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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?
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.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.
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
Except it wasn't safe at 1449hrs. Another possible bomb was destroyed by the bomb squad and another one denoted at the JFK library.
Boston kicked *** today.
QFT x2there's no city more prepared for an MCI than Boston on marathon day.
Oh, what the hell... I usually hate cheesy stuff like this, but I really love the Fred Rogers quote...
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
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.
Except it wasn't safe at 1449hrs. Another possible bomb was destroyed by the bomb squad and another one denoted at the JFK library.
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.