Chemical Attack Tabletop Exercise

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Chemical Attack Tabletop Exercise
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This Training is Provided to you by

• UAB South Central Center for Public Health
  Preparedness
• UAB Center for Labor Education and Research

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Focus on the Elephant and DONT Choke on the Gnat
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0330 Hours Universal Chemical Company Rail
Siding Anytown, USA
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• Insert Video Clip Bad Guys in Rail Yard

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1300 Hours Anytown, USA

• Senator Earnest Goodman addresses a crowd of
  approximately 500 people at the local high school
  stadium
• Weather Conditions
• Partly cloudy
• Temperature is 80F
• Relative Humidity is 89
• Wind is from southwest to northeast at 5 mph

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1330 Hours

• Insert Video Clip Explosion in Rail Yard

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1334 Hours Initial Response by Anytown Fire
and Rescue

• On-Scene command established
• Dense green cloud and odor of bleach reported
• Size-up initiated
• Request assistance from hazmat team
• Request assistance from law enforcement for site
  control
• (Continued)

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1334 Hours Initial Response by Anytown Fire
and Rescue

• Initial evacuation started according to distances
  recommended by the DOT ERG with assistance from
  law enforcement
• (See Map)

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Initial Isolation Zone
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1340 Hours - Events at stadium

• Multiple 911 calls received from stadium
• Large number of people experiencing
• choking sensation and coughing
• Irritation to eyes, mucous membranes, and
  respiratory tract
• Some people panicking and attempting to flee
• (Continued)

Mary 1 audio clip
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1340 Hours Events at stadium

• Focus of response expands to address possible MCI
  at stadium
• Additional units dispatched to stadium
• Concerns expressed for residential population
  downwind of stadium

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1342 Hours Evacuation of stadium to far side
of parking lot underway
Evacuation
Evacuation
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1344 Hours First Fire EMS Units Reach
Stadium Incident Scene

• Stadium evacuation in progress
• Initial estimate of over 200 exposure cases
• Additional response personnel requested
• Instructions regarding patient DECON and triage
  requested

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1345 Hours County Emergency Operations Plan
Activated

• County EOC designated as joint operations center
• Unified command established
• State ERP activated

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End of Phase One
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EMS
EOC/JOC
First Incident Period
Unified Command
Police
Rail Authority
Safety Officer
Liaison
JIC/JIS/PIO
Finance
Logistics
Operations
Planning
Staging
Service Branch
Support Branch
Resources Unit
Time Unit
Fire Branch
Law Enforcement Branch
Supply Unit
Comm Unit
Situations Unit
Procurement Unit
Fire/ HazMat
Facilities Unit
Medical Unit
Evacuation
EMS
Compensation/ Claims Unit
Documentation Unit
Search
Ground Support Unit
CCP
Food Unit
Investigation
Cost Unit
Demobilization Unit
Rescue
Treatment
Perimeter
Triage
Technical Specialists
Entry
Transport
Traffic
Public Health
Decon
Morgue
Hospitals
Access
Rail
Refuge
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Assignment One

• Identify safety concerns of your personnel
• Each agency identify strategic goals for your
  group (what you want to see done)
• List your agency roles and responsibilities for
  dealing with this incident (how you are going to
  do it)
• Identify planning issues and informational needs
  that must be addressed

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1347 Hours Event Recognized as Probable
Terrorist Attack

• Law Enforcement
• Checks for scene safety
• Initiates efforts to preserve evidence
• Notifies FBI ATF

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1348 - Shelter in Place ordered for residents in
Protective Action Zone downwind of stadium
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1349 Hours - Local news team arrives at incident
perimeter, asking about rumors

• Is it true that everyone at the stadium,
  including the Senator, is dead?
• Is it true that everyone downwind of the stadium
  will die unless they evacuate immediately?
• What should they tell the public?

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1350 Hours EMS personnel establish triage at
incident scene

• Patient decontamination provided as needed
• Personnel on scene estimate 160 patients will
  require transport, with 40 requiring intubation
  for ventilation
• Additional EMS personnel requested
• Additional transportation units requested

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1352 Hours - Hazmat responds to reports of
people missing in stadium

• Anytown Hazmat Team (Hazmat 1) deploys to stadium
  for search and rescue
• Anytown requests mutual aid assistance from
  Woodly FD Hazmat Team (Hazmat 2) to contain
  release from rail car

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1354 Hours Event treated as obvious Mass
Casualty Incident

• All available EMS resources fully committed
• EMS personnel update hospital emergency
  departments

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1400 Hours EMS personnel begin transporting
patients

• Patient triage, treatment, and transport ongoing
  at the incident scene

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1401 Hours Stadium Search and Rescue

• Two 2-member entry teams from Hazmat Team 1 begin
  stadium search for rescue of non-ambulatory
  victims

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1402 Concerns expressed by public regarding
protective actions

• Residents in the downwind Shelter-in-Place area
  want to know if they are really safe
• The manager of the Bellevue Nursing Home reports
  residents are upset because of an odor of
  chlorine in the facility

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1405 Safety Officer requests assessment of
protective measures

• Is initial isolation zone (evacuation area) large
  enough?
• Is Shelter-in-Place appropriate for residents in
  downwind protective action zone?
• Can wind shift and expose triage areas,
  hospitals, or other key facilities?

