Who we are: Christina Conti: Washoe County Health District Role in - - PDF document

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Who we are: Christina Conti: Washoe County Health District Role in - - PDF document

6/17/2015 Reno Air Races Responding to A Plane in the Stands Who we are: Christina Conti: Washoe County Health District Role in response: trainee MUL ; Director FAC Stacey Belt: Carson City Emergency Management Role


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Reno Air Races Responding to “A Plane in the Stands”

Who we are:

  • Christina Conti: Washoe County Health District

– Role in response: trainee MUL; “Director” FAC

  • Stacey Belt: Carson City Emergency

Management

– Role in response: Deputy Emergency Manager; PIO

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The Reno Air Races

  • Pylon Racing Event
  • 50 to 500 feet off the

ground

50 – 100 patients seen EMS staffing levels:

  • ALS Units
  • BLS Quick Response
  • Clinic & Clinical Staff

How does a County

  • r region prepare

for the unimaginable?

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Planning Considerations

County Demographics

  • Population
  • Weather
  • Special Events

Nearby Metro Areas

  • Sacramento – 132

Mi.

  • Las Vegas (Clark

County) – 455 Mi.

  • Salt Lake City – 518

Mi.

Statewide Planning

  • Statewide Homeland Security initiatives

– Evacuation, Mass Care, & Sheltering (3yrs) – Schools Planning (2 yrs) – Continuity of Operations (2 yrs) – Mass Fatality (2 yrs)

  • Hospital Specific Mass Fatality Annex
  • Clark County Family Assistance Center Plan & Full Scale Exercise
  • Unified Victim Identification

System (UVIS)

Washoe County Mass Fatality Preparation - Equipment

  • Disaster Portable Mortuary Unit (DPMU)
  • Portable Morgue
  • Refrigerated Trailers
  • Portable X-Ray Machines
  • Supplies
  • Rural Coroner Trailers
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Mass Fatality Exercises

May 2011

  • Broken Wing

– Full Scale Exercise – Passenger Plane Crash – 90+ Patients

May 2014

  • Broken Wing

– Full Scale Exercise

2015 Family Assistance Center Exercises

  • REOC Tabletop
  • Station 51 Training
  • Gold Dust West Full

Scale Exercise

Incidents Over the Years

Amtrak Crash

– May 2011

IHOP Shooting

– July 2011

Street Vibrations

– September 2011

Sparks Middle School

– October 2013

Moapa Flood

– September 2014

Large Scale Fires

– Caughlin Fire – Washoe Fire – Carpenter Fire

THE INCIDENT

September 16, 2011

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Race Conditions: Sept. 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. 16:26 “MAYDAY” ANNOUNCE FROM TOWER

16:26 “MAYDAY” announced from the tower

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16:26 “MAYDAY” ANNOUNCE FROM TOWER

16:27 Galloping Ghost crashes into box seats

16:26 “MAYDAY” ANNOUNCE FROM TOWER

16:27 Impact, debris travel across box seats and into spectators

16:26 “MAYDAY” ANNOUNCE FROM TOWER

16:28 “Request all available units”

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16:26 “MAYDAY” ANNOUNCE FROM TOWER

16:27 MCI Declared

THE RESPONSE

16:26 “MAYDAY” ANNOUNCE FROM TOWER

16:35 Initial Response

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16:26 “MAYDAY” ANNOUNCE FROM TOWER

16:26 Impact site, North end of box seats

Incident Statistics

  • 11 Deaths
  • 69 Patients Injured
  • 54 Patients

Transported

  • Ground & Air

62 Minutes from time

  • f crash to last patient

transported

EOC Activation

  • Emergency Operations Center Activation

(partial EOC activation from Friday, September 16, 2011 through Wednesday, September 21, 2011)

– County/City Disaster Declaration – Nevada Emergency Management Assistance (NEMAC)

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SECONDARY RESPONSE FOR AN INCIDENT

Family Assistance Center

  • Family Assistance Center Activation

– September 17, 2011 4:30am

  • 11:00am Operational
  • NTSB Site Inspection

– “Incredible experience to land in Reno and be told there was a Family Assistance Center established, fully staffed, and in good condition. Looked like it had been done by people who had done a lot of FAC’s in the past.”

