Ted SetlaOn this episode, we have filmmaker Ted Setla on the show this week to share his experiences work with American Medical Response (AMR) to document their ambulance strike teams during the recent spate of hurricanes to strike the continental U.S. Ted was deployed with his camera to both Houston for Hurricane Harvey and to Florida for Hurricane Irma. He also looked at the after incident stress management from the Las Vegas October 1 shooting incident.

We examine Ted’s work providing a way to record responder’s and their feelings so that they can get some of this out of their system. It also provides a useful record to help teach future generations of responders how to prepare for the feelings they will experience while treating patients in mass casualty incidents.

Joining Ted on this episode were hosts, Jamie Davis, the Podmedic, Sam Bradley, Kyle Nelson, and Dr. Joe Holley from Paragon Medical Education Group.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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Pafford EMS USVI DeploymentOn the call this week we talk about disaster deployments from ambulance services as strike teams for disasters like the recent spate of hurricanes. We have Jamie Pafford-Gresham from Pafford EMS ambulance company. They cover a service area in parts of four different states. They are also a company that started back in 1967.

Pafford EMS also made teams available to response to disasters this year for hurricanes in Texas, Georgia, Florida, and the U.S. Virgin Islands. They also deployed for the wild fires in California. These strike teams did not go out unprepared. They trained and planned for deployment so they could do the job without becoming part of the job in a disaster.

Follow Pafford EMS on Facebook.

About Pafford EMS

Established in 1967, Pafford EMS is a family owned and operated company with a history of providing communities with the latest, most sophisticated level of pre-hospital care on every emergency call we answer. Pafford EMS staffs advanced life support personnel. They continue their committment and training by leading the way in disaster preparedness and support.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

Disaster-Podcast-Perin-Volunteer-Crisis-ManagementAuthor and experienced first responder and author Michelle Perin joins hosts Sam Bradley and Jamie Davis on the show at EMS World Expo 2017 to talk about her experiences across several aspects of emergency services. Michelle has been a dispatcher for police officers, a fire-fighter, EMT and crisis management responder.

Michelle shares how she got started with CAHOOTS, a volunteer crisis management team for medical and mental health calls in Eugene Oregon. CAHOOTS stands for “Crisis Assistance Helping Out On The Streets.” Her team responds through the police department’s dispatch center to bring a mental health professional and an EMT or paramedic to situations requiring crisis intervention on the scene of an emergency call.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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Disaster-Podcast-Buchanan-Vegas-ShootingThe aftermath of the Las Vegas shooting event is far-reaching and long-lasting. Even though we know that it is still a daunting task to prepare responders for their individual stress reactions to treating patients from such an event. Deputy Chief Jeff Buchanan of the Clark County Fire Department knows this all too well.

While attending the EMS World Expo 2017 conference in Las Vegas, Jim Logan, and Host Sam Bradley sat down with Chief Buchanan to talk about the new peer support team Clark County Fire put in place just prior to the events of October 1st this year. They look at the ongoing efforts to help responders cope with critical incident stress from going out to that call and what will be done moving forward to expand support in the coming months and years to come.

Clark County FD seems to be doing everything right with respect to helping their responders deal with the aftermath of this once in a lifetime situation.  We here at the Disaster Podcast will follow up with Chief Buchanan in the future to check on their ongoing efforts in support of their fire and EMS crews.

For those who wish to contact Chief Buchanan for more information on how you can set up a peer support or other CISM resource like it, he shares his email at the end of the segment.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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california-wildfires-prepperWe talk about a prepper podcast medical training weekend run by Kevin Reiter, Sam Bradley, and Kyle Nelson on this week’s episode. Before we get to that, we touch on the weather of the week with a review of Hurricane Nate and the Wildfire situation in northern California.

After the weather and fire updates, the team transitions into a look at a training weekend run by Kevin Reiter from WildSafety.com. He invited Sam and Kyle in to train a group of prepper podcasters and their listener community. The prepper podcasters included SurvivalistPrepper.net and Mind4Survival.com.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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Chief Greg CassellI just watched an amazing and informative press conference with the chief of Clark County FD, Greg Cassell. He related some information I had not heard from other channels that primarily focused on the police response to the event.

