Fire EMS


Issue 9 and Volume 155.

BY ZACHARY GOLDFARB, BS, CEM, EMT-P As part of the EMS signal 10-40 response (major response to an aircraft crash incident), the EMS patrol supervisor for lower Manhattan responded from the quarters of EMS Battalion 4 on South Street. He intended to establish the preplanned staging area but found that the location was inaccessible: Victims and debris filled the street. Staging was relocated one block west to West and Vesey streets. The lieutenant assumed the role of the EMS operations officer and established the EMS branch of the incident command system at 0853 hours. Even as the initial responding resources were converging on the 16-acre World Trade Center (WTC) complex, the EMS operations officer was confronted with several critical decisions. On arrival, he found numerous casualties in the street and a massive evacuation of the North Tower in progress. The first-arriving ambulances at West and Vesey streets had patients on-…

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