EMS World

JUL 2016

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22 JULY 2016 | EMSWORLD.com sive dressings for thoracic injuries and airway maintenance. The number of seriously wounded was popularly reported as 22, but that omitted one who turned up at a hospital by personal vehicle. A total of 20 were transported (including an officer injured in the shootout), and three others took themselves. Two of those had orthopedic injuries; the third presented some 30 hours later with shrapnel and bullet fragments in the chest. Real-time hospital information communicated through the regional ReddiNet system helped guide destination decisions. Facili- ties relayed bed availability information to the comm center, and FD and AMR leaders collaborated on where to send whom. Triage, treatment and transport moved rapidly. Police and air resources joined AMR in getting patients to initial care and on to hospitals. Thirteen fire agencies were ultimately represented, as well as multiple ambulance companies and law enforcement jurisdictions (to the tune of around 300 officers in 17 minutes). The feds showed up too; FBI personnel in flight from Los Angeles to Pomona for training were diverted and on scene within 26 minutes. The last critical patient was taken from the scene at 11:47 a.m.— less than 50 minutes after the first report of shots fired. Then the IED was found. 'Something's Going On' The ordered retreat to a safer distance (down Waterman Ave. and around a corner to fire station #231) was orderly. "The only way to describe it," says Molloy, "is like having a bath or sink full of water, and you pull the plug and the water drains out. It's like we drained down the street all in one motion. That's something very specific I remember. I'd never seen anything like that in all the MCIs I've been on." By that point, however, the seriously hurt had been helped, and only a few minor patients showed up at the new site. But a large contingent of LEOs arrived for protection, and rooftop snipers underscored that things remained dangerous and dynamic. The shooters were still on the loose. And someone was making threats. For More Information Circle 22 on Reader Service Card TABLE 2: INITIAL RESPONSE/TIMELINE 10:58 Initial reports of shots fred 11:03 ME 231 dispatched to stage 11:07 ME 231 arrived on scene/staged 11:04–11:11 11 additional units dispatched/on scene 11:12 MCI declared by ME 231 11:15 MCI treatment area established 11:17 Comm center ReddiNet poll initiated 11:21 AMR responding with 15 units 11:24 Bed availability provided to med comm 11:36 3 AMR supervisors responding 11:47 Last critical patient transported of scene 11:54 2 ALS/8 BLS Symons units responding 11:59 Treatment area moved to 231 12:03 Possible explosive device in building

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