Operating Room Preparedness for Active Shooter Events

Leppert, J., Wren, S., and Bergman, J. (2019). Operating Room Preparedness for Active Shooter Events. Surgery. 167(2):510-511.
The authors describe hearing an alarm for an active shooter while they were in the middle of performing a robotic partial nephrectomy for a patient with renal cell carcinoma. They listed some of the ethical dilemmas the faced regarding next steps (i.e., abort or continue the surgery). A subsequent review of their facility’s incident action plan found no mention of these incidents in the operating room; the authors encourage better planning that “can allocate operating room resources and disseminate critical information while considering the tensions specific to the delivery of surgical care in the operating room.”
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