The next Quarterly Triage Triage Day (QTD) will be held on January 21, 2020 starting at 2000 hours (8pm) and continue to January 22, 2020 at 2000 hours.  Our region has had numerous real-world events demonstrating how important it is that all EMS and hospital ED personnel have complete familiarity with MCI tools such as triage ribbons, tags, RHNS, MCI radio talk groups, the Surgenet MCI page, and OHTrac.

• OHTrac incident creation and the request for RHNS messages will be performed by personnel from around the region.  Sign up for a chance to be one of the people to do that here:  https://www.surveymonkey.com/r/GTYWMGZ
• OHTrac is critical in real-world events!  Every emergency department patient should be entered into OHTrac during this 24 hours. 
  • This time, seven items need entered:  1)  Triage Tag # or Hospital record #; (do NOT enter patient names for this exercise); 2)  Patient initials only in the name field; 3) Gender; 4) Triage Level (Red, Yellow, etc.); 5) “Arrive” the patient – change Current Location to your hospital or ED; and 6)  indicate GSW or other short “Diagnosis” for all penetrating trauma only.  Finally, hospitals should update the patients in OHTrac  to reflect when they are discharged or transferred.
    • During the 24- hour period of time,  EDs are also asked to identify total number of patients seen at your facility, and the total number with the chief complaint of penetrating trauma.  Send this information to Mary Porter at mporter@gdaha.org.
    • At the end of the drill, please send all Tags (unless grossly contaminated to the attention of David Gerstner at GDAHA.
  • By far the easiest method of OHTrac entry is by scanning the Triage Tag bar code, either using the OHTrac smartphone app or by using a barcode scanner that will connect via computer directly to OHTrac.  If you use that feature, update the patient with their initials.
  • Even when patients are entered by EMS, for this drill, the Location can be entered as the hospital or ED.
  • Because all patients will be entered in OHTrac during this QTD, it is crucial that EMS apply a ribbon and triage tag on EVERY PATIENT.
  • Wherever possible, EMS is requested to enter patients into OHTrac, and note that on the Triage Tag.
• Please share this email with all ED and EMS personnel!

· Hospitals will monitor MCI radios from 8:00 PM to 12:00 AM (2000-2400) on the first day and from 8:00 AM to 12:00 PM (0800-1200) the next day.

· EMS crews transporting patients to a hospital during these times should provide a brief, MCI-style report to the hospital over MCI radio talk groups during those times.

• Several people suggested we create a QTD Job Aid for EMS, and a QTD Job Action Sheet for Hospitals.  They are in the attached file (1^st page EMS, 2^nd for EDs).  Let us know how we can improve them both for future QTDs and for real-world incidents.

During this exercise every patient should receive a triage ribbon and a GREEN triage tag.  Hospitals must update their GDAHA Surgenet MCI page at least once every 8 hours.

· We encourage every EMS unit to look at the GDAHA Surgenet MCI page.  During an MCI, it’s a potentially invaluable tool to help your Transport Officer avoid overloading individual hospitals.  You can view it at https://gdaha.surgenet.org, the same website you use for Hospital Reroute information. 

· If you don’t have a login (EMS agencies can use generic apparatus logins), or if your login doesn’t show the MCI section pictured on the attached QTD Flyer, just click the Request Access button.

There is more information in the attachments.  PLEASE POST THE FLYERS and help us get the word out to all line personnel, both in EMS and in EDs.

Remember there are training materials at: http://gmvemsc.org/training-mcicomm.html.  Watch the video (the top video is for EMS, bottom video is for hospital personnel), then, regardless of which you watch, take the quiz at the bottom of the page to receive 1.5 Hours of Con Ed.

If you need additional GREEN triage tags or triage ribbons, contact GDAHA or Dayton MMRS.

At the conclusion of your shift or the end of the drill, please take a couple of minutes to complete a feedback form at https://www.surveymonkey.com/r/QDTFeedbackJan2020.

Thank you for participating in QTD drills to help our region be better prepared for mass casualty incidents of all types. Two more short emails will follow.