tread water (2014 keynote)
TRANSCRIPT
How long can you tread water?
Rick Sposa, BA. NREMT-P Jersey City Medical Center
EMS/Emergency Preparedness
Acknowledgments
Misunderstood field
Emergency managers are typically a misunderstood breed
Constantly looked at as the portal of bad news and adverse information
Identified as building elaborate plans for the day that will never come. . . .
47-square mile response area
Dense urban landscape
Directly opposite of downtown Manhattan
Most densely populated county in NJ and sixth most densely populated in the US.
Where do we serve?
Who are we?
Primary BLS Service for Jersey City (population 248,000)
Primary ALS Service for greater Hudson County (population 610,000)
Respond to approximately 80,000 calls for service with 48,000 patient contacts
Who are we?
Regional Trauma Center
Safety net hospital
ED sees 90,000 visits a year
Primarily serve uninsured population with little access to primary care
Where we are
Jersey City Medical Center
Storm preparation
Statewide Conference Calls
Pre-planned response EMS / Hospital
Staffing bolstered
Hurricane Plans reviewed
Storm Clock
- 3 days 2:00:00
Storm Clock
- 2 days 0:00:00
Hospital Evacuation
Sunday - Hoboken University Medical Center makes decision to evacuate
100 + patients evacuated in six hours to surrounding hospitals using NJ EMS Taskforce Assets
Storm Clock
-1 Day 00:00:00
HUMC evacuated by NJEMSTF
The Storm hits. . .
Staffing beginning to come in and being housed at hospital
Rain/Wind Event
Water surge higher than seen during Irene (but ignorantly felt confident we could handle)
Storm Clock
0:00:00
And then it REALLY happened!!!!!
Storm Clock
+ 1:00:00
The damage
Storm Clock
+ 1:00:00
Forced to go on Divert, not accepting any patients
At one point every hospital in county was not accepting patients
Campus completely inaccessible.
Patients literally swimming up to our doors
Complete IT shutdown because of impending flood
Lost all EMR, GIS, Dispatch, and patient charting applications, along with email and internet
Power lost almost, catastrophic
Multiple collapsed buildings and facades in the city
Multiple structure fires burning out of control
At this point we did not even have confirmed locations of these events
All communications disabled
Another Hospital Evacuated
Palisades Medical Center Evacuates post storm
Inundated with patients
No gasoline/power
Worried well, cold, wet, and powerless flocked to the hospital
Multiple EMAC requests made for additional EMS resources, city overwhelmed with call volume
The Calvary arrives. . . . (and not a moment too soon)
• Multiple fires over the next few
days/weeks
•Shelter operations established to
lessen hospital patient loads
Mobile Hospital Deployed
•Mobile Acute Care Satellite
Emergency Department (MSED)
Established
•Four total deployments
•Hillsborough
•Brick Township
•Jersey City
•Long Beach, NY
Outside EMS Agencies respond
•15 Outside
ambulances
used for over
two weeks
•Units from
•Philadelphia
•Pittsburgh
•Baltimore
•Pennsylvania
•Maryland
Where do we go from here?
November 8, 2012
Storm Clock
+ 10 days
Jersey City Medical Center Emergency Medical Services
“Enhancing Life… Through Nationally Recognized Prehospital Care”