Reno Air Races Responding to A Plane in the Stands 2012 Northstate Prehospital Conference 1
The Reno Air Races Pylon Racing Event Seven Classes of Aircraft Biplane 200 mph Formula One 250 mph Sport 350 mph Super Sport 400 mph T 6 230 mph Jet 500 mph Unlimited 500 mph Galloping Ghost P51 50 to 500 feet off the ground 2012 Northstate Prehospital Conference 3
REMSA Special Events Preparing for and Staffing Mass Gathering events Special Events Dedicated Department Ongoing Training 500+ Events in 2011 Washoe County Plan Mass Gathering Plan EMS Coverage Algorithm 2012 Northstate Prehospital Conference 4
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Large Mass Gathering Based on expected attendance and other important factors. Crowd Size Crowd dtype Location Event Type 2012 Northstate Prehospital Conference 6
Large Mass Gathering Based on expected attendance and other important factors. 2012 Northstate Prehospital Conference 7
Average Race Day 50 100 patients seen Staff based on conditions Environmental Extremes Deployment Based on many factors ALS Units BLS Quick Response Clinic & Clinic Staff 2012 Northstate Prehospital Conference 8
THE INCIDENT September 16, 2011 2012 Northstate Prehospital Conference 9
Race Conditions September 16, 2011 Weather: Skies partly cloudy with slight breeze condition and no precipitation Temp: 87 degrees Event: Approximately 30,000 people in attendance including 2000 local school kids on a field trip and 400 volunteers. 2012 Northstate Prehospital Conference 10
Race Conditions September 16, 2011 EMS Plan 4 ALS Units 1 Infield Crash Unit 1 Pit Crash Unit 2 ALS Units Leadership Supervisory and Management positions on scene assigned to ICS positions 2012 Northstate Prehospital Conference 11
Race Conditions September 16, 2011 Clinic & Quick Response 4 Basic Quick Response Vehicles 1 Medical Clinic 5 Registered Nurses 1 Emergency Physician 2012 Northstate Prehospital Conference 12
16:26 MAYDAY ANNOUNCEFROM TOWER 16:26 MAYDAY announced from the tower 2012 Northstate Prehospital Conference 14
Reno Air Races Responding to 16:26 MAYDAY ANNOUNCE FROM TOWER 16:27 Galloping Ghost crashes into box seats 2012 Northstate Prehospital Conference 15
Reno Air Races Responding to 16:26 MAYDAY ANNOUNCE FROM TOWER 16:27 Impact, debris travel across box seats and into spectators 2012 Northstate Prehospital Conference 16
Reno Air Races Responding to 16:26 MAYDAY ANNOUNCE FROM TOWER 16:28 Request all available units 2012 Northstate Prehospital Conference 17
16:26 MAYDAY ANNOUNCEFROM TOWER 16:28 MCI Declared 2012 Northstate Prehospital Conference 18
THE RESPONSE 2012 Northstate Prehospital Conference 19
REMSA Reno Numbers Population Weather Special Events Nearby Metro Areas Sacramento 132 Mi. Las Vegas 455 Mi. 2012 Northstate Prehospital Conference 20
Response ALS Units 14 Units sent initially 20 Additional units staffed 5 Sent to incidentid 15 Backfilled System Location & Distance Incident to Hospital 12 Mi. Use of freeway Off Duty All Call Page to all off duty staff PR Group Page Hospital Alerts MCI Alerts Level II Trauma Center 12 Mi. Burn Center 145 Mi. 2012 Northstate Prehospital Conference 21
Response Mutual Aid Ground Units N. Lyon County FD 20 Mi/ 1 Unit Storey County FD 17 Mi/ 1 Unit Incline FD 40 Mi/ 1 Unit Churchill FD In town on transfer / 1 Unit Carson City FD 42 Mi/ 1 Unit 2012 Northstate Prehospital Conference 22
Response Mutual Aid Air Support PHI Chico, CA 106 mi. / 63 Minutes CalStar So. Lake, CA 50 mi. / 35 Minutes Mt. Life Flight Susanville, CA 62 mi. / 41 Minutes 2012 Northstate Prehospital Conference 23
16:26 MAYDAY ANNOUNCEFROM TOWER 16:35 Initial Response 2012 Northstate Prehospital Conference 24