What is a Family Assistance Center?

  • In the event of a mass casualty/mass fatality

incident, a FAC serves as the single, authoritative source of information and services, providing a responsive and sensitive support system for those affected by the incident.

  • Support Medical Examiner objective of bringing

resolution to families

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FAC Partners

  • Health District/Dept.
  • Technology Services
  • Law Enforcement
  • Local Coroner
  • ME’S Office
  • State/Federal Authority
  • Contractual Support
  • Event planning committee
  • Volunteer Organizations:

– TIP (Trauma Intervention) – ARC (Red Cross) – Salvation Army – MRC – CERT – Crisis Call Center/211

Hospital/Medical

  • Four area hospitals were impacted
  • Urgent Cares were inundated
  • Patients were scattered, some without tags,

which impacted patient tracking

Medical Examiner

  • Medical Examiner’s Office Activation

– All remains identified within 1 week – Douglas County Sheriff’s Office – Clark County Coroner’s Office – Contractor support – Medical Reserve Corps

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Disaster Call Center

  • Crisis Call Center – NV 211 Activation

– September 16, 2011 8:07pm request – Calls began immediately! – First time activating as a disaster call center – 35 volunteers, 24 paid staff

  • 59% of call takers were volunteers
  • 1004 total hours of call taking

Disaster Call Center

  • Over 2000 call

received –1400 missing persons reported –600 called back to report location

  • f loved ones

–650 entered into UVIS

Washoe County (78.0%) National (17.2%) Clark County (1.3%) Carson City County (1.1%) Lyon County (0.8%) International (0.7%) Douglas County (0.4%) Churchill County (0.2%) White Pine County (0.2%) Elko County (0.1%) Nye County (0.1%)

Incoming Calls by County

Command Service Support

Provide a supportive environment for Victims and Family Members as they deal with the stress and uncertainty of injury and death.

Functional Roles

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Command Staff

  • FAC Manager
  • Deputy FAC Manager
  • Safety and Security Officer
  • Documentation Unit Leader
  • Public Information Officer

The Media

Immediate

  • Accurate Numbers
  • Number of Transports
  • Number of diseased
  • Media contact

Volume of Media Requests

  • Dispatch Inundated
  • Media Hotline
  • Domestic/International

In addition to the press conferences held at the airfield by RARA and NTSB, the FAC completed 16 media interview between 11am Saturday morning and 7 am Monday morning

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  • Sheriff / Coroner
  • Hospital Liaison
  • Joint Information

Center

SUPPORTING ROLES:

ALWAYS WANT TO KNOW THE TRUTH

Timely, Accurate, Consistent - How Family members and survivors are treated from the very beginning of an event will affect their long term recovery… and yours!

FAMILY MEMBERS deserve to know

Family Services Branch

  • Family Service Support Branch Director
  • Reception
  • Family Attendants
  • LAW ENFORCEMENT
  • Behavioral Health
  • Spiritual Services
  • Non-Governmental Agencies
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FAC Support Branch

  • Family Support Branch Director
  • Volunteer Coordinator
  • Communication/Information Technology
  • Food Unit
  • Supply Unit
  • Medical Unit
  • Facilities

WHAT WORKED

What worked:

  • Planning, Training &

Exercises

  • The disaster call

center proved to be immeasurable

  • Regional

partnerships were critical for FAC successes

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LESSONS LEARNED

Lessons Learned:

  • Have a plan, train the plan
  • Activate early
  • Patient flow – information sharing with the

FAC

  • Critical incident debriefing
  • Volunteer reception center- off site
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Questions ??