1. Personnel Assessment
Medical Professionals Identified
| Role | Count | Notes |
|---|
| Hospital dean (administrative + clinical) | 1 | Zhao Ming (赵明). Internal medicine background. Last practiced clinically 4 years ago. |
| Physicians | 0 | |
| Medical students (various years) | 6–8 | Exact count pending. Most are preclinical (Years 1–3). Two may be Year 4+. |
| Nurses | 2–3 | Identified during assembly volunteering. Competencies unverified. |
| Campus clinic staff | 1 | Administrative role, limited clinical experience. |
| Clinical psychology students | 4 | Graduate level. Counseling-trained, not psychiatric. |
| Campus counseling staff | Limited | Number unknown. Did not present during assembly. |
Critical Personnel Gap
No surgeons. No anesthesiologists. No specialized physicians of any kind.
If any person among this population requires surgery — appendicitis, compound fracture, internal bleeding, obstetric emergency — we cannot provide it. I can diagnose. I cannot operate. The medical students can assist but not lead. We are a triage station, not a hospital.
Recommendation: Identify any additional medical personnel in the population URGENTLY. A systematic building-by-building census of professional skills must be conducted tomorrow morning at first light.
2. Pharmaceutical Inventory
| Category | Qty | Condition | Projected Duration |
|---|
| Antibiotics (mixed — amoxicillin, cephalexin, azithromycin) | ~10,000 doses | Sealed, pharmacy storage | 30–60 days at normal use rate |
| Analgesics / Antipyretics (paracetamol, ibuprofen) | ~15,000 doses | Sealed | 45–90 days |
| Surgical kits (scalpel, suture, clamp sets) | ~50 | Sterile packaging intact | N/A — single use |
| Bandages / gauze | ~200 rolls | Good | 14–21 days under trauma conditions |
| Antiseptic solutions (iodine, alcohol) | ~30 L | Good | 21–30 days |
| IV fluids (saline, dextrose) | ~40 bags | Requires cool storage | 14 days (temperature-sensitive) |
| Prescription medications (misc.) | Mixed, small qty | Various | Patient-specific — NOT for general distribution |
These numbers look reassuring on paper. They are not. One serious infection outbreak burns through antibiotic reserves in 3 days. One mass-casualty incident exhausts surgical kits in an afternoon. We have enough medicine for a campus clinic treating sprains and headaches. We do not have enough for a field hospital.
3. Patient Log (Day 0)
| Time | Patient | Complaint | Treatment | Notes |
|---|
| ~16:00 |
Chen Jianfeng (陈建峰) |
Facial contusions, swollen cheeks, black eye, bloody mouth |
Cleaned wounds, cold compress, observation |
Assault victim and perpetrator. Emotional breakdown preceded violence. MONITOR for repeat episodes. |
| ~16:00 |
Xu Guangyu (徐光宇) |
Split lip, facial bruising |
Self-treated |
Intervened in Chen Jianfeng assault. Physically capable but temperament concern — excessive force in restraint. |
| ~16:05 |
Zhao Ming (赵明) |
Scrapes, bruising from fall |
Self-treated |
"I am fine. Do not waste resources on me." |
| ~17:30 |
Multiple (3–4 individuals) |
Anxiety attacks, hyperventilation |
Breathing exercises, counseling |
Triggered during assembly emotional cascade. Psychology students deployed. |
| ~19:00 |
8-year-old girl (name unknown) |
Fever, 38.9°C |
Antipyretic administered, monitoring |
Developed after evening bathing. Mother (alumna, knows no one) found alone and distressed. Pre-prepared fever kit deployed. |
| ~19:00–ongoing |
Multiple (est. 5–8) |
Emotional breakdown injuries |
Bandaged, monitored |
Wall-punching, self-harm, fight injuries. Discovered during evening rounds. |
Kicked by Chen Jianfeng during the restraint. A grown man having a psychotic break kicks hard. Li Tingting saw it happen. I told her not to log it. She logged it anyway. Good nurse instinct.
4. Psychological Assessment
Estimated population: 1,500–2,000 (no formal headcount conducted)
Observed Psychological States
- ~30% — Active coping. Engaged in tasks, discussions, volunteering. Functioning well under the circumstances.