Their response started mere seconds after the gunfire started when an engine (Engine 11), returning to the station after an MVA, was passing by the concert venue. The sound of gunfire was noted and the officer in charge called in to dispatch just as wounded and fleeing concert-goers flooded into the street around them.

Here’s the press conference in full. Read on below for more of my notes.

In addition to relating the series of events from the fire department’s perspective, Chief Cassell also said much of what Jim Logan stressed in our episode earlier this week on the tragic events of Sunday night and Monday morning. The Las Vegas area fire departments and specifically Clark County FD’s hard work and training between other local agencies paid off.

Cassell said, “If this had happened 10 years ago, I can tell you many more people would have died.”

He also said that they never had a chance to set up a traditional transport staging area because as the responding EMS and fire units came in from all directions, they encountered fleeing victims spreading out blocks away from the venue. The responders’ training allowed them to improvise and stop where they were to begin care and stop patients at their locations. This meant multiple first-in units set up incident mass casualty treatment locations rather than a single event triage area.

Also of note, the overall joint task force ended up with SIXTEEN police/EMS task force units (2 PD officers and 3-4 Fire/EMS personnel each). They spread out to contact and secure patients and fleeing concert goers around the city sheltering in locations where there were reports of other shooters and wounded from the concert. These people were all in various surrounding hotels and venues away from the concert location. In total, there were 170+ total FD and EMS personnel in the response and transport of patients from the event.

Chief Cassell repeatedly said that in recent years they trained alongside PD and other area fire departments and agencies as if an attack on their city was a “when” not an “if” event. He was frank about how he’d presented on what they’d done to prepare at various conferences over the years and received a lukewarm response. He also said he believed his departments’s AAR (after action report) of this event’s response would lead to new standards across the country. (More of what our Jim Logan alluded to in the recent episode.)

You can check out our episode for more of our thoughts at the link below:

http://disasterpodcast.com/2017/10/las-vegas-active-shooter/

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active shooter police swatIn this episode of the Disaster Podcast, we look at the early response to the Las Vegas active shooter incident on October 1st. At the time of this recording, the death toll was 59 with 527 people injured. The injured had injuries ranging from gunshot wounds, to trampling, to reports of one individual struck by a motor vehicle. On the show this week are Kyle Nelson our disaster social media expert and weather expert, Dr. Joe Holley and Jim Logan from Paragon Medical Education Group, and co-host Sam Bradley.

Las Vegas and the surrounding community of first responders headed toward the sound of the guns, managing hundreds of dead and severely wounded patients. In addition to fire, police and EMS units treating and transporting patients, many of the patients were transported to local hospitals by civilian vehicles or walked in on their own.

Dr. Joe Holley points out how hospitals today have very little surge capacity from day to day. To receive hundreds of seriously injured patients over the course of a few hours would be devastating to staff and patients alike.

Training and ongoing system-wide protocols and procedures may have made a difference in the handling and outcomes for patients and responders alike. Jim Logan from Paragon Medical Education Group talks about the national discussion about the proper response to active shooter incidents. Some systems continue to resist changes to the nationally accepted best practices based on the hard lessons learned during these active shooter situations.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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mosquito illness and disaster deploymentOn today’s show, we bring together the team to discuss what kinds of threats and illnesses responders might be exposed to during a disaster deployment or experience after returning from a deployment to a disaster zone. Dr. Joe Holley talks with the rest of the team, including co-hosts Jamie Davis and Sam Bradley, plus our disaster weather expert Kyle Nelson.

Infectious Diseases & Disaster Deployment

Joe talks about how the toxic soup that major floodwaters contain carries all sorts of infectious disease sources. DengueChikungunya, Zika, and other insect-borne illnesses are common in the weeks after major storms in the south. The large areas of sitting water tend to be ready breeding grounds for mosquitoes in these areas.

