Activity 1

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Activity 1

• Purpose The purpose of this activity is to
  provide you with an opportunity to apply what you
  have learned about fundamental ICS/HICS concepts
  to an incident involving a train/bus crash.
• Instructions
• Working in your designated teams, review the
  scenario, resource list and scenario map.
• Complete the following steps
• Identify who would assume leadership of the
  ICS/HICS at which points in the scenario
• Draw an organizational chart to manage resources
  that maintains effective span of control and
  includes Command and General Staff (include
  Deputies, Assistants, Technical Specialists, and
  Agency Representatives where appropriate).
• Describe the responsibilities delegated to the
  Command Staff and Sections that are activated.
• Make sure you are able to explain the rationale
  for your teams decisions.
• Be prepared to present your results in ___
  minutes.

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Activity 1 SCENARIO

• It is the beginning of September. It is a warm
  sunny Saturday afternoon and there is a Grizzly
  football game at the Washington Stadium. Its the
  last quarter of the game. The town is packed with
  football fans and students. A train is heading
  east out of Missoula. A bus full of band
  students who played at half-time is leaving the
  game trying to beat the post-game traffic. At
  the intersection of Spruce St. and Greenough Dr.
  the bus and train collide. Band students in the
  bus are injured, some critically. Several train
  cars have derailed.
• 911 is inundated with calls and initiated EMS,
  fire and law enforcement response.

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WIND
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Conditions On-Scene

• City Fire Sta.1 is only a block away, Eng.111
  first on scene and establishes on-scene command.
• Damage to the bus is severe and students are
  trapped in the wreckage. At least two are dead.
• The train crew is un-injured.
• Command requests additional fire and ambulance
  units and begins extrication.
• Congested traffic is hindering emergency access
  to the scene and the game isnt even over yet.
• Wind is from the north at 5 miles per hour.
• The media is on-scene with cameras.

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On-Scene Initial Incident Objectives

• Protect emergency workers
• Perform rescue and extrication
• Provide emergency treatment/transport
• Secure crash site for investigators

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Conditions Hospital

• ER at both hospitals hear the dispatch and scene
  request for additional police, fire and EMS units
• Hospital 1 (closest) is at 80 capacity.
  Hospital 2 is at 75 capacity.
• Limited staff on hand.

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Hospital Initial Incident Objectives

• Provide for safety of current staff.
• Initiate/Expand HICS
• Ensure ambulance access
• Prepare ER for multiple casualties
• Make as many ER beds available as possible.

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Resources On-Scene

• Fire/Rescue
• Three Engine companies, one truck company and a
  Battalion Chief
• EMS
• Four ambulances, 8 Paramedics
• Police
• 8 Police and Sheriff cars, One Police Shift
  Supervisor

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Available Resources Hospital

• Hospital 1(closest)
• 2 ED Docs, 1 Surgeon on-call, 1 PA, 6 ED RNs, 2
  CNAs, 1 Pharmacist, 2 Lab Techs, 1 Rad Tech, 3
  maintenance, 2 Flight Paramedics, 2 Flight RNs,
  1 helicopter, 1 fixed wing, 30 other hospital
  staff.
• Hospital 2
• 2 ED Docs, 2 PAs, 4 ED RNs, 1 Pharmacist, 1 Lab
  Tech, 1 Rad Tech, 2 maintenance, 1 Flight
  Paramedic, 1 Flight RN, 1 helicopter, 20 other
  hospital staff members.

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Activity 2

• Purpose
• The purpose of this activity is to provide you
  with an opportunity to apply what you have
  learned about Unified Command to an incident
  involving a train/school bus accident that
  requires multiple jurisdictions and agency
  response.
• Instructions Complete the following steps
• List who would be included in the Unified Command
  structure
• Describe the challenges facing the Unified
  Command
• Describe the strategies the Unified Command
  structure will use to address these challenges
  and facilitate information flow and coordination.
• Be prepared to present your results in ___
  minutes.

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Activity 2 Scenario UpdateConditions On-Scene

• It is one hour after the train/bus crash. 20 band
  students have been treated at the scene. 7 reds,
  6 yellows, 5 greens and 2 blacks. There are
  approximately 15 students still trapped and or
  waiting to be transported.
• During extrication efforts two of the tank cars
  carrying chlorine shifted and they are now
  leaking. Wind is from the north at 2 mph.
• The football game is over, traffic is jammed up
  all over town. Fire, EMS and law enforcement
  resources are stretched very thin.
• Mutual aid from surrounding counties has been
  requested and a Unified Command Post has been
  established.

