The purpose of this exercise event is to prepare local San Diego emergency medicine providers with a short burst of "what-ifs" in case the unthinkable occurs. One of the intended objectives of Shadow Bowl will be to allow participating organizations to demonstrate rapid response, on-demand services and expertise for a mass casualty event. This is a great opportunity to build field experience to develop new biomedical technologies and communication systems that enhance our ability to collaborate and effectively respond to potential disasters. The collected data should prove to be extremely valuable for decision makers, first responders and healthcare facilities. Lessons learned from these applied nascent technologies will be useful in the event of a mass casualty but may also should create more efficient process flow, patient safety and cost effectiveness in day-to-day healthcare settings. This project will bring into focus the energy and resources for further development and refinement of advanced applications of emerging knowledge technologies. Should a catastrophic event occur on January 26, the medical facilities in Southern California could be strained under the load of required medical care.

The exercise is not meant to grade, certify or be critical of participant performance, but to provide a learning experience which may help save many lives should a catastrophic event occur on January 26. The controlled exercise using a well planned scenario with learning objectives will provide the learning teams with a tactical and strategic learning experience which will allow them to much more quickly make judgmental decisions in a real world situation. It will also allow both local and distant support units to coordinate their actions and learn lessons that cannot be learned without going through the exercise experience.

Examples of Opportunities to Explore and Demonstrate Civil Support Capabilities:

Environmental Sensor Networks

Dam failure/attack: A dam is located in the region of the event. If a failure were to occur, flooding could occur and a wall of water projected to be about 14 -18 feet in height, arriving at the event approximately 14 minutes after catastrophic failure. A nearby Reservoir has a 22 foot wall of water which can drain in 68 minutes. We intend to identify problems this can create and describe how we can prevent or at least minimize negative impact.

Mitigation

Industrial Chemical hazards exist in all metropolitan areas. Chemical manufacturing and petroleum storage facilities also present challenges which must be addressed. We will identify the risks in the area and develop technology and environmental strategies for dealing with each.

Detection and Environmental Monitoring

Potential for a radiological "accident" or chemical attack at this event is high. Our objective is to identify what systems, if any, would allow us to detect these types of materials at the perimeter of the site, what "sensors" are available to detect radiological materials and chemical weapons, and what should be the process flow for integrating the check points with operation centers, hospitals, EMS, reach-back medical expertise, and civil support services.

Medical Response

Study the impact of new infrastructure, services, technologies, and applications in disaster medicine response capabilities.

• Promote experimentation with the next generation of medical communications technologies to understand the
• Enhance the delivery of medical expertise to the front lines of a mass casualty event.

Exercise Goals:

• Determine local saturation point
• Determine effectiveness of medical reach-back resources available
• Identify appropriate technologies to provide medical reach-back capabilities infrastructure
• Assess appropriate technologies for medical reach-back
• Measure time to initiate medical reach-back deployment to operations
• Determine effectiveness of three levels of medical reach-back tools
  • Voice (phone communication)
  • Medium data rate video
  • High rate data rate video
• Using the exercise scenario assess reach-back tools for five injury types
  • Burns
  • Electrocution
  • Trauma
  • Vapors (pulmonary)
  • Shock