Bomaanslagen Brussel - Stay & play, scoop & run en damage control 01/06/2017 Arnhem Marcel Van der Auwera Head of Service / Director Urgent Aid Federal Health Department, Belgium
Parliamentary Inquiry commission The operational deployment in the field of the emergency services in general and of their members in particular, was especially significant on 22 March 2016 and deserves all credit.
The first sanitary ‘plan’ FEDERAL PUBLIC SERVICE HEALTH, FOOD CHAIN SAFETY AND ENVIRONMENT The first sanitary ‘plan’ Instored in 1818 The provincial medical commission is the prime “sanitary and medical authority” in the United Kingdom of the Netherlands, the post Napoleonic Empire of the ‘low lands’. Water and Sanitation Epidemics and control Health care ‘delivery’
Individual Medical Emergencies 8 july 1964 Law regarding Emergency Medical Services Unified call-number Requisition-based Emergency ‘medical’ care on scene during transport at the hospital
Collective Emergencies … Jacob-Creutzfeldt, Dioxine, …. Doument from Ghent 21/03/1991 Royal Decree 31/01/2003 Royal Decree 16/02/2006
General .., Special .., Mono .. Plan D1 Fire & Rescue D2 Medical, psychosocial and sanitary D3 Police D4 Logistics D5 Information/communication
Mono plan
Medical Intervention Plan 2006 Collective medical emergencies Single incident/ location
Emergency <> Disaster Management EMS disasterplan X …. Victim
Playing Jazz !! Learn to know your music – chords, licks, scales, tunes, … Learn to know your instrument Learn to speak in your own vocabulary adapted to your audience Try not to curse
Mitigation <> 22/03/2016 BNIP LH BNIP metro PSIP LH MIP Metro PSIP metro BABI MIP LH MASH Maxi-MIP Dep. CC
13/11/2015
Preparedness 21/11/2015 – Brussels Lockdown 23/11/2015 – guidelines Informationsharing Monitoring and vigilance EMS, Dispatch centers, Fire Brigade Hospital Capacity BCP & MASH
Preparedness Scientific networks : EMDM, IPRED4, …. 01/03/2016 – workshop ‘MAXI-MIP’ ... 16 juni 2016 – workshop ‘ MAXI-MIP’
Principals Medical Intervention Plan (MIP) 3th wave EMS-neighbours EMS Information Management
level trigger dispatch MIP 5 severely injured, 10 injured, > 20 potential danger. Health inspection Medical director Psychosocial Manager, 3 MUG, 5 ambulances, 3e wave Red Cross. EXTENDED MIP 20 severely injured, 40 injured. Health inspection, 10 MUG-equipes, 20 ambulances, MAXI-MIP 50 severely injured, 100 injured Health Inspection, Medical director, All Psychosocial Managers, 20 MUG, 40 ambulances,
Have luck ….. Timing an incident
22/03/2016 ….. 7:58 AM
8:00 AM first call to 112
Information Management Check information validity
First call 112
Respons
Start building resources …. Prepare the what if ….
Have luck ….. Timing an incident
9:11 AM
Respons
Save lifes Stop the bleeding Damage control surgery Alert Hospitals
Victim to Hospital regulation - Airport
Victim to Hospital regulation - Subway
First wave Evac
Secondary evacuations France Deutschland Israël USA Colombia
Life goes on …. And secondairy effects Regular EMS Regional airport
Lessons learned Stop the bleeding Stay & Play – Scoop & Run – Treat & Run Damage control surgery Link with hospital plans Control the “wild” Teamplanning – short & mid-term
Lessons learned PSIP Victim tracability Take care of the deaths Protect the caring, but not only them …
Lessons learned PSIP Take care of the media Frustration – even when it went well Fear ….. Risk communication
Lessons learned Communication breakdown Tetra – trunking network Cellular network down Internet – VOIP Social media
Lessons Learned PLAY JAZZ Generic plan HAVE LUCK
Thank you !!!