Global & Disaster Medicine

Archive for the ‘Drills/exercises’ Category

French Disaster Plans: Dealing With the Paris Terror Attacks (Red, Yellow, and White Plans)


In the event of a disaster in France, two complementary plans are activated: the Red Plan and the White Plan.

The Red Plan concerns what is happening in the field. It is based on the principle of extracting and grouping the injured. The injured are grouped in the field hospital, the triage and care center where the treatment that is strictly necessary is given, to ensure survival, calm the pain, and be able to transport the victims without making their condition worse. The field hospital is placed under the authority of the medical response coordinating physician.

The Alpha Red Plan, such as that activated on the night of November 13, is designed to deal with multisite events.

The Yellow Plan is a variant of the Red Plan adapted to nuclear, radiological, biological, and chemical risks. At the same time, the hospitals must be prepared to deal with an influx of victims: this is the responsibility of the White Plan.

On November 13, the emergency services counted 479 victims: operations on chronic cases therefore had to be put on hold in order to deal with the urgent cases.

The White Plan includes setting up a unit tasked with communication with the media, informing families, programming the release of beds, calling in reinforcements, etc. In line with the Social Security Modernization Act of 2004, the White Plan was extended to cover all establishments around the hospital, including clinics

HiRO: Health Integrated Rescue Operations & Disaster Drones

NBC News

“….One HiRO (Health Integrated Rescue Operations) package is designed to provide help for a severely injured victim, another is intended for up to 100 people with significant to minor injuries……Drone experts from…Hinds Community College, with advice from the researchers, designed and built the disaster drones, which are equipped to fly in bad weather. “These drones have impressive lift and distance capability, and can carry a variety of sensors, including infrared devices, to help locate victims in the dark,” says Dennis Lott, director of Hinds CC’s unmanned aerial vehicle program.

Lott notes that any progress toward EMS response drone technology remains limited by Federal Aviation Administration ‘Part 107’ regulations that currently restrict most privately owned drones to a maximum weight of 55 pounds, an altitude ceiling of 400 feet, and line-of-sight operations, that is, within visible range………”

Futuristic: Drones in Disaster Response

Drones at Work

NBC News

“….A tourist bus has tipped over and slipped into a gully…….you call 911.

Soon….a flashing light appears overhead, accompanied by a buzzing sound. You look skyward ……an EMS response drone drops from the heavens deux ex machina. The 3-feet-tall, 6-feet-diameter octo-copter has been automatically guided to your location using your smartphone’s GPS coordinates.

It lands nearby, carrying a kit stuffed with meds, gauze and bandages, a chest seal, clotting sponges, scissors, and tourniquets. As you rummage through it, a video screen inside lights up and a face appears. “I’m an emergency care physician. I’m here to help.”….”

The University of Cincinnati Public Safety Director last year  established training for an “active shooter” scenario like the one that unfolded Monday morning at The Ohio State University.  Then he and his team started training faculty, staff and students on what to do in the event an attacker arrives on campus intent to kill or harm.

USA Today

“…..However, campus police chiefs and other officials all said authorities would be remiss if their universities did not continually train and educate faculty, staff and students on what to do — and what not to do — in an active shooter scenario…..”


DARPA Deploys 1,000 Detectors at the National Mall as part of an exercise designed to help track radioactive material threats in urban areas.


  • “…Hundreds of volunteers participated in the program and wielded a backpack that contained radiation detectors while walking around the urban area as they attempted to locate an “abducted physicist” as part of the simulation….”



NYC program sends unarmed firefighters and EMTs into ‘active shooter’ situations

NY Post


“…..But the program has fueled concern among the unarmed first responders, who could be exposed to mass murderers or terrorists using assault weapons or explosives.

“It’s a f–king disaster,” a worried firefighter said. “We’re relying on these cops to give us the all-clear to head in and administer aid. What happens if there’s more than one shooter? We’re not ready for this.”

Another FDNY member dubbed it “the sitting ducks squad.”

Teams consisting of three firefighters, two EMTs and an EMS officer will wear bullet-resistant vests and helmets. Four cops specially trained for emergencies will guard them — two in the front and two in the rear.

It’s a drastic change from past practices. Usually, cops pull out victims, and medics wait in safe areas to give first aid.

Under the new plan, FDNY members would not go into a “hot zone” where a shooter or terrorist is still active. But they could enter a “warm zone”–with no imminent danger but still under threat — if escorted by the NYPD.

The only medical treatment given victims on the spot would be to stop heavy bleeding with a clotting agent or a tourniquet, or to clear the airways. The injured would be put on tarps and dragged out to safety as quickly as possible…..”

How did a “training device” used in an exercise cause a Premier League match at Old Trafford to be postponed.


‘…..Assistant chief constable John O’Hare said: “I am grateful to the Manchester United and Bournemouth supporters for their support and assistance today.

“Following today’s controlled explosion, we have since found out that the item was a training device which had accidentally been left by a private company following a training exercise involving explosive search dogs.

“While this item did not turn out to be a viable explosive, on appearance this device was as real as could be, and the decision to evacuate the stadium was the right thing to do, until we could be sure that people were not at risk.”….’


WTVG: Active Shooter Training at UTMC/IISC, 5/4/16




WNWO: Active Shooter Training at UTMC, 5/4/16


Nairobi, Kenya: Gunshots rang out through Strathmore University. Terror attack? Drill? 1 dead and scores injured in the escape. It was a DRILL!

Washington Post

Map of Kenya

**  A 33-year-old employee, jumped from the third floor and died.

**  Some 30 additional people were injured.

Swarthmore University Press Release

1st December 2015, Nairobi Kenya

On behalf of the Strathmore University Management Board, I offer an unreserved apology to every student, parent, family, colleague and stakeholder for the unfortunate outcome of the security drill that was carried out in the university on 30th November 2015, at 12:00PM.

We particularly offer our deepest condolences to the family, friends and colleagues of Esther Kidambi, the member of staff we lost as a consequence of this security drill. We empathise with each and every student, parent, family, colleague and stakeholder who suffered injuries, trauma and inconveniences.

Currently, 30 students and staff are receiving treatment in various hospitals within Nairobi. In Nairobi Hospital, 5 patients are admitted while 10 have been discharged. In Nairobi West Hospital, 16 patients were admitted; 1 in ICU; 1 In HDU and 14 in the wards. 4 patients have been admitted at Mater hospital, 1 patient at Karen Hospital, and 1 patient at Menelik Hospital.

The University will cater for all the medical expenses and has engaged professional post-traumatic counselling services. We have also set up a help desk at the admission office to assist the affected students, staff and families. We urge all those who may require any further medical attention and counselling to get in touch with the Strathmore University Medical Centre.

We are carrying out an immediate review of the unfortunate circumstances to harness key lessons, apply internally and share with all stakeholders.

We appreciate the selflessness of our students and staff, paramedics and hospitals who assisted all those affected. We recognize the quick response, diligence and professionalism with which they handled and managed the situation. We are also thankful to all our stakeholders who are standing with us in solidarity, offering their help and support.

We appeal to all students, families, staff, stakeholders and members of press to join us in comforting and supporting each other through this difficult period.

We encourage you to use the following hotline numbers for any inquiries; 0721 714434, 0723 886782 and 0703 034407. All media related inquiries should be directed to Betty Ngala, Communications Director ( / 0721 714434).


Thank you.



Prof John Odhiambo,

Vice Chancellor, Strathmore University.



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