Table 5 Checklist results of hospital disaster response according to the 4Ss

Space

Was there any expansion of ED space to accommodate additional patients inside the ED?

^aNo

Was there any expansion of ED space to accommodate additional patients outside the ED?

^aNo

Were any disaster reserve beds secured in the hospital?

^aNo

Staff

Was there any reinforcement of hospital disaster response personnel (e.g., doctors or nurses), administration personnel, or security personnel?

^aNo

Were there any duty time adjustments or duty relocation of ED working personnel?

^aNo

Supplies

Was there any reinforcement of medicines including antidote (e.g., calcium gluconate)?

^aNo

Was there any personal protective equipment provided for hospital disaster response personnel to respond to the CBRNE disaster?

^aNo

Were there any reinforcement of logistics other than those mentioned above for the hospital’s disaster response?

^aNo

System

Were any hospital disaster command systems in operation?

^aNo

Was there any process to invoke surge support?

^aNo

Did the administration department implement disaster-related measures to accept a larger number of patients than usual?

^aNo

Was disaster triage (e.g., START or SALT in preparation for multiple casualty accidents or disasters) implemented in addition to the usual ED patient triage?

^aNo

Was any decontamination zone established in the hospital?

^aNo

Did the hospital perform decontamination of the patients?

^aNo

Were any specialized diagnostic testing measures implemented to address the rapidly surging ED patient testing needs?

^aNo

Was there any unification and management of the entrances and exits of hospitals that should be performed in disaster situations?

^aNo