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Umatilla County Bus Crash Interstate - 84. Gary A. Woodson, Fire Chief-Paramedic & Matt Benedict, Captain-Paramedic Pendleton Fire & Ambulance Department. DECEMBER 30, 2012. DECEMBER 30, 2012. TIMELINE. 10:07 a.m. - 1 st call to Umatilla County 911
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Umatilla County Bus CrashInterstate - 84 Gary A. Woodson, Fire Chief-Paramedic & Matt Benedict, Captain-Paramedic Pendleton Fire & Ambulance Department
TIMELINE • 10:07 a.m. - 1st call to Umatilla County 911 • Tour bus crash on I-84 at Cabbage Hill Milepost 226 Westbound • Passengers mostly South Korean • Twelve 911 calls received in ~20 minutes by passing motorists and bus passengers – most Korean speaking • CTUIR Ambulance dispatched • Requested assistance from Pendleton Fire & East Umatilla Rural Health District • Request EOC be opened • EM notified at 10:40 • CTUIR Public Safety Director notified at 10:50 • Requests for assistance continued
I-84 Closed to traffic • Pendleton Fire & Ambulance Services assumed command of incident • Unified Command (OSP, PFD) • No IMT (most IMT members were responding or on standby) • Lt. Gregg Hastings, OSP dispatched to assist with PIO functions • Mid-Columbia Bus Company dispatched to assist with transport • Morrow County Mobile Command Vehicle
NOTIFICATIONS • OERS • Umatilla County Commissioners • City of Pendleton Mayor, City Counsel, City Manager • CTUIR Government • NTSB • Consulates: • Korean • Canadian • U.S.
CHALLENGES • Day of the Week (Sunday) • Terrain (~200’ below freeway at a 63% grade) • Number of victims and accountability of victims • Range of injuries • Temperature - 21-24 degrees • Age ranged from 7 to 75 years
CHALLENGES 2 buses, stopped in Boise where some passengers traded buses with no change in manifest, which was in Korean. Passengers listed as “John Doe, and 3 others” (no names) Crashed bus was 2nd in line, first bus continued on, where passengers disembarked without being checked off of manifest, so there was no clear number or ID of passengers on either bus. Language barrier. Most were Korean and spoke little or no English.
WEATHER CONDITIONS & TERRAIN • Temperature: 21-24 degrees • ~200 feet below freeway • 63% Grade
MEDICAL BRANCH • Triage • Treatment • Transportation
Roof Ladders used on driver’s side for access. Initial accessthrough front of the bus. EXTRICATION - DISENTANGLEMENT
TREATMENT • IV Hep Lock started while patients were still on the bus • Pain medications administered • patients received collars & backboards. There were very few walking wounded.
Most victims were carried up this incline or hoisted with ropes. There were 3 or 4 walking wounded that were able to make it to the highway prior to EMS arrival.
TRANSPORT • 38 transported • 9 fatalities • 38 patients removed from scene in • 2 hours 38 minutes • From bus to ambulance – Average of 4 min. 15 sec • Transport to hospital ~20 minutes
RESCUE EFFORTS • 38 patients removed from the scene in 2 hours 38 minutes. • From bus to ambulance – average of 4 min. 15 seconds • Transport to hospital – 20 minutes.
Rescue • Technical Rescue teams requested to assist • All Terrain Vehicles requested to transport tools, equipment and victims
St. Anthony Hospital • Arrival at St. Anthony’s Hospital • Patients re-triaged by physician, ER nurse and paramedics • 26 patients treated at St. Anthony’s • Some patients transported to other hospitals
LIFEFLIGHT • One helicopter available (from LaGrande) that could land at the scene. • Pendleton aircraft grounded due to weather • Weather checks every 5 minutes • 2Fixed winged medical aircraft staged at Pendleton Airport • 2 Rotary winged (helicopters) staged at Pendleton Airport • 1 Helicopter at St. Anthony’s
LifeFlight staged at SAH for transport to tertiary hospitals
Shelter set up at Pendleton Convention Center • Staffed by Mid-Columbia Region – Portland Red Cross staff members, local volunteers, nurses, doctors and translators. • Shelter moved to Red Lion Inn • Legacy Ford of LaGrande provided transportation to Seattle, Portland, and Vancouver B.C. at no charge
Tour bus was transported to a secondary location for investigation