Code Orange: Inside a Toronto Hospital’s Preparation for the Next Catastrophe

Code Orange: Inside a Toronto Hospital’s Preparation for the Next Catastrophe
Dr. Christopher Tsoutsoulas (left to right), Dr. Craig Brick, Diana Kanlic and Dr. Clare Toguri, tend to a medical mannequin in the trauma bay during a mass casualty simulation at St. Michael's Hospital in Toronto on August 13, 2019. Tijana Martin/The Canadian Press
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TORONTO—The warning signalling a mass casualty situation blares out from the overhead speakers in the emergency department at St. Michael’s Hospital minutes before the first patient shuffles in with painted-on scrapes and bruises talking about an explosion.

Staff at the downtown Toronto facility hear the declaration of a “code orange” and whir into action—they know it’s a simulation designed to test the hospital’s response to catastrophe but their reaction to the situation is real.