Airway & Respiratory, Patient Care

Boston EMS Aid Subway Crash Victims

Issue 5 and Volume 38.

Boston EMS units treat and transport multiple victims of a subway crash that occurred at the Boylston Street Massachusetts Bay Transportation Authority (MBTA) Subway Station. A subway train rear ended another train that was stopped while passengers were exiting and entering the station platform. Boston Fire Department crews entered the station and removed injured patients to an EMS triage site located outside in Boston Common. Boston EMS providers triaged, tagged and treated all patients; and warmly packaged non-ambulatory patients on backboard and/or stretchers. The patients were then systematically positioned in a side-by-side manner with all heads and airways in the same plane so that their airways could be monitored easily while awaiting transport to a medical facility according to their triage priority. The crash sent 37 passengers, including the two train operators, to local hospitals with minor injuries and shut down that section of the subway for three hours. News outlets later reported that the operator of the moving train was reported to have worked a second job from midnight to 7 a.m. and had not slept before beginning his MBTA shift.