk Based Approach throughout the design process
Preventing and managing clinical aggression in the paediatric and youth health setting
The roles, functions and training provided by the Mental Health Intervention Team (MHIT), New South Wales Police Force
Interactions between Police, Health staff, Ambulance and Hospital Security and future directions
A Legal Perspective: Prevention and management of violence in hospitals
Code Grey responses - Are they legal?

For more information about the annual event, please visit the conference website: http://www.healthcareconferences.com.au/safehospitals
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Page 1: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

What If?

Page 2: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

Gold Coast Airport Marathon started on Sept. 2 1979 with 124 runners for the full marathon. It has grown every year to include 28,000 runners in 2013. The Gold Coast Airport is the 5th busiest International Airport in Australia.

Page 3: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

Marathon Route

Page 4: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

Most likely target would be Start/Finish line due to

the concentration of people

Key Spectator gathering areas

Page 5: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

124 race participants in 1979

28,000 race participants in 2013

30 countries

Countless Spectators

5,000 more runners than The Boston Marathon

9:30am to 10:00am largest group of runners crossing the finish line.

The Numbers

Page 6: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

Race date July 5-6th 2014

What if 2 bombs go off by the finish line?

What Pre-Planning would you do?

Page 7: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

11 Road Closures on Saturday

34 Road Closures on Sunday

Smaller Weekend Hospital Staff Shifts

Distance to Hospitals (Walking)

Panic

Confusion

Identifying unconscious victims with no ID

Relatives and Friends crowding waiting rooms

Relatives and Friends going to the wrong Hospitals

The Problems

Page 8: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

What do you do?

Bombing Finish Line

Page 9: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

Panic, Looking for Help

Mass Trauma

Page 10: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

Transportation Chaos

Page 11: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

Gold Coast Hospital closed in Sept 2013

Hospital Locations

Page 12: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

Start/End of race

Gold Coast University Hospital

The Hospital is just over a mile from the optimal attack point.

Page 13: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

New 750 bed Hospital (Best option for victims)

End of Race

Hospital

Gold Coast University Hospital

Page 14: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

How do you handle it?

Page 15: Marilyn Hollier , University of Michigan: Are You Ready? - Emergency Management Case Studies and Practical Solutions

Will there be a mad rush to your Hospital?

Do you go on Lock-Down/Access control?

Do you screen everyone entering the Hospital ED?

How will you identify victims and connect family to victims and patients?

What if the Terrorist is an unidentified victim in your Emergency Department?

How will you handle the media? Dignitaries?

Recovery: address PTSD (Post Traumatic Stress Disorder)

Questions?