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Operating room preparedness for active shooter events

Published:October 09, 2019DOI:https://doi.org/10.1016/j.surg.2019.08.009
      Inside the operating room, the overhead alarm repeatedly announced, “Active Shooter–Shelter in Place.” It was a Thursday morning, 1 hour into a robotic partial nephrectomy for a patient with a renal cell carcinoma. The patient was stable, and surgery had progressed to a point where aborting the case was safe. We locked the operating room doors and covered the windows. A call to hospital security confirmed that this was not a drill and that the shooter was in a building adjacent to the hospital where the procedure was taking place. Our operating room team then had to decide what to do next.
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