Doctors and administrators at Hennepin County Medical Center have planned and role-played any number of scenarios that could occur when the Super Bowl comes to neighboring U.S. Bank Stadium next month.
But two real-life medical situations are unfolding that could have an impact on their ability to respond to the many thousands of football fans, visitors and partygoers who will descend on downtown Minneapolis for the 10 days of festivities.
The current cold snap and a growing influenza outbreak have created a surge of patients at HCMC and many other hospitals in the metro, filling general hospital beds and even many in intensive care.
While the demand could abate, especially if subzero temperatures disappear, the number of flu cases is expected to continue to grow and might even peak as game day approaches.
"We will continue to see an overload on hospitals because of influenza," said Dr. John Hick, HCMC's medical director for emergency preparedness.
Even with the Super Bowl, the hospital will not cut back on basic patient services. It is not discouraging elective surgeries or deferring outpatient services.
Events might overwhelm capacities at HCMC, but a real-time information system run by the Minnesota Health Department will allow emergency managers to divert ambulances to one of the other 31 hospitals in the metro.
The system, called MNTrac, is already used on a daily basis to keep tabs on the number of emergency department and inpatient beds available at hospitals, including the number of beds set aside for critical cases, so ambulances will know where to go if some hospitals are too full to accept more patients.