A hospital evacuation is one of the most complex operations in emergency management, requiring the seamless integration of clinical care, specialized logistics, and regional coordination. This session moves beyond the 'fire drill' mentality to explore the sophisticated planning required for both Emergent (Immediate-Out) and Urgent (Slow-Out) scenarios. While an emergent evacuation demands rapid, tactical execution to save lives from an immediate threat, an urgent evacuation requires a strategic, phased approach to maintain the continuum of care over a prolonged period. We will deconstruct the comprehensive planning process, starting with the development of a robust Concept of Operations (CONOPS) that addresses the unique needs of neonatal, intensive care, and non-ambulatory populations. The session will bridge the gap between the tactical work-such as patient tracking and vertical evacuation techniques-and the strategic coordination required to manage bed availability across a Healthcare Coalition or region. Attendees will review essential plan components, including resource staging, transport prioritized by acuity, and the 'stop-gap' measures necessary when the community infrastructure is as compromised as the facility itself. This session provides a roadmap for ensuring that when a building fails, the system of care remains intact.