Reno Air Races Responding to 16:26 MAYDAY ANNOUNCE FROM TOWER 16:26 Impact site, North end of box seats 2012 Northstate Prehospital Conference 25
Reno Air Races Responding to 16:26 MAYDAY ANNOUNCE FROM TOWER 16:35 Debris scattered in all directions 2012 Northstate Prehospital Conference 26
16:26 MAYDAY ANNOUNCEFROM TOWER 16:35 Initial units arrive, begin transport to hospital 2012 Northstate Prehospital Conference 27
16:45 Triage Bus arrival. Request for additional medical supplies 2012 Northstate Prehospital Conference 28
Incident Statistics 11People Killed 69 Patients Injured 54 Patients Transported Ground & Air 62 Minutes from MCI to last patient transported 2012 Northstate Prehospital Conference 29
POST INCIDENT 2012 Northstate Prehospital Conference 30
Immediate Needs Ambulance TurnAround Reporting to Elected Officials Psychological Needs 2012 Northstate Prehospital Conference 31
The Media Immediate Media Center JIC Accurate Numbers Number of Transports Number DOA Volume of Media Requests Dispatch Inundated Media Hotline Domestic/International Japanese Consulate 2012 Northstate Prehospital Conference 32
Days, Weeks, Months Continued Mental Health Multiagency CISM Community Crisis Intervention Ambulance Standbys Debriefings Internal External Other Agencies Governor Community Events Recognition Memorial This does not stop 2012 Northstate Prehospital Conference 33
WHAT WORKED 2012 Northstate Prehospital Conference 35
Planning MCI Plan Ingress / Egress Plan Mass Gathering Algorithm Air Race Planning Session 2012 Northstate Prehospital Conference 36
Logistics Available Stocked Units Off Duty Call Back Support Staff 2012 Northstate Prehospital Conference 37
Exercises Ongoing Exercises Full Scale Involve all responders Practice Implementation Broken Wing 2012 Northstate Prehospital Conference 38
A Year of Exercises May 2011 July 2011 Broken Wing Broken Axel Exercise Full Scale Exercise Full Scale Exercise Passenger Plane Crash 90+ Patients School Bus Rollover 35+ Patients June 2011 Air Race Exercise Tabletop Exercise Aircraft into Stands Multi Agency Response September 16, 2011 Air Race Planning Review MCI Plan Commanders, Crew, Staff 2012 Northstate Prehospital Conference 39
A Year of Incidents May 2011 Amtrak Crash Supervisor Ambulance Strike Teams Street Vibrations Swat Response EOC Activation July 2011 IHOP Shooting 3 Helicopters Strike Team Prep Large Scale Fires Caughlin Fire Washoe Fire 2012 Northstate Prehospital Conference 40
Required Training Air & Ground Providers ICS 100/200 NIMS IS 700 Annual MCI Training Exercise Participation Supervisors ICS 300 Level NIMS IS 700/800 Managers & Directors ICS 400 Level BDLS ADLS / Instructor 2012 Northstate Prehospital Conference 41
LESSONS LEARNED 2012 Northstate Prehospital Conference 42
Lessons Learned: Planning Pre assign Incident Command System Roles Incident Action Plan for Large Scale Events Dispatch Mass Casualty Incident Flowchart Increase MCI Training 2012 Northstate Prehospital Conference 43
Lessons Learned: Logistics Improved MCI Kits More Tourniquets MCI Bus Pre Staged / Activation Stage MCI Supplies Treatment Zone Colored Blankets 2012 Northstate Prehospital Conference 44
Lessons Learned: Operations Ground / Air Staging Emergent Ambulance Checkout Procedures Designated Communication Med Channels Right People Assigned to the right positions IAP 2012 Northstate Prehospital Conference 45
Lessons Learned: Training Special Events Staff Field Provider Training Setting up Treatment Zones Internal MCI Objectives 2012 Northstate Prehospital Conference 46
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