LLIS Lesson Learned: Emergency Medical Services: Assigning an Administrative Aide   [open pdf - 46KB]

"The fire that destroyed the Station Club in West Warwick, Rhode Island, on February 20, 2003, resulted in 100 deaths and over 200 injuries. Many victims required immediate medical attention and transportation to area hospitals. EMS personnel triaged and transported approximately 186 seriously injured persons to Rhode Island hospitals in less than 2 hours after the fire started. Some EMS command personnel attempted to write down information such as the number of patients that were sent to each hospital. However, this proved to be an impossible task as other duties required their attention. […] EMS command personnel decided that all responders were needed to perform response operations. Command personnel did not assign an aide to record information such as victim identification, descriptions of injuries, or the hospital where each victim was taken. After response operations ceased, the absence of information made it difficult for responders to create lists of missing persons, victims who had been transported to hospitals, and unknown fatalities. It also prevented command personnel from accurately reconstructing the magnitude of the EMS response to the Station Club fire. The Station Club Fire After-Action Report concluded that EMS command personnel should assign an aide to help with the administrative aspects of command as soon as resources allow and conditions warrant after an MCI."

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Lessons Learned Information Sharing (LLIS)
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Emergency Medical Services: Assigning an Administrative Aide. Rhode Island. 2003
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