Boston Marathon Explosion

I'm working on a coverage truck right now, staged to transport more patients. Will update when I can. For now, it seems 2 deaths, all hospitals on lockdown, everyone in ems safe, some police injuries.
 
Only two fatalities. Could have been so very much worse. Reports of other devices in city are early, probably premature, but potentially very worrisome.

How clean is the scene before EMS is allowed in? All the loose backpacks watercannoned and water bottles detonated in place first?
 
Only two fatalities. Could have been so very much worse. Reports of other devices in city are early, probably premature, but potentially very worrisome.

How clean is the scene before EMS is allowed in? All the loose backpacks watercannoned and water bottles detonated in place first?

Scene safety becomes very relative in a situation like this I imagine.
 
I'm seeing this news through a different set of eyes than my friends and family.. I suppose it's easy for me to sit on my couch like a sofa bison and play armchair quarterback, but...

What are the chances of scores of medics and physicians already being mobile and on the street during an attack like this? The doctors and other white coats running down the street moments after it happened? They couldn't have been more prepared.. MANG trained in CLS and organizing the MCI immediately.

The man who had lost both his legs had medics all over him so quickly, that he never lost consciousness. They had bomb sniffing K9s RIGHT THERE before they even evac'd the spectators.

Boston kicked *** today.

flag_waving.gif
 
It sounds like a flash fire occurred at the JFK library that is not likely related to the bombings.

I've seen a few of my old ambulances and our Boston sup in pictures along with a lot of units from emt.dan's company. My old place did a call back for off duty employees as well.

Boston EMS puts a tremendous effort into the marathon, so as terrible as this is with all the spectators at least the coverage was there.
 
What are the chances of scores of medics and physicians already being mobile and on the street during an attack like this? The doctors and other white coats running down the street moments after it happened? They couldn't have been more prepared.. MANG trained in CLS and organizing the MCI immediately.
On Boston Marathon day? Every year. Um... the terrorists (domestic or foreign) really didn't do their homework with this one because there's no city more prepared for an MCI than Boston on marathon day.
 
Scene safety becomes very relative in a situation like this I imagine.

scene was safe at 1449hrs

Watching this at the hospital today, one of our physicians commented on all the guys with physician vests on running into the fray. Basically said that they will only get in the way of Ems, that doctors are really only effective in the ER with all of their tools at hand. Field medicine is our ballpark and not something they should venture into. Doctors should go to the tents or the hospitals
 
scene was safe at 1449hrs

Watching this at the hospital today, one of our physicians commented on all the guys with physician vests on running into the fray. Basically said that they will only get in the way of Ems, that doctors are really only effective in the ER with all of their tools at hand. Field medicine is our ballpark and not something they should venture into. Doctors should go to the tents or the hospitals

Except it wasn't safe at 1449hrs. Another possible bomb was destroyed by the bomb squad and another one denoted at the JFK library.
 
They are now saying the JFK library fire was probably just a fire and not related.
 
Boston kicked *** today.
there's no city more prepared for an MCI than Boston on marathon day.
QFT x2

I was working elsewhere on the route, and everything went so well that I never even went in town. As far as I can tell from our traffic and what I'm looking at now, everyone did their jobs and did them damn well.
 
Boston did wonderfully. Every service operating in the city was called in, either to the incident or to cover the rest of the city, but from what I could tell (I was just north of town and didn't have to get pulled) the whole mess stayed on the left side of panic. Everyone is fried here but there's a great great infrastructure in place (EMS, hospitals, etc -- everything but throughput to move people in this old town) and everybody is stepping up.
 
Oh, what the hell... I usually hate cheesy stuff like this, but I really love the Fred Rogers quote...

521693_645199098842880_1528049914_n.jpg
 
Oh, what the hell... I usually hate cheesy stuff like this, but I really love the Fred Rogers quote...

521693_645199098842880_1528049914_n.jpg

It's really summing up the mood here.
 
scene was safe at 1449hrs

Watching this at the hospital today, one of our physicians commented on all the guys with physician vests on running into the fray. Basically said that they will only get in the way of Ems, that doctors are really only effective in the ER with all of their tools at hand. Field medicine is our ballpark and not something they should venture into. Doctors should go to the tents or the hospitals

Its also important to know your players though. Tell the MA-1 DMAT and BAA physicians and nurses that they don't belong in the field...
 
Boston did wonderfully. Every service operating in the city was called in, either to the incident or to cover the rest of the city, but from what I could tell (I was just north of town and didn't have to get pulled) the whole mess stayed on the left side of panic. Everyone is fried here but there's a great great infrastructure in place (EMS, hospitals, etc -- everything but throughput to move people in this old town) and everybody is stepping up.

Also QFT. I was pulled into the city, and spent some of it doing coverage, and clearing out facilities, and by all measures things went very well. Hospitals were already in their MCI modes, but even those normally outside the marathon catchment area had their vests out and managing with whatever came their way. The privates flooded the city with ambulances, and perhaps most importantly, MA-1 DMAT and H+H were already there, with everything set up. Good job to all, I can give more when more coherent.
 
Also QFT. I was pulled into the city, and spent some of it doing coverage, and clearing out facilities, and by all measures things went very well. Hospitals were already in their MCI modes, but even those normally outside the marathon catchment area had their vests out and managing with whatever came their way. The privates flooded the city with ambulances, and perhaps most importantly, MA-1 DMAT and H+H were already there, with everything set up. Good job to all, I can give more when more coherent.


That's the one problem I have with giving unbridled praise for how the Boston EMS system (not just specifically Boston EMS). There's a huge difference between handling something like this when you already have all your toys out ready to play with as well as your friends over prior to everything starting... and trying to organize everything on the fly on a normal day.

If this would have happened, say, Saturday night just before or after a Red Suxs game, it would have been 100 times worse.
 
Except it wasn't safe at 1449hrs. Another possible bomb was destroyed by the bomb squad and another one denoted at the JFK library.

Wasnt the first explosion at 1450? So before that explosion everyone thought the scene was safe. Just shows how the scene is never "safe", there is always a threat, even if you dont know it

And i just thought it was interesting that a Doctor would say that, that a physician isnt as effective without his tools in the hospital
 
My thoughts to everyone:

Just listening to a report on BBC news, a guy that knew the family of the 8 year old that got killed (I quote loosely):
'his dad had just finished running the marathon and he went and gave his dad a hug. He ran back to his mum while his dad went to register his time, and the explosion went off. A friend of the family (a firefighter) picked a lady up and took her to a waiting ambulance and didn't realise who it was until he put her down. He realised that she had lost a leg and went back to find it, but couldn't'

I am not a softy, but I type this with tears in my eyes
 
That's the one problem I have with giving unbridled praise for how the Boston EMS system (not just specifically Boston EMS). There's a huge difference between handling something like this when you already have all your toys out ready to play with as well as your friends over prior to everything starting... and trying to organize everything on the fly on a normal day.

If this would have happened, say, Saturday night just before or after a Red Suxs game, it would have been 100 times worse.

Of course this is true. The whole thing went off kinda like a drill because, in a sense, it already was one. But I think the point is less to give out grades than to be glad it wasn't worse.
 
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