Purpose
The purpose of the Health and Medical section is to provide information which identifies the methods used in mobilizing and managing health and medical services in response to emergencies at Glover International Airport. These areas include treatment, transport and evocation of the injured, removal of deceased, disease control and prevention of contamination during emergencies.
• Situation and Assumptions
Glover International Airport provides basic emergency medical care response for the Airport and will request assistance from the city of Seattle and City or Tukwila Fire Departments as necessary.
The Airport provides emergency medical services through ARFF personnel and on/off-site mutual aid emergency medical technicians. If mutual aid is not available, the use of triage will be utilized to ensure an efficient use of existing resources. The Airport strives to ensure its response is adequate to protect life and health for the first 12 to 24 hours without outside assistance.
Large-scale incident will require outside agency support. The surrounding communities have a large contingent of Health and Medical resources to bring to bear. Many medical professionals will volunteer their services and Glover International Airport must be prepared to ensure their legitimacy. It should be noted that these resource might they be adversely affected by the emergency.
All requests for additional health and medical support will be made though the on-site Law Enforcement and will be coordinated in accordance with the Incident Command System.
• Operations
All responding agencies will report to the IC under NIMS. They should all follow the Standard Emergency Response.
1. Standard Emergency Response
First of all, responding units should have the minimum information about the crash if possible like make and model of aircraft, amount of fuel on board, number and locations of occupants, and location of aircraft. Also, the fire department should provide quick response for rescue. There are several factors for selecting the quickest route such as terrain, design of apparatus, effects of weather, and load capacity of bridges, ramps, etc.
2. Size-up
Size-up should be examined from four different positions; from the Incident Command’s perspective, from the driver/operator’s perspective, from the firefighter’s perspective, and from an EMS perspective. IC’s check list includes mutual aid support, location of staging, need for buses and blankets, medical support, rescue rehab, and status report.
3. Priorities
In any kind of emergency situation, the priorities are almost the same. It always comes down from life safety, incident stabilization, and property stabilization.
4. Position Apparatus
When approach to the scene, units should be very careful so as not run over any occupants, wreckage, ground scarring, spilled fuel, or other hazards. Before entering a crashing site, units should consider the terrain, slope of ground, and direction of wind. Vehicles should be positioned uphill and upwind to avoid fuel vapors that may gather in low-lying areas. Position vehicles as easily as possible in case of requiring reposition.
5. Wind
Attacking from upwind is safer and more efficient because heat and smoke are carried away from the operating area. Also, upwind paths of egress for the aircraft’s occupants are safer due to the exit corridor being free of heat and smoke.
6. Wreckage
Firefighters should take time to confirm that initial fire fighting efforts are aimed at a portion of the fuselage and not a section of wing or other part of the aircraft that does not contain occupants.
7. Survivors
The responding unit should decide upon the rescue entrance (normal loading doors, emergency exits, or emergency cut-in points). The exits should be protected for occupants to escape.
8. Hazardous Areas
Even though the entire crashing aircraft should be considered as hazardous, there are several specific areas should be avoided like aircraft propellers, jet turbine engines, wings, and radar systems.
9. Extinguishment
Extinguishment involves the elimination of all surface fire either on the ground or inside an aircraft. It’s an extension of the fire control phase because the control phase includes maintaining an escape exit from fire and, whenever possible, completely isolating the occupied portion of the aircraft.
For mass casualty situations:
1. Qualified personnel will screen all victims as soon as possible. The START triage system as currently approved by the Glover International Airport Emergency Medical Service protocols will be utilized.
2. The degree of medical response needed to support the emergency will be determined by the Incident Commander.
3. DPS-Fire staff is trained to the Basic Life Support Level (BLS). DPS-Fire line staff has fulfilled the State of Texas requirements for certification as Emergency Medical Technicians-Basic.
4. Paramedics are responsible for the Advanced Life Support (ALS) for victims and work within both the DPS Fire Rescue Division and DPS Fire EMS Division. DPS-Fire paramedic staff has fulfilled the State of Washington requirements for certification as Emergency Medical Technicians-Paramedic.
5. Triage, treatment and transport, as well as all EMS operations, will be in accordance with the DFW EMS protocols. Treatment, Triage and Transport will be managed through the Incident Command System and handled within the Medical Services Group. Responding agencies will report to the Incident Commander who will coordinate health and medical response team efforts. During emergencies requiring a significant health and medical response, a Medical Services Officer will be designated and work in accordance with the command system to provide response and direction. Isolation, decontamination and the treatment of individuals exposed to hazardous materials will be managed through the same system.
6. Off airport resources will be mobilized through the use of the ICS staging process, as with Fire Rescue resources.
7. DPS-Fire procured Truck 611, a Medical Mass Casualty Truck that can provide equipment for Triage and treatment of 225 patients. The largest plane that currently offers passenger flights to D/FW is the Boeing 747-400, which has a capacity of 416. Truck 611, along with supplies from on duty ambulances and mutual assets, can provide for the maximum of patients. Transport of the patients to area hospitals will need to be facilitated through mutual aid with regional partners.
