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In light of the recent terrorist attacks in London and Manchester we wanted to test our Major Incident protocol for Paediatrics using simulation. A hospital wide MI Sim was completed in January but focusing on admission pathways, flow and theatre. As a follow up exercise, we wanted to test discharge pathways and our immediate bed capacity in PICU and paediatrics, allowing us to, assess immediate capacity, estimate discharge numbers, test communication pathways, staff responces and next shift planning as well as identifying issues allowing us to improve our major incident policy.