Aeromedical Evacuation from New

Document Sample
Aeromedical Evacuation from New Powered By Docstoc
					Aeromedical Evacuation
            from
     New Orleans

     Maj Michael Turley
          34 CTS
                 Overview

   Initial Arrival and Assessment

   Redesigning Floorplan to Optimize AE

   Challenges (Friday afternoon)

   Lessons Learned, Successes

                                           2
  Initial Arrival


Placing units, lighting
           Airfield Layout



         AE         Non-AE
      Departures   Departures




 TALCE
Bed-down
           Helicopter            Active
            Arrivals            Runway
                                          4
       Supplies, Supplies, Supplies!

   Airfield Lighting Kit; enabled night ops
    • AA-battery operated; staked easily in place




                                                    5
TALCE “Command Post”




      Photo by TSgt Vince O’Dell, 34 CTS   6
Airfield Damage




   Photo by TSgt Vince O’Dell, 34 CTS   7
Terminal Layout




                  8
Initial Floorplan




    Medical
    Supplies
               Y

                    Triage




                             9
      Supplies, Supplies, Supplies!

 Airfield Lighting Kit; enabled night ops
    • AA-battery operated; staked easily in place
   NDMS Medical Kits; well-inventoried
    • Resupply a different story; NORTHCOM and
     TRANSCOM/GPMRC much quicker than
     FEMA; “Tell us what you need” attitude




                                                    10
Arriving Ground Traffic




       Photo by TSgt Vince O’Dell, 34 CTS   11
Parade of Ambulances




      Photo by TSgt Vince O’Dell, 34 CTS   12
West Terminal (Normal)




     Louis Armstrong International Airport File Photo   13
West Terminal (Triage)




      Photo by TSgt Vince O’Dell, 34 CTS   14
Waiting to Depart




    Photo by Michael Reiger, FEMA   15
      Supplies, Supplies, Supplies!

 Airfield Lighting Kit; enabled night ops
    • AA-battery operated; staked easily in place
 NDMS Medical Kits; well-inventoried
    • Resupply a different story; NORTHCOM and
      TRANSCOM/GPMRC much quicker than
      FEMA; “Tell us what you need” attitude
   Litters, Straps, “Linens” by the 1000’s



                                                    16
Ticket Lobby (Normal)




    Louis Armstrong International Airport File Photo   17
                   Ticket Lobby (Waiting)




Photo by Michael                            18
 Reiger, FEMA
Optimizing AE
Initial Floorplan




    Medical
    Supplies
               Y

                    Triage




                             20
Redesigned Floorplan

               AELT


       GPMRC




               Y            Triage




                      Reg
                                     21
Prioritizing Patients for AE




         Photo by TSgt Vince O’Dell, 34 CTS   22
    Supplies, Supplies, Supplies!

 Airfield Lighting Kit; enabled night ops
  • AA-battery operated; staked easily in place
 NDMS Medical Kits; well-inventoried
  • Resupply a different story; NORTHCOM and
    TRANSCOM/GPMRC much quicker than
    FEMA; “Tell us what you need” attitude
 Litters, Straps, “Linens” by the 1000’s
 MREs, Bottled Water, Snacks, etc.
  • Lifesavers… literally…
                                                  23
                   Flying Hospitals




Photo by Michael                      24
 Reiger, FEMA
 Challenges to
Mission Success
           Airfield Layout



         AE         Non-AE
      Departures   Departures




 TALCE
Bed-down
           Helicopter            Active
            Arrivals            Runway
                                          26
Helicopter Traffic




    Photo by TSgt Vince O’Dell, 34 CTS   27
Helicopter Arrivals
    (initial arrival)




     Photo by Michael Reiger, FEMA   28
Helicopter Arrivals
    (initial arrival)




     Photo by Michael Reiger, FEMA   29
Helicopter Arrivals
  (determining status)




      Photo by Michael Reiger, FEMA   30
Helicopter Arrivals
    (non-patients)




     Photo by Michael Reiger, FEMA   31
Separate Parking?




    Photo by TSgt Vince O’Dell, 34 CTS   32
Separate Parking?




    Photo by Michael Reiger, FEMA   33
Safer Transfer




  Photo by TSgt Vince O’Dell, 34 CTS   34
Superdome “Bypass”




     Photo by TSgt Vince O’Dell, 34 CTS   35
AE Outflow

             AE Crew
             Reception




 Comfort
  Care

                         36
Gate D3 Jet Bridge




   Louis Armstrong International Airport File Photo   37
             Friday Afternoon
   Why “Hell” almost broke loose
    • 2000+ inside – standing-room only
    • 1500+ more outside – downstairs level
    • 1500+ more outside – on schoolbuses
    • Helicopters still arriving
    • Only Concourse C being used for non-AE
    • Federal Air Marshals pulled out from crowd
       Asked for unarmed medical teams to assist
    • FEMA – “no ability to stop inbound traffic”
                                                    38
Gate Access (Normal)




    Louis Armstrong International Airport File Photo   39
             Friday Afternoon

   Why “Hell” didn’t break loose
    • Deputy Sheriff – “The buses are leaving”
    • Visited helicopter crews – “Please stop”
    • Concourse B opened up
    • 13 MILAIR showed up during night hours
    • Moved downstairs people into terminal
    • Air conditioning started taking effect
                                                 40
             Lessons Learned

   No advanced team coordination plan
   No cross-team coordination plan
   Poor comms (how did inbound know?)
   No sustenance plan while waiting for AC
   No initial manifesting capability
   No pre-set AC, AE crew configurations
   Where was Red Cross?
                                            41
             What went right?
   Timely response – first-hand knowledge
    • WA DMAT arrived Tues – levees breaking
   “Can-do” attitude – NDMS, DMATs
    • Compassion kept people working – 36+ hrs
   Air Mobility units KNOW how to set up!
    • Immediate work/rest cycles, work/rest space
   Great cross-team, medical cooperation
    • Virtually indistinguishable (except uniforms)
   US Forest Service ROCKS!!!!!!!!!!!
    • Incident Command – provides for providers!
                                                  42
                 Summary

   Initial Arrival and Assessment

   Redesigning Floorplan to Optimize AE

   Challenges (Friday afternoon)

   Lessons Learned, Successes

                                           43
Questions?

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:10
posted:12/3/2011
language:English
pages:44