Mass Fatality Management Mass Fatality Management The opinions or assertions presented Armed Forces Medical Armed Forces Medical hereafter are the private views of the Examiner System Examiner System speaker and should not be construed as Response Response official or as reflecting the views of the Department of Defense, its branches, the Armed Forces Institute of Pathology or Arizona Mass Casualty Meeting Arizona Mass Casualty Meeting the Office of the Armed Forces Medical July 19, 2007 July 19, 2007 Examiner. Craig T. Mallak, CAPT, MC, USN Craig T. Mallak, CAPT, MC, USN Armed Forces Medical Examiner Armed Forces Medical Examiner National Response Plan National Response Plan National Response Plan National Response Plan � 426 pages 426 pages � Department of Defense is not a Department of Defense is not a � � � Little on fatality management Little on fatality management � Signatory Signatory � Written in 2004 Written in 2004 � � 15 Emergency Support Functions 15 Emergency Support Functions � � Updated in 2006 Updated in 2006 � Annexes Annexes � Signatories include 32 separate federal Signatories include 32 separate federal � agencies agencies • Department of Agriculture Department of Agriculture • • NASA NASA • • Treasury • Treasury • • Small Business Administration Small Business Administration • • Department of Education Department of Education NRP Purpose Support Annexes NRP Purpose Support Annexes � The purpose of the NRP is to � Worker Safety and Health Worker Safety and Health � establish a comprehensive, national, � Tribal Relations Tribal Relations � all-hazards approach to domestic � Science and Technology Science and Technology � incident management across a spectrum of activities including prevention, preparedness, response, and recovery. 1
National Response Plan National Response Plan Incident Annexes Incident Annexes � Emergency Support Functions for Medical Emergency Support Functions for Medical � Biological Biological � � Examiners Examiners � Catastrophic Catastrophic � • # 4 firefighting # 4 firefighting • � Cyber Cyber � • # 8 Public Health and Medical Services • # 8 Public Health and Medical Services � Food and Agriculture Food and Agriculture • # 9 Urban Search and Rescue • # 9 Urban Search and Rescue � • # 10 Oil and Hazardous Material Response # 10 Oil and Hazardous Material Response • � Nuclear/ Radiological Nuclear/ Radiological � • # 13 Public Safety and Security • # 13 Public Safety and Security � Oil and Oil and HazMats HazMats � • # 14 Long # 14 Long- - Term Community Recovery and Term Community Recovery and • Mitigation Mitigation � Terrorism Terrorism � Annexes Annexes Nuclear/Radiological Incident Nuclear/Radiological Incident � No one dies No one dies � Department of Defense Department of Defense � � � No provisions for handling the dead No provisions for handling the dead • Save lives Save lives � • � Resources focused on the injured Resources focused on the injured � • Prevent human suffering?????? • Prevent human suffering?????? � Resources focused on restoration of Resources focused on restoration of • Mitigate property damage Mitigate property damage � • facilities and services facilities and services � Resources focused on animal health Resources focused on animal health � � Resources focused on government Resources focused on government � � Resources focused on criminal Resources focused on criminal � investigations investigations Page 182 of 426 Provisions Page 182 of 426 Provisions Victim I dentification/ Mortuary Services: � No provision for transportation No provision for transportation � HHS may request DHS and DOD to assist in � No provision for logistic support No provision for logistic support � providing victim identification and mortuary � No provision for communication No provision for communication services; establishing temporary morgue � support support facilities; performing victim identification by fingerprint, forensic dental, and/ or forensic � No provision for security No provision for security � pathology/ anthropology methods; and � No provision for life support No provision for life support � processing, preparation, and disposition of remains. 2
