Principal JJMS Group 25 years in Emergency Services Certified CSTI Outreach Instructor CCSF Adjunct Faculty Hazardous Materials Specialist

Transcription

1 Principal JJMS Group 25 years in Emergency Services Certified CSTI Outreach Instructor CCSF Adjunct Faculty Hazardous Materials Specialist 1

2 Preparing to manage the Mass Casualty Incident 2

3 What we are going to cover Coordination Requirements Vulnerability Reduction Threat Identification Risk Identification Managing the Mass Casualty Incident Tactical Considerations 3

4 Coordination Requirements National Response Framework HSPD - 8, National Prepardness The Voluntary Private Sector Preparedness Program -- PS-Prep CCR Title 8, Section 3220 Rescue and medical duties for those employees who are to perform them 4

5 Vulnerability Reduction 5

6 Threat 6

7 Threat + Risk 7 July 30, 2015 Genentech Conference Center

8 Threat + Risk = Vulnerability 8

9 Is there a threat? Haz mat Accidents Fires Terrorism Natural Disaster 9

10 West Fertilizer Company Explosion West, Texas April 17, Dead 160 Injured 10

11 Asiana Flight 214 Crash SFO July 6, Dead 187 Injured 11

12 The Station Night Club Fire West Warwick, Rhode Island February 20, Dead 230 Injured 12

13 Century Movie Theater Shooting Aurora, Colorado July 20, Dead 70 Injured Century movie theater 13

14 Texas City Refinery Explosion Texas City, TX March 23, Dead 170 Injured 14

15 Tokyo subway sarin attack Tokyo, Japan March 20, Dead Over 5000 Injured 15

16 Murrah Federal Building Bombing Oklahoma City, OK April 19, Dead More than 680 Injured 16

17 Hurricane Katrina Gulf Coast August, Dead Unknown number of Injured 17

18 Loma Prieta earthquake Loma Prieta Fault, CA October 17, Dead 3757 Injured 18

19 What do these events have in common? 19

20 They all highlight a key Risk Mass Casualties 20

21 How do we decrease this Risk? 21

22 How do we decrease this Risk? Planning and training 22

23 Goals of planning Identify the threats Anticipate the impact Identify the vulnerabilities Understand the Public Safety response Gap identification Develop plans to address the gaps 23

24 The management goal of MCI s is to maximize available resources 24

25 The goal of disaster triage? To prioritize resource allocation to provide the best outcomes for the most patients when demand drastically exceeds available resources 25

26 Lets get to work 26

27 Threat Haz mat Accidents Fires Terrorism Natural Disaster 27

28 Threat Haz mat Accidents Fires Terrorism Natural Disaster 28

29 Threat Earthquake 29

30 What are the Risks? 30

31 What are the Risks? Structural damage Facilities damage Infrastructure damage Casualties 31

32 Addressing the Casualty Risk Triage 32

33 The management goal of MCI s is to maximize available resources 33

34 The goal of disaster triage? To prioritize resource allocation to provide the best outcomes for the most patients when demand drastically exceeds available resources 34

35 Triage Systems 35

36 Triage Systems 36

37 Triage Systems START Simple Triage and Rapid Treatment 37

38 Triage Systems START Simple Triage and Rapid Treatment 38

39 Triage Systems START Simple Triage and Rapid Treatment FDNY Fire Department of New York 39

40 Triage Systems START Simple Triage and Rapid Treatment FDNY Fire Department of New York CareFlight 40

41 Triage Systems START Simple Triage and Rapid Treatment FDNY Fire Department of New York CareFlight Sacco Triage 41 July 30, 2015 Genentech Conference Center

42 Triage Systems START Simple Triage and Rapid Treatment FDNY Fire Department of New York CareFlight Sacco Triage SALT Triage sort assess lifesaving interventions treatment/transport) 42

43 Each of these systems has their positives and negatives. Universally they are all flawed, 43

44 Each of these systems has their positives and negatives. Universally they are all flawed, 44

45 Each of these systems has their positives and negatives. Universally they are all flawed, But 45

46 While imperfect, the triage system used most often in the prehospital arena is START 46

47 During the disaster phase the focus shifts from that of patient care to a public health mindset. Do the Best for the Most 47

48 Are you Ready? The Three Guiding Questions 48

49 Are you Ready? The Three Guiding Questions What do I have? 49

50 Are you Ready? The Three Guiding Questions What do I have? What to I need to do? 50

51 Are you Ready? The Three Guiding Questions What do I have? What to I need to do? What do I need to get it done? 51

52 Tactical Considerations Location, Location, Location What is it? Where is it going? What / Who else will be coming? Access & Egress Utilize natural borders and barriers 52

53 Location, location, location 53

54 Location, location, location 54

55 Location, location, location 55

56 Location, location, location 56

57 Location, location, location 57

58 What is it? Where is it going? 58

59 What / Who else will be coming? 59

60 Access & Egress 60

61 Utilize natural borders & barriers 61

62 What s next? 62

63 What s next? Planning and training 63

64 Questions? 64

65 Questions? Thank you for your time 65

66 John Cavanaugh, MS, EMT-P POB 461 Lagunitas, CA, (FOR-JJMS) 66