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Rail rescue. Putting the multiple injury plan to the test.

When an Amtrak train derailed in Boise, ID, last November, EMS providers implemented the Multiple Injury Plan. EMS recaps the disaster response, chronicling extrication/rescue efforts and patient assessment/management.

Community-Institutional Relations↗

Train crash disasters and emergency plans of suburban hospitals in the New York City and Washington, DC areas: what went right; what could have been improved.

Two major train crashes in February--one in Northern New Jersey and the other in Silver Spring, MD, near Washington, DC--posed severe challenges to the disaster plans of area hospitals. The first crash involving two commuter trains near Secaucus, NJ, tested the effectiveness of emergency plans at the Jersey City Medical Center, Jersey City, NJ, and the Meadowlands Hospital Medical Center, Secaucus. The incident occurred at approximately 8:40 a.m. and resulted in three deaths and 162 injuries. The Silver Spring crash, which took place a week after the one in New Jersey, occurred in early evening and involved an Amtrak and a commuter train. It resulted in 11 deaths and 26 injuries. Holy Cross Hospital, Silver Spring, was the primary caregiver. In this report, we'll provide details on how the incidents impacted on nearby hospitals and their security staffs; how challenges, anticipated and unanticipated, were met; and what conclusions were reached in follow-up critiques.

Accidents↗

The Mississauga "saga".

At approximately seven minutes to midnight on Saturday, November 10, 1979, a Canadian Pacific Railway (CPR) train travelling from Windsor to Scarborough, Ontario, was derailed in an industrial area in the centre of Mississauga in Peel County (near Toronto). The accident was attributed to an overheated axle bearing on a propane tank car. The resultant fire which ignited the gas created a huge column of fire that lit up the sky. Firefighters noticed the flames from their stations. The nine fire stations in Mississauga were alerted and the first units arrived on the scene at 2355 hrs. (In 15 minutes, 55 firefighters were on the scene, and within the next half hour there were 110). This was the start of what was to result in the largest peace-time evacuation in recorded history. What follows is an account of the events that took place during the tense days that followed, and includes information available as of 17 December 1979.

Chlorine↗