- ~40% — Passive anxiety. Functioning but visibly distressed. Seeking social contact, clustering in groups, compliant but fragile.
- ~20% — Acute distress. Crying, withdrawal, inability to eat or communicate. Some found curled in dormitory beds refusing to move.
- ~5% — Dangerous instability. Violent outbursts, self-harm risk, delusional denial.
- Wei Lin (魏林) — blame fixation on physics department, escalating hostility
- Chen Xinrui (陈新锐) — conspiracy ideation, refusing to accept situation as real
- Bai Yuyuan (白玉园) — insisting on "mass hysteria" explanation, aggressive when challenged
- ~5% — Unaccounted. Dorm holdouts who did not attend assembly. Not assessed. Could be in any category.
Counseling Intervention (Assembly Break, ~15 min)
Organized during assembly intermission with psychology students, social workers, and campus clinic staff. One-on-one targeting of visibly distressed individuals. Soothing music played over speaker system. Effective as a temporary stabilization measure.
This was triage, not treatment. It bought time. It is not a solution.
Psychological Risk Assessment — Personal Statement
I am a hospital administrator, not a psychiatrist. The psychological assessment above is my best guess based on observation and the input of four graduate students who have never practiced outside a classroom. The 5% "dangerous instability" figure could easily be 10–15% by tomorrow morning. Sleep deprivation, continued uncertainty, and the absence of any communication with families will compound every existing condition.
We need:
- Formal mental health screening — tomorrow, first thing
- Identified safe spaces for acute cases — away from the general population
- A protocol for managing violent episodes that does NOT depend on armed response
- Water and sanitation plan — dehydration and poor hygiene will create medical emergencies within 48 hours
5. Critical Risks (72-Hour Window)
1. Infection. Any open wound in subtropical conditions without proper sanitation means infection risk. Current antiseptic supply is inadequate for population-wide hygiene. The wall-punching and self-harm injuries from this evening are already concerning — broken skin, unclean surfaces, no way to ensure compliance with wound care protocols.
2. Dehydration. No confirmed safe water source beyond stored bottled water (~2,700 L = approximately 1.3 L per person = one day). Lake water requires testing before consumption. We do not have testing equipment. Without potable water by Day 2, we will begin seeing dehydration cases.
3. Cold chain failure. If generator fuel runs out, medications requiring refrigeration (IV fluids, certain antibiotics, insulin if any diabetic patients are identified) become useless. Current fuel reserves unknown to me — this information must be obtained from the logistics team.
4. Mass psychological event. Today's assembly demonstrated emotional contagion in real time. One breakdown triggers cascading breakdowns. The gendered pattern is notable: the female population showed visible crying and distress first, but the male population's suppressed distress may manifest as violence. Chen Jianfeng was the first instance. He will not be the last.
5. Pre-existing conditions. Unknown number of people with chronic conditions — diabetes, heart disease, severe allergies, asthma, epilepsy — who need daily medication they may or may not have brought with them. There is NO SYSTEMATIC WAY TO IDENTIFY THEM YET. Someone could go into diabetic shock tonight and we would not know they were diabetic until they collapsed.
I keep coming back to the same thought: we are not prepared for the thing that will actually kill someone. It won't be starvation or enemy attack. It will be an allergic reaction with no epinephrine, or a burst appendix with no surgeon, or an infection that needed IV antibiotics we burned through on day four. The mundane things. The things a hospital handles every Tuesday.
6. Immediate Recommendations
- Morning medical rounds — systematic, building-by-building. Every occupied room visited. Every person visually assessed. This requires 8–10 volunteers minimum.
- Chronic condition registry — identify and register all individuals with conditions requiring daily medication. Cross-reference against pharmacy inventory.
- 24-hour medical watch — rotating shifts at a designated medical station. Two people per shift minimum. I will take the first night shift myself.
- Water testing — nearby lakes and any campus well infrastructure must be tested BEFORE anyone drinks from them. Coordinate with chemistry or environmental science faculty if present.
- Antibiotic rationing — strict protocol. No prophylactic use. No distribution without my authorization or that of a designated nurse.
- Psychological first-aid coordinator — appoint someone. Not me. I am not qualified, and I will be occupied with clinical work. One of the psychology graduate students, or a faculty member with counseling experience.