• Rachel Wheeler-McAnally.
• Rachel Wheeler-McAnally is a clinical nurse educator, critical care nurse, and clinical operations administrator at the University of Texas Medical Branch, Galveston.
• Crit Care Nurse. 2024 Oct 1; 44 (5): 647064-70.

AbstractAdvances in fire safety and building construction have made fires in modern health care facilities uncommon and easily contained. Therefore, emergent hospital evacuations resulting from an internal fire are rare. On January 4, 2017, a fire occurred at the John Sealy Hospital, part of the University of Texas Medical Branch at Galveston, resulting in emergent evacuation of the hospital building and an adjacent office and patient care building. The internal emergency response system was quickly activated, and more than 100 patients and 200 staff members were evacuated within 27 minutes with no fire- or smoke-related injuries. Obstacles encountered during the evacuation process included difficulties with communication and confirming patient count in a timely manner. This article describes the emergent hospital evacuation during the fire, summarizes the subsequent reflections of a multiagency after-action review, and issues a call to action for further research and publication on emergency patient evacuation.©2024 American Association of Critical-Care Nurses.

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