8. All airport medical response units have grid maps assigned to them.
9. Airport Familiarization training for off airport fire and rescue personnel is performed at Glover International Airport by DPS on an as-needed basis.
10. Ambulatory patients who do not need urgent medical assistance will be removed from the scene as soon as possible.
a. These patients will be initially gathered at an "Assembly Area";
b. They will be transported on buses supplied by the airport to the reunification area established by the Incident Commander;
c. Temporary shelter will be provided at a location designated by the Incident Commander;
d. The Incident Commander will provide at least one EMT in the reunification area.
11. The Tarrant and/or King County Medical Examiner is responsible for the disposition of the deceased, depending on their location.
a. Dead bodies will not be moved unless it is necessary to provide treatment for other victims;
b. Those which must be moved will be covered and placed in an out of the way location. If possible, the body position will be marked and photographed before it is moved;
c. The Medical Examiner has responsibility for the temporary morgue.
d. Glover International Airport maintains a current listing of available buildings that can be utilized for any purpose during an emergency.
12. A Regional Critical Incident Stress team and the Glover International Airport Chaplaincy will be requested through the Incident Commander.
a. One team will be available for all emergency responders, including airport employees involved in the response
b. A second team will be available for the passengers, as well as greeters.
13. A Disaster Mortuary Assistance Team may be requested through the State Disaster Act process. A request can be made through the County and then forwarded to the State of Washington State Operations Center.

Hospitals
Harborview Medical Center- Primary Emergency Trauma Center for King County
Level 1 Trauma Center
325 9th Ave
Seattle, WA 98104
(206) 774-3074- Primary
(206) 731-3074- Secondary
Beds: 413
Physicians: 1,216
Overlake Hospital-Secondary Trauma Center for King County
Level III Trauma Center
1035 116th Ave NE
Bellevue, WA 98004
(425) 688-5000- Primary
(425) 462-5100- Secondary
Beds: 337
Physicians: 1,000
In case of a mass casualty incident, Seattle Fire Department Alarm Center will notify Harborview Trauma Center.
Seattle Fire Department Alarm Center
400 S Washington St
Seattle, WA 98104
(206) 386-1498
• Organizational and Assignment of Responsibilities
Airport Director/ Designee:
It makes sure Health and Medical plans are established including agreements for mutual aid response.
Airport Operations:
It provides notification for incidents/emergencies according to established notification procedures.
American Red Cross: It provides food for emergency medical responders and patients. It maintains a record-keeping system in coordination with hospitals, aid stations, and field triage units to collect, receive, and report information about the status of victims. It assists with the reunification of the injured with their families. It provides first aid and other related medical support at temporary treatment centers, as requested, and within capability. It provides supplementary medical, nursing aid, and other health services upon request, and within capability.
King County Medic One:
It responds to the emergency scene with appropriate personnel and equipment. It organizes triage, stabilization and treatment. It maintains a patient tracking system, coordinate with Air Carrier as needed. It provides mental health services. It coordinates with the American Red Cross for assistance.
Medical Examiner:
It establishes temporary morgue if needed and investigation regarding decreased.
Law Enforcement (police):
It provides security assistance to medical facilities and health and medical field personnel upon request. And, it assists in the identification of fatalities.
Environmental Affairs:
It assists in the monitoring of environmental issues to ensure public and responder safety. And, it ensures that adequate sanitary facilities are provided in emergency shelters and for response personnel.
Risk Management:
It continually evaluates safety issues regarding patient and responder operations. It coordinates with the IC regarding safety issues on-scene and elsewhere at the airport. It makes recommendations to the IC regarding OSHA and other safety requirements.
• Administration & Logistics
Administration:
Glover International Airport will coordinate minor emergency health and medical tasks needs with King County Fire Rescue paramedics. Major emergency health and medical tasks will be coordinated with the King County Fire Rescue Office of Emergency Management and the Department of Health. All medical resources including supplies and transportation will be arranged though the incident command system established during a medical emergency affecting Glover International Airport.
Logistics:
Transportation of medical/health supplies: private and public ambulance companies, airport/local government vehicles, and armed forces aircraft and vehicles.
• Plan Development and Maintenance
The Airport Director maintains responsibility for the Airport Emergency Plan (AEP).
The Health and Medical section including all phone numbers will be reviewed annually and updated as necessary.
• Authorities and References
National Response Framework, 2008 (NIMS, ICS)
Regional Disaster Plan-King County
King County Comprehensive Emergency Management Plan (CEMP)
King County Critical Incidence Stress Management (CISM) Plan
King County Public Health-Medic One System