A Hospital Mass Casualty Exercise using City Buses and a Tent as a Hybrid System for Patient Decontamination

This article discusses an exercise in Milan, Italy, in which buses and a tent were used by healthcare and emergency preparedness staff to simulate decontamination during a biological, chemical, or radiation incident. While the buses proved to be practical for several reasons, the authors listed challenges associated with limited capacity, non-ambulatory patients’ access to the buses, and other issues.