Eureka Case 30 min Undergrad

72-Hour Team

You are Dr. Inés Caballero-Donoso, 47, ICU director at Hospital Universitario Doce de Octubre in Madrid. The hospital's first hospital-wide 72-hour mass-casualty drill — a multi-bus collision on the M-40 with a tanker chemical spill — is in 11 days. You have to assemble the 9-person rapid-response team and pick the decision-rights doctrine they will operate under.

The situation

The drill — codenamed Ejercicio Galeno — is being run by the Madrid emergency system in coordination with SAMUR-PC. Doce de Octubre has been asked to model the in-hospital response: 72 simulated continuous hours, 64 simulated casualties arriving in three waves, contaminated decontamination requirements, no shift handovers from the rapid-response team itself. The medical director, the dean, the SAMUR chief and the regional health-emergencies director will all be reading the after-action report.

You have a 16-person eligible pool: ICU, ER, trauma surgery, anesthesia, toxicology, pediatric ICU, charge nurses, respiratory therapy, pharmacy, hospital incident command, logistics. You must pick 9. You must also pick the doctrine: single-commander (military / NIMS-style), dual-pilot (aviation CRM-style), or rotating-lead (collaborative high-reliability).

Your job in this case: review the three pre-composed team profiles, model how the doctrine interacts with team composition over 72 hours, and commit to one integrated team-and-doctrine. The after-action report — and the next two years of the hospital's emergency-preparedness budget — depend on what you walk into the briefing with on Monday.

The decision

Which team-and-doctrine do you walk into Monday with?

  • A · All-Stars + Single-Commander
  • B · T-Shape + Dual-Pilot
  • C · Specialist-Heavy + Rotating-Lead

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