Atls® International Meeting Minutes October 22-23, 2011 ⦁ San Francisco, ca saturday, October 22, 2011 Welcome – Dr. John Kortbeek Tribute to Dr. Brent Krantz – Dr. Brent Eastman

ATCN – Ms. Cristiane Domingues

1. 
   The Start
   
   1. 
      June-July, 2008 - Student and Instructor Courses in Lisbon, Portugal
      
2. 
   ATCN in Brazil
   
   1. 
      May 2009 - Student and Instructor Courses in Brazil
      
   2. 
      40 Instructors trained
      
   3. 
      5 Course Directors; 3 Director Candidates
      
   4. 
      43 Student courses held
      
   5. 
      5 Instructor courses held
      
   6. 
      652 nurses trained
      
   7. 
      ATCN Student Manual in Portuguese is available
      
   8. 
      Challenges: high failure rates
      
3. 
   ATCN has also been held in Colombia and Paraguay
   

Disaster Planning in Bangkok – Dr. Rattaplee Pak-Art

1. 
   Protests in Thailand between old and new PMS
   
   1. 
      Background
      
      1. 
         April 2010 protests involving hospital
         
      2. 
         Bombs
         
      3. 
         Result—downsize hospital
         
         1. 
            Discharge early to home or nearby hospitals
            
         2. 
            Limit admission
            
         3. 
            No elective operation
            
      4. 
         Policies for Hospital
         
         1. 
            Protect patients, teams, ourselves
            
         2. 
            Don’t fight
            
         3. 
            Take evidence
            
      5. 
         Must think about when, where, & how to evacuate.
         
         1. 
            There were rumors of gas tanks, explosives, etc. no evidence
            
      6. 
         April 27, 2010 7am – gas tanks confirmed
         
      7. 
         Shows map of area of protest
         
      8. 
         April 28, 2010 Searched building for signs of danger and asked authorities for guidance—conclusion: they could only rely on themselves
         
         1. 
            Hospital has no security for patients so they planned to evacuate the hospital April 29
            
      9. 
         Transferred 600 patients in under 1 hour—first time in hospital’s history having no patients
         
      10. 
          Made plans to give signals to teams for guidance on what to do and where to go each day
          
      11. 
          Had to wear comfortable clothes, wear backpacks, and protect faces from tear gas
          
      12. 
          Hospital was surrounded and not accessible
          
      13. 
          Shows map of hospital and block surrounding it
          
          1. 
             Found the hospital was “under siege”
             
      14. 
          Stabilized on the floor
          
      15. 
          Ran low on food
          
      16. 
          Threat of truck explosion less than 1 km from hospital
          
      17. 
          Used Google maps and FB to communicate with one another
          
      18. 
          May 19, 2010: Government announced end of protest which spurred on more violence
          
      19. 
          Bombs 100 meters from the ER
          
      20. 
          50+ docs to help the injured in the ER
          
   2. 
      Crisis is a great opportunity to learn how to protect our patients and team, that there is so much more knowledge to be obtained, and how much the hospital is loved.