Mass-Casualty & Disaster Preparedness

Mass Casualty Preparedness & Hospital–EMS Coordination

Potential planning support addresses casualty reception, a sudden increase in demand, staffing coordination, communication, patient tracking, interfacility transfers, and continuity of care. Plans are adapted to local roles, capacity, and response arrangements.

Active Threat & Mass-Violence Preparedness

Healthcare institutions may need to prepare for two distinct situations: receiving casualties from an incident elsewhere in the community; and a violent threat occurring inside or directly affecting a healthcare facility. Potential support includes clinical and organizational planning, institutional communication, continuity of patient care, patient movement, and exercises developed with appropriate security, emergency-management, and response partners. This healthcare-focused work includes planning for active-shooter incidents; it is not tactical or combat training.

Continuity, Evacuation & Recovery

Planning may address power or communication failures, disruption to essential services, evacuation considerations, continuity of essential care, patient movement between facilities, and recovery priorities. Plans and coordination tools are reviewed by the institution and relevant local authorities.

Exercises & Improvement

Potential projects may include tabletop exercises, simulation, and functional-exercise development, followed by evaluation, debriefing, and improvement planning. More complex exercises are individually scoped and require appropriate participants, partners, facilities, and resources.

Related Preparedness Work

Related planning may include specialized healthcare hazards and developing civilian–military healthcare cooperation. These remain developing institutional initiatives; any project requires individually agreed scope, authorized institutional partners, and suitable approvals. Hazard-specific activities are limited to the capabilities and qualified partners confirmed for that engagement.

• Joint hospital, EMS, and authorized military-medical preparedness exercises.
• Civilian hospital casualty reception and onward patient transfers.
• Coordination of medical evacuation stages, clinical handoffs, and continuity of care.
• Institutional coordination during infrastructure or routine-capacity disruption.
• Education and knowledge exchange among civilian and military healthcare professionals, with humanitarian and emergency-management partners where appropriate.

Potential Project Deliverables

Examples of possible deliverables, subject to agreed scope and local review:

• A readiness assessment with prioritized findings.
• Locally reviewable plans, role descriptions, and coordination tools.
• A tailored tabletop exercise with a facilitation plan, defined objectives, and evaluation criteria.
• An after-action report and improvement plan with action owners and deadlines.