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1410 Hours All ambulatory patients reported
clear of stadium

• Triage, Treatment, and Transport continuing on
  scene
• Victims conditions range from asymptomatic to
  dead on scene
• EMS personnel on scene still estimate 160 total
  patients requiring transport, with 40 requiring
  intubation
• Some patients dismissed from field with
  instructions following examination

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End of Phase Two
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EMS
EOC/JOC
Second Incident Period
Unified Command
Police
Rail Authority
Safety Officer
Liaison
JIC/JIS/PIO
Finance
Logistics
Operations
Planning
Staging
Service Branch
Support Branch
Resources Unit
Time Unit
Fire Branch
Law Enforcement Branch
Supply Unit
Comm Unit
Situations Unit
Procurement Unit
Fire/ HazMat
Facilities Unit
Medical Unit
Evacuation
EMS
Compensation/ Claims Unit
Documentation Unit
Search
Ground Support Unit
CCP
Food Unit
Investigation
Cost Unit
Demobilization Unit
Rescue
Treatment
Perimeter
Triage
Technical Specialists
Entry
Transport
Traffic
Public Health
Decon
Morgue
Hospitals
Access
Rail
Refuge
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Assignment Two

• Do your agency roles and responsibilities need to
  be adjusted?
• Identify where the Joint Information Center is
  located and what agencies are involved in the
  Joint Information System?
• What does the unified message to the public need
  to be? (concise)
• What additional planning issues do you have and
  what further information do you need?

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1419 Hours Members of hazmat team 2 enter
railyard

• Objectives
• Search for victims
• Assess options for containing release from rail
  car

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1421 Hours - Stadium Search Completed

• Hazmat Team 1 Reports
• Rescue of four victims from stadium underway
• 15 reported dead on scene within stadium

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1425 Hospital emergency departments are very busy

• Transport of patients by EMS continues
• Self-referred patients show up, claiming they
  were at the stadium or live downwind
• Most are asymptomatic, but frightened and upset
• Hospital personnel warned to expect 600 to 800
  self-referrals

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1429 Hazmat Team 2 reports from railyard

• No victims in railyard
• Chlorine car appears to have been breached by
  explosives
• Chlorine release is continuing
• Attempting to contain the release

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1430 Hours Media mass invasion underway

• News teams approaching stadium scene and area
  hospitals
• Reporters are asking for verification of many
  rampant rumors
• What should they tell the public?

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1440 Hours Federal law enforcement officials
arrive

• FBI and ATF officials begin investigation
• FBI mobilizing crime scene processing team, with
  4 hour ETA

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1445 Family members of victims seek information

• Hospital information lines swamped with phone
  calls
• People show up at the scene perimeter and the
  hospitals attempting to locate family members
• Many people are very confused and upset

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1550 Hours Report from Hazmat

• Hazmat 2 reports release from rail car
  temporarily contained
• Hazmat Team 1 relieves Hazmat Team 2
• Hazmat Team 2 ordered to demobilize
• Hazmat requests assistance to offload remaining
  chlorine into a sound rail car

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1553 Hours Assessment of protective actions
complete Actions given the OK

• Computer models were initial cause for concern
• Air monitoring data indicates actual plume size
  smaller than indicated by models
• Air monitoring will continue to check for
  abatement of hazard

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1555 Hours Triage, Treatment, and Transport at
stadium scene completed

• 139 examined and discharged from scene
• 148 transported to hospitals by EMS
• 19 dead on scene
• Personnel on scene request instructions regarding
  bodies

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1600 Hospital Emergency Departments have
received all patients from the event

• Anytown Regional Medical Center reports 2
  patients died after transport from stadium
• Hospital Emergency Departments are full, but
  working though the surge of patients

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1935 Hours Hospitals EDs terminate emergency
operations

• Treatment continues for patients hospitalized
  from the incident

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2025 Hours Hazmat Team Report

• Temporary repair to chlorine tank car is holding
• Downwind atmospheric hazards significantly abated
• Evacuation and shelter- in-place to continue as
  precaution while chlorine car is unloaded

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2030 Hours - Agencies involved in emergency
medical response stand down
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Conclusion of Emergency Phase of Response

• Emergency operations conclude when transfer of
  remaining chlorine from damaged railcar is
  complete
• Investigation of the attack continues with FBI as
  lead agency
• Unfortunately, the terrorists are still out there

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End of Phase Three
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EMS
EOC/JOC
Third Incident Period
Unified Command
Police
Rail Authority
Safety Officer
Liaison
JIC/JIS/PIO
Logistics
Operations
Finance
Planning
Staging
Service Branch
Support Branch
Resources Unit
Time Unit
Fire Branch
Law Enforcement Branch
Supply Unit
Comm Unit
Situations Unit
Procurement Unit
Fire/ HazMat
Facilities Unit
Medical Unit
Evacuation
EMS
Compensation/ Claims Unit
Documentation Unit
Search
Ground Support Unit
CCP
Food Unit
Investigation
Cost Unit
Demobilization Unit
Rescue
Treatment
Perimeter
Triage
Technical Specialists
Entry
Transport
Traffic
Public Health
Decon
Morgue
Hospitals
Access
Rail
Refuge
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Assignment Three

• List your agency strategic goals for
  demobilization.
• When can you expect to resume normal operations?