From the monthly archives: "August 2017"

hurricane harveyWelcome to the first of a series of special Hurricane Harvey episodes here on the Disaster Podcast. For this historic disaster event, we have several team members who are hosts and regular guests on the show deploying with federal and state disaster assets to the Houston area.

Dr. Joe Holley is part of the Federal IST (See Glossary Below) deployed on the ground. He calls in to the show with a report while moving from one rescue scene to another in Houston on Tuesday 8/29. Our own co-host, Sam Bradley, will be deploying as part of a Federal JPATS team to assist with the disposition of patients transported out of the disaster area.

Hurricane Harvey Weather Update

We start tonight’s special episode with a report from Kyle Nelson our Disaster Weather Expert who talks about the sheer magnitude of this event. Called a 1,000-year storm by some experts, Hurricane Harvey caused catastrophic rainfall and flooding in the central and northern Texas Gulf coastline and inland.

We then were lucky enough to bring Dr. Joe Holley on by cell phone from the ground in Houston where he was transitioning between two different operational scenes. Joe talks about the ongoing operations for rescue and recovery.

Sam Bradley Prepares to Deploy

Sam then discusses her planned assignment to a JPATS Team to deploy to the Texas/Louisiana area. Her role will focus on managing the disposition of patients from the area who will need ongoing medical care and have to be tracked when they’re sent off to other facilities in and out of state.

Acronym Glossary: We throw around acronyms on this show like they’re candy at Halloween. Here are a few we thought you’d want to know about from Sam’s upcoming deployment so you could understand what she’s going to be doing with patient tracking and disposition.

  • (JPATS) Joint Patient Assessment and Tracking System
  • (DMIS) Disaster Medical Information System
  • (NDMS) National Disaster Management System
  • (IST) Incident Support Team

More Episodes to Come From Houston

We will be bringing you more special updates from our deployed Disaster Podcast team members as we get them in. We will also do a special episode on the role of social media in the disaster response with a special discussion with Kyle Nelson, who is also a disaster social media educator. Watch for that coming soon.

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


Check out this episode and if you have questions, leave them here or on our new disaster podcast Facebook Group.


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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Dr Richard BradleyIn part two of this two-part episode, Dr. Richard Bradley shares some of the special needs for extended incidents like Katrina or the Oso, Washington mudslide incident. He talks about the needs for things like food for responders and safe food storage in a disaster setting. This means that IST managers have to have a good handle on all sorts of logistics from food needs to shelter and more for teams on the ground.

Kyle Nelson asks Rich about lessons learned at these major events. Rich shares the important lesson of treating exercises like real disaster events so you can have a handle on what you need to have everything in your kit. He also talks about the importance of training outside your discipline so you can not only be prepared for your own involvement in rescues but also to help you prepare to support others in other disciplines.

One of the most important things that Federal USAR and IST groups do is to engage in after action reports and “hot washes” right at the end of the incident to see where improvements can be implemented in future deployments. One of the common places that get dropped is the ongoing documentation needed by each team in their unit logs. It is the only permanent record of what happened deep inside the disaster incident.

Check out this episode and if you have questions, leave them here or on our new disaster podcast Facebook Group.


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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Dr Richard Bradley

Dr Richard Bradley

We started off this episode with a look at the weather picture from the last few weeks from our disaster weather expert, Kyle Nelson. Kyle, along with Dr. Joe Holley, shared some of the preparations being made for the upcoming solar eclipse in states expecting a surge in population by eclipse watchers traveling to areas where the eclipse will be total in scope.

Kyle also shared some dramatic video and an article about a rescue helicopter situation in Austria. Check that out at the links here.

http://www.dailymail.co.uk/news/article-4757642/Dramatic-moment-rescue-helicopter-crashes-Austria-mountain.html

We are also joined by Dr. Richard Bradley from Texas Task Force One, one of the Federal Urban Search and Rescue Teams (USAR) spread around the country. There are 28 federal USAR teams around in the U.S. Above the USAR teams are three Incident Support Teams (IST) that provide overarching coordination and support between the federal teams and state and local resources.

Federal IST Disaster Response Structure

Rich shares his experiences deploying multiple times with either USAR or IST groups to disasters around the country. He talks about the Katrina disaster and the total collapse of local governments in and around the New Orleans area. He goes on to talk about the structure and mission of the USAR and IST groups that deploy into local jurisdictions.

Check out this episode and if you have questions, leave them here or on our new disaster podcast Facebook Group.


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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Teal Brooks of Base Medical

Teal Brooks of Base Medical

Teal Brooks (@base_medical on Twitter) is our special guest on this week’s episode. She has a varied medical background starting with ski patrol, mountain rescue, pre-hospital paramedic, and eventually wilderness medical training entrepreneur in Europe. We talk with Teal about her background and explore the things she’s doing to teach wilderness medicine in other countries where systems of care are set up differently from what we are used to in the United States.

She starts by describing the key differences between what typical urban prehospital providers and wilderness providers see and deal with in their patients. Teal acknowledges that some healthcare professionals are not always prepared for the unique challenges seen in the wilderness setting. It takes a special mindset to adjust to wilderness medicine.

Kyle shares how his ski patrol experiences and training is akin to some of the methods and skills used by wilderness providers even though a ski resort is not a true back-country setting. Jamie shares his belief that remote settings with wilderness attributes can be found closer to many urban centers than you might think, such as when your patient is trapped in a setting were extrication is not easily available and the provider on scene must manage the patient for an extended time.

Teal spends some time talking about her business Base Medical. She describes its mission and shares the ways she has adapted her skills to running a business providing wilderness care education.

Check out this episode and if you have questions, leave them here or on our new disaster podcast Facebook Group.


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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summer health emergenciesWe’re featuring severe summer weather health emergencies this week on the Disaster Podcast. We cover some extreme weather across the country including a recent tragic event in Arizona where ten people in a family swimming at a canyon were swept away and killed by a sudden flash flood event in the nearby mountains.

We continue talking about weather-related summer health emergencies that cause unique health hazards for people. Joining us on the call is our disaster weather expert Kyle Nelson (@WxKyleNelson on Twitter). Dr. Joe Holley covers the continuum of heat injuries all the way to heat stroke. We talk about the recent discovery of injured and dead people in the back of a trailer parked at a Walmart parking lot near San Antonio, Texas. Ten people died and twenty-eight were transported to hospitals in the region as a result of the emergency.

Kevin Reiter from the Wilderness Safety Institute talks about what to be prepared for when hiking or doing other outdoor and wilderness activities. Kyle shares statistics from the National Weather Service on weather related fatalities of which Heat Injury is the number one killer only slightly edging out flood fatalities in the thirty-year averages.

Check out this episode and if you have questions, leave them here or on our new disaster podcast Facebook Group.


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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