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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
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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.
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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’
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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
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Collective Emergencies
… Jacob-Creutzfeldt, Dioxine, …. Doument from Ghent 21/03/1991 Royal Decree 31/01/2003 Royal Decree 16/02/2006
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General .., Special .., Mono .. Plan
D1 Fire & Rescue D2 Medical, psychosocial and sanitary D3 Police D4 Logistics D5 Information/communication
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Mono plan
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Medical Intervention Plan 2006
Collective medical emergencies Single incident/ location
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Emergency <> Disaster Management
EMS disasterplan X …. Victim
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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
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Mitigation <> 22/03/2016
BNIP LH BNIP metro PSIP LH MIP Metro PSIP metro BABI MIP LH MASH Maxi-MIP Dep. CC
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13/11/2015
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Preparedness 21/11/2015 – Brussels Lockdown 23/11/2015 – guidelines
Informationsharing Monitoring and vigilance EMS, Dispatch centers, Fire Brigade Hospital Capacity BCP & MASH
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Preparedness Scientific networks : EMDM, IPRED4, …. 01/03/2016 – workshop ‘MAXI-MIP’ juni 2016 – workshop ‘ MAXI-MIP’
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Principals Medical Intervention Plan (MIP)
3th wave EMS-neighbours EMS Information Management
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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,
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Have luck ….. Timing an incident
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22/03/2016 ….. 7:58 AM
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8:00 AM first call to 112
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Information Management
Check information validity
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First call 112
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Respons
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Start building resources ….
Prepare the what if ….
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Have luck ….. Timing an incident
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9:11 AM
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Respons
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Save lifes Stop the bleeding Damage control surgery Alert Hospitals
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Victim to Hospital regulation - Airport
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Victim to Hospital regulation - Subway
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First wave Evac
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Secondary evacuations
France Deutschland Israël USA Colombia
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Life goes on …. And secondairy effects
Regular EMS Regional airport
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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
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Lessons learned PSIP Victim tracability Take care of the deaths
Protect the caring, but not only them …
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Lessons learned PSIP Take care of the media
Frustration – even when it went well Fear ….. Risk communication
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Lessons learned Communication breakdown Tetra – trunking network
Cellular network down Internet – VOIP Social media
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Lessons Learned PLAY JAZZ Generic plan HAVE LUCK
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Thank you !!!
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