Below are summaries of important EMS clinical information presented at the 2014 Gathering of Eagles in Dallas on Friday, February 28, 2014.
(Presentations will be made available for download atwww.gatheringofeagles.us following the conference.)
Catastrophic Consequences: Preparing for Other Types of Disasters
A Half a Million Reasons to Celebrate that it’s July 4th: Handling the Ohio Capital’s Independence Day Fireworks Event
Presented by David P. Keseg, MD (Columbus)
Held annually for 33 years in Columbus. The event is actually held on July 3rd so it doesn’t interfere with other fireworks events.
1. Worry about gang violence.
2. Cell phones jam up the system.
3. Be prepared for a mass panic and limited egress.
4. Pre-Stage 9 medic vehicles with 3 medics each.
5. Use set “patient extraction sites.”
6. Use cot transfer to units or extraction sites.
7. Have hydrants set and ready for DECON.
8. Watch the weather and wind direction (all airports have constant data).
9. Deploy boats and dive teams if there is water nearby.
10. Use bike medics.
11. Don’t forget to prepare for fireworks explosions and injuries.
12. The most dangerous time of the event is often as people are leaving it; that’s when things happen.
“Take-Homes” from 10 Tense Days of Tenacious Tornadoes
Presented by Jeffrey M. Goodloe, MD (Tulsa and Oklahoma City)
1. On the ground for 38 minutes–across 1/2 mile.
2. Hard to do a “size-up” at a scene like this.
3. Use the resources of news helicopters and news media reports from throughout the damage area.
4. If you cannot take it all in, use your prior training to survive.
5. Have pooled caches and resources.
6. Fast is slow and slow is fast: Move people slowly but methodically, and use what you use day to day operationally.
7. The lifesaving is just the beginning. Be ready for the aftermath. Be ready to evacuate nursing homes and hospitals.
Crash Course in Runway Disaster Management: What We Learned from the Downed Asiana Flight
Presented by Clement C. Yeh, MD (San Francisco)
1. “Normalize” disaster response.
2. Plans + Planning + Practice are important.
3. Anticipate communications issues; they are constant and intrensict to all big events.
4. Pay attention to overall system management (STEMI and stroke will continue to occur).
5. Send apparatus to preplanned areas.
6. Traffic congestion will occur.
7. Remove the critical patients fast but don’t forget that–at an MCI–many of the walking wounded will have serious to critical injuries.
8. Be ready for communications problems.
9. Spread your patients around to multiple hospitals. DO NOT overload a few.