A mass-casualty surge is at the doors. You are the ED team. Triage, stabilize, save the most lives.
A bridge has come down during the evening commute, and dozens of injured are arriving at St. Aldous Regional Hospital. You are an original character on the emergency-department team — an attending physician, charge nurse, trauma surgeon, paramedic, triage lead, or patient advocate.
Across the worst hours of the surge you triage the wave by clinical priority, stabilize the critical inside the golden hour, allocate the beds and blood and operating rooms that are never enough, and bring the department through. The conflict is injury, scarcity, and the clock.
The clinical lead of the floor — sets the medical plan, makes the decisive calls, and keeps the whole team's judgment sharp under surge.
The keeper of the floor — manages beds, staff, and supplies, holds the department together, and keeps the team whole through the surge.
The team's decisive hands on the critical — stabilizes the most time-critical patients and wins back outcomes inside the golden hour.
The team's link to the field — brings the injured from the scene to the door, runs field triage, and hands the department a clean, complete picture.
The team's eyes at the doors — runs START-style triage on the wave, sorts every patient by clinical priority, and aims the response where it saves the most lives.
The team's humane center — carries honest news to families, keeps the human weight of every decision in the room, and holds the team whole through the hardest hour.
The attending physicians, charge nurses, trauma surgeons, triage leads, and patient advocates working the surge on the floor. Their charge is to triage the wave, stabilize the critical inside the golden hour, allocate the scarce resources wisely, and carry the department through the worst hours of its work — on sound clinical judgment, under a clock.. Saving the most lives through sound triage and clinical judgment.
The hospital's incident command and senior administration above the emergency department. They run the mass-casualty plan, marshal beds, blood, staff, and operating rooms, coordinate transfers to other hospitals, and answer for the whole hospital — supporting the floor without overruling the clinicians working the patients.. A coordinated hospital response and a department that holds.
The paramedics, ambulance crews, and regional dispatch bringing the injured from the scene to the door. They run field triage, stabilize for transport, hand off what they know to the department, and report over the radio what is still coming. They are the team's eyes on the wave before it arrives.. Bringing the injured in safely and reporting the field honestly.
The families of the injured waiting for news, the lightly injured among the walking wounded, and the press covering the incident. They are owed honesty, care, and timely information, and how the response treats them shapes the trust the whole hospital depends on long after the surge is over.. Honest news, humane care, and their people safely through the surge.
Assemble an ED team of 2-6 players. The crisis unfolds on Discord — triage, stabilize, allocate, and carry the department through a mass-casualty surge together.