NRP Update May 2006 NRP Update May 2006 Federal Plans Federal Plans � 51 pages 51 pages � Health and Human Services (HHS) Health and Human Services (HHS) � � � Someone didn Someone didn’ ’t like the term t like the term � 28 pages of metrics 28 pages of metrics � � mitigations mitigations � Plan to handle 219,000 fatalities Plan to handle 219,000 fatalities � � Homeland Security marginalized Homeland Security marginalized � � Developed through multiple meetings Developed through multiple meetings � � Also didn Also didn’ ’t like t like “ “ Incidents of National Incidents of National � � How was the number developed? How was the number developed? � Significance” Significance ” and and “ “ Catastrophic Catastrophic Incident ” Incident ” � ME ME’ ’s not mentioned s not mentioned � Department of Defense Armed Forces Medical Department of Defense Armed Forces Medical Examiner Examiner � Federal Law Federal Law � DOD has significant resources that � � Jurisdiction Jurisdiction may be available to support the � � Medical Examiner Services Medical Examiner Services Federal response to an Incident of � • • Operational Cell Operational Cell National Significance. • DNA DNA • • • Toxicology Toxicology • • Mortality Registry Mortality Registry • • Psychological Investigations Psychological Investigations � Mass Fatalities Mass Fatalities � 3
Armed Forces Medical Armed Forces Medical DoDI 5154.30 - DoDI 5154.30 - March 2003 March 2003 Examiner Examiner � History at the AFIP History at the AFIP � � Expands the responsibilities of the Medical Expands the responsibilities of the Medical � • Aerospace pathology • Aerospace pathology Examiner System Examiner System • Forensic Science Division Forensic Science Division • • Mortality Registry • Mortality Registry • First recognized in 1988 • First recognized in 1988 • Psychological Investigations • Psychological Investigations • 1999 Federal Law 1999 Federal Law • � Defines the role of the Medical Examiner Defines the role of the Medical Examiner � Federal Law 10 USC 1471 Federal Law 10 USC 1471 Mission of the AFMES Mission of the AFMES � Per DoD Instruction 5154.30 (March 2003) Per DoD Instruction 5154.30 (March 2003) … …, , � Authority for Autopsies Authority for Autopsies � � The AFMES shall conduct forensic investigations for The AFMES shall conduct forensic investigations for � Explains jurisdiction Explains jurisdiction � determ ining the cause and m anner of death under determ ining the cause and m anner of death under applicable circum stances applicable circum stances ; ; perform forensic perform forensic � Expands previous jurisdiction Expands previous jurisdiction � toxicology services (including drug testing quality control (including drug testing quality control toxicology services programs, proficiency testing programs, and consultation programs, proficiency testing programs, and consultation services to the DoD for the Military Drug Testing program); services to the DoD for the Military Drug Testing program); perform or review psychological autopsies in cases of perform or review psychological autopsies in cases of equivocal m anner of death ; equivocal m anner of death ; perform other forensic perform other forensic services, including epidem iologic analysis of m ilitary services, including epidem iologic analysis of m ilitary deaths; and provide consultation and support to deaths; and provide consultation and support to other governm ental agencies on a reim bursable other governm ental agencies on a reim bursable basis. basis. Basis for Investigation Circumstances of Concern Basis for Investigation Circumstances of Concern � If decedent was killed If decedent was killed � Decedent was found dead on installation Decedent was found dead on installation � � � If the cause of death was unnatural If the cause of death was unnatural � Was a member of Armed Forces on active Was a member of Armed Forces on active � � duty or inactive duty for training duty or inactive duty for training � If cause / manner of death is unknown If cause / manner of death is unknown � � Recently retired as a result injury/ illness Recently retired as a result injury/ illness � If cause appears to be by unlawful means If cause appears to be by unlawful means � � while on active duty while on active duty � If cause is from infectious disease or If cause is from infectious disease or � � Civilian dependent found dead or died Civilian dependent found dead or died hazardous material that may have an hazardous material that may have an � outside USA outside USA adverse effect on installation or adverse effect on installation or community � Matters where a factual determination of Matters where a factual determination of community � death is warranted (e.g., NTSB, FBI, DOJ death is warranted (e.g., NTSB, FBI, DOJ � If the identity of decedent is unknown If the identity of decedent is unknown � directed) directed) 4
Recommend
More recommend
