Key Takeaways

  • It is critical to not only perform disaster drills, but also to practice doing so with the unexpected absence of critical resources. A true disaster is likely to coexist with not only unexpected patient volumes and critical injuries, but also without certain capabilities.
  • Debriefing as soon as possible in a nonjudgmental setting for the residents involved and with the entire department is therapeutic. Do not use this time to determine opportunities for improvement, but rather a recounting of what happened. Save the quality improvement for a separate time.
  • It is important to provide resources to residents to help cope with the emotional toll. Confidential one on-one-counseling is a useful method for some trainees.Be aware of the possibility and monitor for depression and burnout in the weeks and months after the event.