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 in response: Deputy Emergency Manager; PIO 1
6/17/2015 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 or region prepare for the unimaginable? 2
6/17/2015 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 3
6/17/2015 Mass Fatality Exercises 2015 Family Assistance May 2011 Center Exercises • Broken Wing • REOC Tabletop – Full Scale Exercise • Station 51 Training – Passenger Plane Crash • Gold Dust West Full – 90+ Patients Scale Exercise May 2014 • Broken Wing – Full Scale Exercise Incidents Over the Years Amtrak Crash Sparks Middle School – May 2011 – October 2013 IHOP Shooting Moapa Flood – July 2011 – September 2014 Street Vibrations Large Scale Fires – September 2011 – Caughlin Fire – Washoe Fire – Carpenter Fire THE INCIDENT September 16, 2011 4
6/17/2015 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 5
6/17/2015 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” 6
6/17/2015 16:26 “MAYDAY” ANNOUNCE FROM TOWER 16:27 MCI Declared THE RESPONSE 16:26 “MAYDAY” ANNOUNCE FROM TOWER 16:35 Initial Response 7
6/17/2015 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 of 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) 8
6/17/2015 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 9
6/17/2015 FAC Partners • Health District/Dept. • Volunteer Organizations: – TIP (Trauma Intervention) • Technology Services – ARC (Red Cross) • Law Enforcement – Salvation Army • Local Coroner – MRC • ME’S Office – CERT • State/Federal Authority – Crisis Call Center/211 • Contractual Support • Event planning committee 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 10
6/17/2015 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 Incoming Calls by County Washoe County Center (78.0%) National (17.2%) Clark County • Over 2000 call (1.3%) Carson City County received (1.1%) Lyon County (0.8%) – 1400 missing International persons reported (0.7%) – 600 called back Douglas County (0.4%) to report location Churchill County (0.2%) of loved ones White Pine County (0.2%) – 650 entered into Elko County (0.1%) UVIS Nye County (0.1%) Functional Roles Command Service Support Provide a supportive environment for Victims and Family Members as they deal with the stress and uncertainty of injury and death. 11
6/17/2015 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 12
6/17/2015 SUPPORTING ROLES: • Sheriff / Coroner • Hospital Liaison • Joint Information Center FAMILY MEMBERS deserve to know 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 Services Branch • Family Service Support Branch Director • Reception • Family Attendants • LAW ENFORCEMENT • Behavioral Health • Spiritual Services • Non-Governmental Agencies 13
6/17/2015 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 14
6/17/2015 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 15
6/17/2015 Questions ?? 16
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