1. 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

2. 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.

3. 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’

4. 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

5. Collective Emergencies
… Jacob-Creutzfeldt, Dioxine, …. Doument from Ghent 21/03/1991 Royal Decree 31/01/2003 Royal Decree 16/02/2006

6. General .., Special .., Mono .. Plan
D1 Fire & Rescue D2 Medical, psychosocial and sanitary D3 Police D4 Logistics D5 Information/communication

7. Mono plan

8. Medical Intervention Plan 2006
Collective medical emergencies
Single incident/ location

9. Emergency <> Disaster Management
EMS
disasterplan
X ….
Victim

11. 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

12. Mitigation <> 22/03/2016
BNIP LH
BNIP metro
PSIP LH
MIP Metro
PSIP metro
BABI
MIP LH
MASH
Maxi-MIP
Dep. CC

13. 13/11/2015

14. Preparedness 21/11/2015 – Brussels Lockdown 23/11/2015 – guidelines
Informationsharing
Monitoring and vigilance
EMS, Dispatch centers, Fire Brigade
Hospital Capacity
BCP & MASH

15. Preparedness
Scientific networks : EMDM, IPRED4, …. 01/03/2016 – workshop ‘MAXI-MIP’ juni 2016 – workshop ‘ MAXI-MIP’

16. Principals Medical Intervention Plan (MIP)
3th wave
EMS-neighbours
EMS
Information
Management

17. 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,

18. Have luck …..
Timing an incident

19. 22/03/2016 ….. 7:58 AM

20. 8:00 AM first call to 112

21. Information Management
Check information validity

22. First call 112

23. Respons

24. Start building resources ….
Prepare the what if ….

26. Have luck …..
Timing an incident

27. 9:11 AM

28. Respons

29. Save lifes
Stop the bleeding
Damage control surgery
Alert Hospitals

30. Victim to Hospital regulation - Airport

31. Victim to Hospital regulation - Subway

32. First wave Evac

33. Secondary evacuations
France
Deutschland
Israël
USA
Colombia

34. Life goes on …. And secondairy effects
Regular EMS
Regional airport

35. 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

36. Lessons learned PSIP Victim tracability Take care of the deaths
Protect the caring, but not only them …

37. Lessons learned PSIP Take care of the media
Frustration – even when it went well
Fear ….. Risk communication

38. Lessons learned Communication breakdown Tetra – trunking network
Cellular network down
Internet – VOIP
Social media

39. Lessons Learned
PLAY JAZZ
Generic plan
HAVE LUCK

40. Thank you !!!