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Aeromedical Evacuation from New Orleans

Aeromedical Evacuation from New Orleans. Maj Michael Turley 34 CTS. Overview. Initial Arrival and Assessment Redesigning Floorplan to Optimize AE Challenges (Friday afternoon) Lessons Learned, Successes. Initial Arrival. Placing units, lighting. Airfield Layout. Non-AE Departures.

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Aeromedical Evacuation from New Orleans

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  1. Aeromedical EvacuationfromNew Orleans Maj Michael Turley 34 CTS

  2. Overview • Initial Arrival and Assessment • Redesigning Floorplan to Optimize AE • Challenges (Friday afternoon) • Lessons Learned, Successes

  3. Initial Arrival Placing units, lighting

  4. Airfield Layout Non-AE Departures AE Departures TALCE Bed-down Active Runway Helicopter Arrivals

  5. Supplies, Supplies, Supplies! • Airfield Lighting Kit; enabled night ops • AA-battery operated; staked easily in place

  6. TALCE “Command Post” Photo by TSgt Vince O’Dell, 34 CTS

  7. Airfield Damage Photo by TSgt Vince O’Dell, 34 CTS

  8. Terminal Layout

  9. Initial Floorplan Medical Supplies Y EOC G R Triage Reg

  10. Supplies, Supplies, Supplies! • Airfield Lighting Kit; enabled night ops • AA-battery operated; staked easily in place • NDMS Medical Kits; well-inventoried • Resupply a different story; NORTHCOM and TRANSCOM/GPMRC much quicker than FEMA; “Tell us what you need” attitude

  11. Arriving Ground Traffic Photo by TSgt Vince O’Dell, 34 CTS

  12. Parade of Ambulances Photo by TSgt Vince O’Dell, 34 CTS

  13. West Terminal (Normal) Louis Armstrong International Airport File Photo

  14. West Terminal (Triage) Photo by TSgt Vince O’Dell, 34 CTS

  15. Waiting to Depart Photo by Michael Reiger, FEMA

  16. Supplies, Supplies, Supplies! • Airfield Lighting Kit; enabled night ops • AA-battery operated; staked easily in place • NDMS Medical Kits; well-inventoried • Resupply a different story; NORTHCOM and TRANSCOM/GPMRC much quicker than FEMA; “Tell us what you need” attitude • Litters, Straps, “Linens” by the 1000’s

  17. Ticket Lobby (Normal) Louis Armstrong International Airport File Photo

  18. Ticket Lobby (Waiting) Photo by Michael Reiger, FEMA

  19. Optimizing AE

  20. Initial Floorplan Medical Supplies Y EOC G R Triage Reg

  21. Redesigned Floorplan AELT GPMRC Medical Supplies Y Triage EOC G R Reg

  22. Prioritizing Patients for AE Photo by TSgt Vince O’Dell, 34 CTS

  23. Supplies, Supplies, Supplies! • Airfield Lighting Kit; enabled night ops • AA-battery operated; staked easily in place • NDMS Medical Kits; well-inventoried • Resupply a different story; NORTHCOM and TRANSCOM/GPMRC much quicker than FEMA; “Tell us what you need” attitude • Litters, Straps, “Linens” by the 1000’s • MREs, Bottled Water, Snacks, etc. • Lifesavers… literally…

  24. Flying Hospitals Photo by Michael Reiger, FEMA

  25. Challenges to Mission Success

  26. Airfield Layout Non-AE Departures AE Departures TALCE Bed-down Active Runway Helicopter Arrivals

  27. Helicopter Traffic Photo by TSgt Vince O’Dell, 34 CTS

  28. Helicopter Arrivals(initial arrival) Photo by Michael Reiger, FEMA

  29. Helicopter Arrivals(initial arrival) Photo by Michael Reiger, FEMA

  30. Helicopter Arrivals(determining status) Photo by Michael Reiger, FEMA

  31. Helicopter Arrivals(non-patients) Photo by Michael Reiger, FEMA

  32. Separate Parking? Photo by TSgt Vince O’Dell, 34 CTS

  33. Separate Parking? Photo by Michael Reiger, FEMA

  34. Safer Transfer Photo by TSgt Vince O’Dell, 34 CTS

  35. Superdome “Bypass” Photo by TSgt Vince O’Dell, 34 CTS

  36. AE Outflow AE Crew Reception Comfort Care

  37. Gate D3 Jet Bridge Louis Armstrong International Airport File Photo

  38. Friday Afternoon • Why “Hell” almost broke loose • 2000+ inside – standing-room only • 1500+ more outside – downstairs level • 1500+ more outside – on schoolbuses • Helicopters still arriving • Only Concourse C being used for non-AE • Federal Air Marshals pulled out from crowd • Asked for unarmed medical teams to assist • FEMA – “no ability to stop inbound traffic”

  39. Gate Access (Normal) Louis Armstrong International Airport File Photo

  40. Friday Afternoon • Why “Hell” didn’t break loose • Deputy Sheriff – “The buses are leaving” • Visited helicopter crews – “Please stop” • Concourse B opened up • 13 MILAIR showed up during night hours • Moved downstairs people into terminal • Air conditioning started taking effect

  41. Lessons Learned • No advanced team coordination plan • No cross-team coordination plan • Poor comms (how did inbound know?) • No sustenance plan while waiting for AC • No initial manifesting capability • No pre-set AC, AE crew configurations • Where was Red Cross?

  42. What went right? • Timely response – first-hand knowledge • WA DMAT arrived Tues – levees breaking • “Can-do” attitude – NDMS, DMATs • Compassion kept people working – 36+ hrs • Air Mobility units KNOW how to set up! • Immediate work/rest cycles, work/rest space • Great cross-team, medical cooperation • Virtually indistinguishable (except uniforms) • US Forest Service ROCKS!!!!!!!!!!! • Incident Command – provides for providers!

  43. Summary • Initial Arrival and Assessment • Redesigning Floorplan to Optimize AE • Challenges (Friday afternoon) • Lessons Learned, Successes

  44. Questions?

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