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A Comparative Analysis of the Emergency Medical Services and Rescue Responses to Eight Airliner Crashes in the United States, 1987–1991

Published online by Cambridge University Press:  28 June 2012

Paul B. Anderson
Paul B. Anderson*
Affiliation:
Director, Rural Emergency Medical Services Institute, Lincoln Medical Education Foundation, Lincoln, Nebraska
*
Rural EMS Institute, 4600 Valley Road, Lincoln, NE 68510USA
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Abstract

Introduction:

Crashes involving commercial airliners stress emergency medical services (EMS) and rescue operations to performance far in excess of everyday activities, and special adaptations of everyday responses need to be implemented. Fortunately, these events are infrequent and usually do not occur more than once in any location. The responses that occur must be highly coordinated and efficient. Little is known about the responses to such events. This study examines the EMS and rescue responses associated with eight recent crashes involving commercial airliners in the United States.

Objective:

To identify common factors for which alterations in responses may enhance the survival and decrease the morbidity to victims involved in commercial aviation crashes.

Study population:

Eight commercial airliner crashes in the United States from 1987 through 1991.

Methods:

Case review using: 1) press and media accounts; 2) U.S. National Transportation and Safety Board testimony and reports; and 3) structured interviews with airport, fire, EMS, and hospital personnel. Data were collated and common factors identified for the cases. Findings are classified into: 1) conditions at the crash sites; 2) initial responses; 3) scene management; 4) scene status; 5) patient transport; 6) hospital responses; and 7) preplanning exercises.

Results:

Common factors that impaired responses for which some remediation is possible include: 1) new methods for training including computerized simulations; 2) improvements in rescue-extrication equipment and supplies; 3) stored caches of EMS equipment and supplies at airports; 4) ambulance transport capabilities; and 5) augmentation of patient transport capabilities.

Conclusions:

Many lessons can be learned through structured studies of commercial aircraft crashes. These findings suggest that simple and relatively inexpensive modifications may enhance all levels of emergency response to such events.

Keywords

accidentsaircraftaircraft crashesair medicalairportambulancecommunicationscrashesemergency medical servicesextricationfirefightershospitalsincident-command systemlaw enforcementmulticasualty incidentsnonurbanpreplanningrescuestructured interviewstransporttriageurbanweather
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 10 , Issue 3: CJ Shanaberger Memorial Issue , September 1995 , pp. 142 - 153
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1995

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References

1. Rowles, JM, Kirsh, G, Macey, AC, Colton, CL: The use of injury scoring in the evaluation of the Kegworth Ml aircrash. J Trauma 1992;32:441–447.CrossRefGoogle ScholarPubMed
2. van Amerongen, RH, Fine, JS, Tunik, MG, et al. : The Avianca plane crash: An emergency medical system's response to pediatric survivors of the disaster. Pediatrics 1993;92:105–110.Google Scholar
3. Gilliland, MG, McDonough, ET, Fossum, RM, et al. : Disaster planning for air crashes. A retrospective analysis of Delta Airlines flight 191. Am J Forensic Medicine & Pathology 1986;7:308–316.Google Scholar
4. Pane, GA, Mohler, SR, Hamilton, GC: The Cincinnati DC-9 experience: Lessons in aircraft and airport safety. Aviation Space & Environmental Medicine 1985;56:457–461.Google Scholar
5. O'Hickey, SP, Pickering, CA, Jones, PE, Evan, JD: Manchester air disaster. Brit Med J Clin Res Educ 1987;294:1663–1667.Google Scholar
6. Solieri, KT: Impressions: The crash of Avianca flight 052. J Emerg Nurs 1990;16:307–308.Google Scholar
7. Sopher, LV, Petersen, R, Talbott, M: The crash of flight 232: An emergency care perspective. J Emerg Nurs 1990;16:61A–66A.Google Scholar
8. Martin, TE: The Ramstein airshow disaster. J Royal Army Medical Corps 1990;136:19–26.Google Scholar
9. Clark, MA, Hawley, DA, McClain, JL, et al. : Investigation of the 1987 Indianapolis Airport Ramada Inn incident. J Forensic Sciences 1994;39:644–649.Google Scholar
10. Dulchavsky, SA, Geller, ER, Iorio, DA: Analysis of injuries following the crash of Avianca Flight 52. J Trauma 1993;34:282–284.Google Scholar
11. Greenberg, BM, Brewer, BW: Avianca flight No. 052 accident: A plastic surgical perspective. Plastic and Reconstructive Surgery 1991;88:529–535.CrossRefGoogle ScholarPubMed
12. Klein, JS, Weigelt, JA: Disaster management: Lessons learned. Surg Clin NA 1991;71:257–266.Google Scholar
13. Coad, NR, Jones, MJ, Byrne, AJ, Pepperman, ML: The Ml air crash: The demands placed on anaesthetic and intensive care services. Anaesthesia 1989;44:851–854.Google Scholar
14. Rowles, JM, Robertson, CS, Roberts, SN: General surgical injuries in survivors of the Ml Kegworth air crash. Nottingham, Leicester, Derby, Belfast Study Group. Ann Royal Coll Surg Engl 1990; 72:378–381.Google Scholar
15. Morgan, WE, Salama, FD, Beggs, FD, et al. : Thoracic injuries sustained by the survivors of the M1 (Kegworth) aircraft accident. Nottingham, Leicester, Derby, Belfast Study Group. European J Cardiothoradc Surgery 1990;4:417–420.Google Scholar
16. Stahl, CJ, McMeekin, RR, Ruehle, CJ, Canik, JJ: The medical investigation of airship accidents. J Forensic Sciences 1988;33:888–898.Google Scholar
17. Goldman, B: A plane just crashed: Medical teams must be able to improvise. Canad Med Assn J 1988;138:652–653.Google Scholar
18. Bruckart, JE: Peacetime U.S. Army aircrew rescue and factors delaying rescue. Aviation Space & Environmental Medicine 1992;63:132–134.Google Scholar