Emergency Crews Put to the Test in Binghamton, N.Y.


 
 

A.J. Heightman, MPA, EMT-P, JEMS Editor-in-Chief | | Friday, April 3, 2009


On Friday morning, EMS, fire and police personnel from the Binghamton NY region responded to a multiple shooting MCI at the American Civic Association (ACA), an organization that helps immigrants coming to the United States assimilate into America. Early reports stated that 13 people were feared dead, and 26 to 30 were wounded.

The agencies that serve the quiet community of 45,000 residents on the New York/Pennsylvania border were thrust into MCI mode at 10:30 a.m. when a lone gunman pulled his vehicle up to the rear doors of the ACA Center and blocked the doorway to prohibit occupants from exiting out that doorway.

He then walked around the front of the structure and began shooting people almost immediately upon entering the facility.

Inside were dozens of immigrants waiting to take their United States citizen test. The three-and-a-half hour shooting rampage and hostage incident ended around 2 p.m. when the gunman reportedly shot and killed himself inside.

Emergency crews evacuated the injured to local hospitals and University Hospital, a Level 1 Trauma Center in nearby Syracuse, N.Y. Responding personnel used large trees, vehicles and structures along Front Street, adjacent to the Susquehanna River, to take cover and await an "all clear" to recover and care for shooting victims.

Some key points to remember when dealing with an incident of this nature:

  • Stage EMS units out of harm's way and develop a safe pathway to transfer patients along as they are retrieved;
  • Coordinate action plans with law enforcement incident commanders;
  • Establish patient collection and treatment areas in safe locations, with police positioned to protect EMS personnel in the event a gunman infiltrates the area or is among the wounded recovered from the scene;
  • Use scoop, Reeves or basket stretchers whenever possible (unless spinal immobilization is required), because these devices offer better hand-holds and place the patient in a more curved structure, better suited for rapid transfers out of high-hazard areas than flat backboards (Note: Few gunshot victims require spinal immobilization);
  • Obtain language translators to assist in communicating with the different dialects on scene (Note: This is a resource that should be pre-planned before an incident occurs and one that can be mobilized by dispatch center personnel on request from the scene);
  • Assign medical teams to law enforcement zones to care for wounded officers as soon as possible after their injuries; and
  • Establish rehab early because personnel in high tension situations burn off more energy than is apparent on scene and will "crash" rapidly from exhaustion when the scene is secured.

Read the news story related to this incident.




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Pain Management, WMD and Terrorism, Trauma

What's Your Take? Comment Now ...

Featured Careers & Jobs in EMS

 

 

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Innovation & Progress

Follow in the footsteps of these inspirational leaders of EMS.
More >

Multimedia Thumb

Tennessee County EMS Shows Off CPR Tool

Lucas 2 in service in Bradley County.
Watch It >


Multimedia Thumb

Abilene Loses Helicopter Service

Native Air leaves city with only one air helicopter service.
Watch It >


Multimedia Thumb

D.C. Fire Chief Proposes another Controversial Ambulance Plan

Staffing change will leave immediate neighborhood without fire apparatus.
Watch It >


Multimedia Thumb

FDIC 2014 CHAT: MIKE MCEVOY AND A.J. HEIGHTMAN

Mike McEvoy and A.J. Heightman discuss some new EMS technology at FDIC 2014.
Watch It >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

Sneak peek of customizable run forms & more.
Watch It >


Multimedia Thumb

LMA MAD Nasal™

Needle-free intranasal drug delivery.
Watch It >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


More Product Videos >