Good fire suppression systems to stop the source of the fire. Extremely well insulated fire proofing materials to slow the spread of a fire to give more time for the evacuation. Very regular fire exit points, including surgery rooms. I imagine if there is a surgery happening and a serious fire occurs, the surgeon will have to decide if he has time to stabilise the patient and evacuate, if not then unfortunately there’s not much you can do. This would be very rare however. For other patients, there will be procedures in place to get them out asap and that procedure will be very different in different hospitals. Edit: spelling
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