Kyle brings up questions about self-treating or prophylactically treating yourself with antibiotics. Joe points out that the broad variety of unusual bacteria likely to be found in flood waters require special attention to which drugs are used to treat infections.

Most of the illnesses seen by responders tend to be rashes and other skin issues related to exposure to things mold, chemicals, and other irritants stirred up by the storm and flood waters. Joe points out that there are things you can do to protect yourself and to make sure you aren’t doing things that negatively impact your immune system. Maintaining hydration and mitigating the exertion stress of rescue activities will help alleviate some of these concerns.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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A World Full of Disasters – Hurricane Maria and Beyond with the Disaster Podcast Team. Kyle Nelson gives our weather update for the podcast. He starts with a look at the remnants of Tropical Storm Jose off the coast of Nantucket, Massachusetts. He then transitions to a recap of the damage from Hurricane Maria in the Caribbean including direct hits on Dominica, the U.S. Virgin Islands and Puerto Rico. Catastrophic damage is recorded on all the islands mentioned.

EMS World Americas in Bogota, Columbia

EMS Chief Juan Cardona

EMS Chief Juan Cardona

We then bring on a special recorded segment with Chief Juan Cardona from Coral Springs Fire Rescue in Coral Springs, Florida. Juan has organized a special South American EMS World Conference for communities there. Dr. Joe Holley and Jim Logan from Paragon Medical Education Group were invited to come in to the conference in Bogota, Columbia with their special cadaveric training programs and teach about mechanics of cardiac arrest.

We wrap up the episode with a recap of what U.S. disaster response units are doing in the aftermath of Hurricane Maria. There is a full deployment of a Federal Incident Support Team (IST) as well as USAR and DMAT teams in the islands.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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How Do You Solve A Problem Like Hurricane Maria? To kick off the show today, we have our disaster weather expert Kyle Nelson (@WxKyleNelson) to talk about the weather update. Hurricane Maria hit the island of Dominica after going from a category 1 storm to a category 5 in just fifteen hours.

Atlantic Hurricanes’ Widespread Impacts

Hurricane Maria and JoseAlso, Hurricane Jose is still meandering around the western Atlantic Ocean and causing tropical storm force winds off the coast of Massachusetts. Host Jamie Davis likens it to a visiting family member who visits for a weekend and is still living on your couch and drinking your beer three weeks later.

Maria has imminent impacts in the Caribbean with the U.S. Virgin Islands and Puerto Rico awaiting landfall Wednesday morning September 20th. Numerous assets from Federal disaster response teams are staged in Puerto Rico ready for the storm’s arrival.

As always, use the U.S. National Hurricane Center for updates and the most complete and accurate information on storms at Hurricanes.gov.

Mexico City Earthquake on Sept 19th

In addition to the Hurricanes, there was also a 7.1 magnitude earthquake reported in central Mexico 75 miles south of Mexico City. At the time we recorded the episode 116 people were reported dead by officials in the capital. That death toll is over 200 at the time of podcast release on Wednesday morning September 20th.

An alarming video of building collapse during the quake.

Disaster Podcast Team at Upcoming Conferences

Also on the show were Jim Logan and Dr. Joe Holley from Paragon Medical Education Group. They are preparing to travel out to Bogota, Columbia for the international EMS World conference to share their expertise in disaster planning and management. We’ll have a special episode upcoming soon with some special guests from that conference.

Also, watch for the Disaster Podcast team in Las Vegas for the upcoming EMS World Expo conference there in October. If you’re planning to attend, make sure you stop by the Podcast Studio in booth 721 at that event. We’d love to see you come on by and say Hello.

Remembering Dr. Christopher J. Bosche

On a somber note, Joe and Jim share the loss of a fellow USAR member who died recently of a 9/11 related illness. Dr. Christopher J. Bosche was a dear friend of Joe Holley and Jim Logan. They worked with him at numerous disaster responses including during the Katrina response.

Dr. Chris Bosche was remembered by Jim and Joe as inspirational and hard-working in his dedication to disaster response with Missouri’s USAR team. He worked at Ground Zero in New York after the 9/11 attacks and contracted his cancer during that deployment.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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