A training exercise is held at Inova Fairfax Hospital, just outside Washington, DC, which is based around the scenario of a terrorist attack with a chemical weapon. [Washington Post, 11/8/2001; American Hospital Association, 2002, pp. 27 ; New York Times, 1/6/2002] The large-scale exercise involves local, state, and federal participants, although which particular agencies take part is unstated. It centers around a simulated attack on the Fairfax County courthouse with sarin, a deadly nerve gas. [American Hospital Association, 2002, pp. 27
] The simulated scenario is intended to overwhelm the medical system with hundreds or thousands of victims. Dr. Thomas Mayer, chair of Inova Fairfax Hospital’s emergency department, will later explain: “You say, ‘Here’s the scenario: We have 160 victims. How do we triage them? Where will they go? How will they be handled?’” [New York Times, 1/6/2002]
Model Tested in the Exercise Works Well – The “command hospital communication concept” is tested in the exercise. This model involves the “command hospital”—Inova Fairfax, which has the appropriate communications system—serving as a link to other hospitals in the area and being responsible for ensuring that patients with specific needs are sent to the appropriate medical facilities. The exercise is reportedly a success. “Everything worked fine,” Patrick Walters, a senior vice president at Inova Health System, will say. [American Hospital Association, 2002, pp. 27 ; Condon-Rall, 2011, pp. 186]
Hospital Responds to the Pentagon Attack on September 11 – Inova Fairfax Hospital, the largest hospital in Northern Virginia, is located 10 miles from the Pentagon. [ACP Hospitalist, 1/2007; Washington Post, 10/10/2010] On September 11, it will activate its disaster plan following reports of the attacks on the World Trade Center (see (Before 9:37 a.m.) September 11, 2001). [US Department of Health and Human Services, 7/2002, pp. B3 ] After being informed about the attack on the Pentagon, hospital officials will quickly clear over 200 beds for the anticipated casualties. [Washington Post, 11/8/2001] However, although the regional plan process works well when tested in today’s exercise, on September 11 it “didn’t work at all,” Walters will say. [American Hospital Association, 2002, pp. 28
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