Catastrophic Incident Search and Rescue Lessons from the 2013 Colorado Floods

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Houston Academy of Medicine - Texas Medical Center Library From the SelectedWorks of Richard N Bradley April 15, 2014 Catastrophic Incident Search and Rescue Lessons from the 2013 Colorado Floods Thomas Miner Richard N Bradley, The University of Texas Health Science Center at Houston Available at: http://works.bepress.com/richard_bradley1/30/

Catastrophic Incident Search and Rescue Lessons From the Colorado Floods Thomas Miner and Richard N. Bradley FEMA US&R White IST

Speakers Thomas Miner is the Leader of the U.S. Federal Emergency Management Agency s White Incident Support Team. Richard N. Bradley, MD, LP, FACEP, is the Deputy Medical Officer on the White Incident Support Team, and a Professor of Emergency Medicine at the University of Texas Health Science Center at Houston. The speakers have no potential conflicts of interest to disclose.

Presentation This material was presented April 15, 2014, at the 2014 Preparedness, Emergency Response, and Recovery Consortium at the Caribe Royale All- Suite Hotel & Convention Center in Orlando. Questions may be directed to Richard N. Bradley at 713-500-7878, or by e-mail to Richard.N.Bradley@uth.tmc.edu.

Oso, Washington Land Slide March 22, 2014

18 inches in September A year s worth of rain in just a few days.

1000 year flood 18 inches of Rain in 3 days 1500 homes destroyed 17,500 damaged 8 confirmed deaths Over 1800 persons unaccounted for 11,700 evacuated 2000 square miles affected 17 counties

First Responders Well Trained and equipped Conducted hundreds of harrowing rescues Overwhelmed with rising water on 12 th Lost access, communications and facilities Called for help early

Most survivors are saved by first responders after a hasty search.

Massive damage to infrastructure

Homes and people isolated

No way in or out

County Response County EOC opened early All Hazards Type 3 IMT activated early Recognized they needed help Requested Type 2 IMT Requested Federal assistance Established single unified ICP to support individual commands

Sent liaisons to each County Declared state of Emergency Requested disaster declaration Activated CONG Air, ground and security forces 400 personnel 36 vehicles CO-TF 1 US&R Type 1 team State Response

Federal Response Presidential Major Disaster Declaration Fort Carson responded under immediate Response Authority Air FEMA Activated National US&R System NE-TF1 UT -TF 1 White IST MO-TF 1 NV-TF 1

Unified Command, Boulder Rocky Mountain Type 2 IMT B FEMA White IST DCO (Army & CONG) Boulder County Sheriff Emergency Management State & County FEMA Deputy FCO IMAT

Unified Command, Larimer Rocky Mountain type 2 IMT A FEMA White IST DOD/CONG Sheriff County EOC State EOC FEMA Region

Incident Objectives Minimize risk to responders and public Provide operational and logistical support to individual commands in affected area Prioritize, direct and supervise all SAR operations Support distribution of food and water Coordinate and manage all aviation resources

Largest Air Rescue Since Katrina 21 military aircraft 2776 evacuated by airlift 70 plus hoist rescues Hundreds of sorties No accidents

Turnback goals from the authority having jurisdiction are part of the delegation of authority to the incident management team. They provide clear objectives, but must be achievable. Reporting percentage of completion helps to communicate the amount of time and resources needed to accomplish the goals.

All available routes passable Click for link to picture.

All trapped persons are out

Some refused to leave

1162 identified as Staying in Place

3288 structures cleared

All river valleys searched

Debris piles searched

All human remains recovered

2776 evacuated by air and ground

Source unknown. Never Again

Hurricane Katrina, Day 1 Photo credit: Jocelyn Augustino/FEMA. http://www.fema.gov/media-library-data/2aa8f567-0c95-46c8-bab0-54b02e6e3b45/14549.jpg

The Catastrophic Incident Search and Rescue Addendum to the National Search and Rescue Manual directs procedures to be used for the delivery of survivors.

Delivery of Survivors Rescue Lily Pad Place of Safety

Place of Safety Rescue operations are considered to terminate The lives of survivors are no longer threatened Basic human needs (food, shelter, and medical needs) can be met Transportation arrangement can be made for the survivor s next or final destination

Lily Pad Interim Stopping Point Account for survivors Provide basic needs Transport to a place of safety The SMC is responsible to arrange and coordinate the use of lily pads and places of safety with appropriate authorities. Utilize pre-event time to identify and prepare lily pads and places of safety.

Survivor Registration Bradley, Richard. Survivor registration. Sept. 14, 2013.

Reasons to Register Bradley, Richard. Missing person notice. Sept. 14, 2103.

Emergency Medical Service Bradley, Richard. Neck injuries from the Colorado Flood. Sept. 14, 2013. Bradley, Richard. Finger injuries from the Colorado Flood. Sept. 14, 2013.

Water, Snacks, and Blankets Bradley, Richard. Meeting basic human needs. Sept. 16, 2013.

Companion Animals Bradley, Richard. Providing for companion animals. Sept. 14, 2013.

Outbound Transportation Bradley, Richard. School bus. Sept. 14, 2013.

Supporting Functions ESF-1 - Transportation ESF-2 - Communications ESF-6 - Mass Care, Emergency Assistance, Housing and Human Services ESF-7 - Logistics Management and Resource Support ESF-8 - Public Health and Medical Services ESF-13 - Public Safety and Security

Organization Group supervisor Ambulance (ground) Law enforcement Animal control Radio communicator Buses (transportation & sheltering) Scribes Fuel tender Mass Care Manager (Food, Water, Blankets)

Registration By Family Unit Date, Time and location of Registration Means of arrival Pre-incident address Are all occupants of that address accounted for? Destination Means of onward travel For each individual Name Age Gender

Documentation by US&R Type of Structure Damaged to structure Survivor status Evacuated Shelter in place HM HR

Geo Reference using GPS Data Collection Apps did not work Paper records problematic US&R standard used Users Searchers and Search managers Recovery planners Politicians Infrastructure owners

Why was this a Success? Professional, qualified leadership Unified Command established on 13 th Clear tasking and common set of goals Motivated, well trained responders Attitude of cooperation and collaboration EGOS left at the door

Summary Recognized you need help and ask for it early Establish relationships now Leverage strengths others bring Deal with issues quickly Remove problem personalities Understand the reality of disasters PIO s/ JICS are essential Military and NGB are great resources US&R and USFS are all hazards resources, use them Complex incidents need Experienced IMT s / IST s IF you have a dog in the fight, you need to be represented in the UC organization Politicians and elected officials need to become involved in planning and exercises Unified Command Works!!!!!!

Questions?