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Activity 2 Update Conditions at Hospitals

• Hospital 1 (closest) received 4 of the critical
  (red) patients and 3 of the yellows transported
  so far. All ED beds are full and staffing is
  stretched thin. Hospital Command has been
  advised of the chlorine leak and is nervous due
  to the hospitals proximity to the incident.
• Hospital 2 received 3 critical patients, 3
  yellows transported from the scene so far, and
  they are dealing with patients coming in from
  multiple fender benders. The ED is almost full
  but staffing is adequate at this time because
  called back healthcare workers were better able
  to get through traffic.

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Activity 2 Resources

• Law Enforcement
• MPD 10 cars, Sheriff 5 cars, HPD 2 cars
• Fire/HazMat
• MFD 5 engines, 2 trucks, MRFD 2 engines and
  Joint HazMat trailer.
• EMS
• Missoula 7 ambulances, 2 helicopters,
  Frenchtown 1 ambulance
• Public Works
• Traffic barriers, Sign boards, dump trucks
• Public Health
• On call Environmental Health Specialists.

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Critical Issues Facing Responders/Receivers

• Scene/responder safety
• Rescue, extrication, triage and transport
• Hazardous Material release
• Evacuation exposed patients self reporting to
  hospital
• Traffic gridlock/diversion

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Activity 3

• Purpose The purpose of this activity is to
  provide you with an opportunity to apply what you
  have learned about the planning, briefing and IAP
  development process.
• Instructions Working as a team
• Review the scenario update, scenario objectives
  and tactical recommendations in your Student
  Manuals.
• Discuss the hazard and strategy recommendations
  and select a course of action.
• Based on the selected tactics, determine resource
  requirements. Complete the Operational Planning
  worksheet (ICS/HICS 215) and Safety Analysis (ICS
  215A or HICS 261)
• Identify the ICS forms to be included in the IAP
  appropriate to the scenario.
• Outline the agenda for the operational briefing
  and be prepared to present your IAP as a concise
  5-10 minute operational briefing.
• Be prepared to present in ____minutes

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Activity 3 Scenario Update

• 3 hours after the incident began All injured
  and dead band students have been removed from the
  scene and transported to hospitals. HazMat teams
  are attempting to stop the chlorine leak. Wind
  has shifted slightly and is coming from the NW
  continuing at 2 mph. Evacuation downwind is
  hampered by continued traffic snarls. Patients
  smelling of chlorine are self-reporting to the
  hospitals complaining of shortness of breath,
  coughing, and eye irritation. Media helicopters
  arrive in the area. Unified Command determines
  that the incident will extend into multiple
  operational periods. The operational periods will
  be 12 hours. The next operational period will
  begin at 2000 hours tonight and end at 0800
  tomorrow. The public is demanding safety
  information and parents of the band students are
  demanding to know the status of their children
  and are converging on the hospitals.

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Activity 3 On-Scene Incident Objectives

• Provide for safety of responders and public
• Ensure appropriate level of PPE and
  decontamination
• Stop the leak of the chlorine in the next
  operational period
• Expand and maintain outer perimeter and
  evacuation area. Admit no one without permission
  of IC. (The affected area potentially includes
  about 40 50 city blocks with an average of 12
  residences per city block. With an avg. of 3
  people per residence you can expect to have to
  evacuate and shelter at least 1400 1600
  people.)
• Relocate ICP to a safe area in the next two
  hours.

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Activity 3 Hospitals Incident Objectives

• Provide for safety of hospital staff and patients
• Ensure appropriate PPE and patient
  decontamination.
• Stop elective procedures, maintain adequate
  staffing
• Communicate and share resources with other
  hospital(s).
• Transfer patients appropriate to conditions and
  available resources.
• Manage media and next of kin expectations.

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Activity 3 Public Health Incident Objectives

• Ensure employee safety
• Monitor on-scene activity and provide technical
  assistance.
• Prepare and disseminate Public Health Information
  messages.
• Track exposed patients
• Assist in shelter operations