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Lessons in Emergency Evacuation from the Miamisburg Train Derailment

Published online by Cambridge University Press:  28 June 2012

Robert A. De Lorenzo  and
James J. Augustine
Robert A. De Lorenzo*
Affiliation:
Assistant Professor, Department of Emergency Medicine, Darnall Army Community Hospital, Fort Hood, Texas
James J. Augustine
Affiliation:
Associate Clinical Professor, Department of Emergency Medicine, Wright State University, School of Medicine, Dayton, Ohio
*
Department of Emergency Medicine, Darnall Army Community Hospital, Fort Hood, TX 76544-5063USA
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Abstract

Hazardous materials incidents result from the release of materials considered to be harmful or potentially harmful to human beings or the environment. This article describes a train derailment and subsequent hazardous materials release with the evacuation of approximately 50,000 citizens. The hazardous materials release took five days to control and resulted in 561 patient visits to local emergency departments for symptoms related to chemical exposure. The evacuation and emergency medical operations are described and serve as a model for developing community emergency preparedness plans and managing victims involved in hazardous materials incidents.

Keywords

disaster planemergency departmentemergency medical servicesevacuationfire departmenthazardous materialshazmatlaw enforcementphosphoruspolice
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 11 , Issue 4 , December 1996 , pp. 270 - 275
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1996

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References

1. Leonard, RB: Emergency evacuation in disasters. Prehospital and Disaster Medicine 1991;6:463–466.CrossRefGoogle Scholar
2. Leonard, R: Mass evacuation in disaster. J Emerg Med 1985;2;279–286.CrossRefGoogle Scholar
3. Sorenson, JH, Vogt, BM: Emergency planning for nuclear attacks: contentions and issues. Journal of the Washington Academy of Science 1988;78:210–225.Google Scholar
4. Isman, WE: Planning mass evacuation before disaster occurs. Fire Engineering 1980;133:126–130.Google Scholar
5. Channault, WW, Hilbert, GD, Reichlin, SD: Evacuation planning in the TMI accident. Federal Emergency Management Agency, pub. no. RSZ-*-34, Jan 1980.Google Scholar
6. Sorenson, JH: Evacuation due to off-site releases from chemical accidents: experiences from 1980–1984. J Haz Mat 1987;14:247–257.CrossRefGoogle Scholar
7. Menker, RE: The Miamisburg derailment. The culprit: White phosphorus. Fire Command 1986;16:30–34.Google Scholar
8. Stuart, PJ: Response to a phosphorous fire exposure. Prehospital and Disaster Medicine 1987;3:21–24.Google Scholar
9. Bronstein, AC, Currance, PL: Emergency Care for Hazardous Materials Exposure, 2nd Ed., St. Louis: Mosby-Year Book, 1994.Google Scholar
10. Plante, DM: EMS response at a haz-mat incident: Some basic guidelines. J Emerg Med 1989;7:55–64.CrossRefGoogle Scholar
11. Kohller, GA, Van Ness, C: The emergency medical response to the Cantara hazardous materials incident. Prehospital and Disaster Medicine 1993;8:359–365.CrossRefGoogle Scholar
12. Walter, FG, Dedolph, R, Kallsen, GW, et al. : Hazardous materials incidents: A one-year retrospective review in central California. Prehospital and Disaster Medicine 1992;7:151–156.CrossRefGoogle Scholar
13. Goodwin, MO: La papermill fallout: 2nd toxic cloud, fear. USA Today 1995;Oct. 25:3A.Google Scholar
14. Loring, G, Kulling, PEJ: The Bhopal tragedy—What has Swedish disaster medicine learned from it? J Emerg Med 1986;4:311–316.CrossRefGoogle Scholar
15. Staten, LI: Introduction to haz-mat operations. Emergency Medical Service Journal 1986;15:32–35.Google Scholar
16. Landesman, LY, Markowitz, SB, Rosenberg, SN: Hospital preparedness for chemical accidents: the effect of environmental legislation on healthcare services. Prehospital and Disaster Medicine 1994;9:154–159.CrossRefGoogle Scholar
17. Department of Transportation: Emergency Response Guidebook. Washington, DC: US Government Printing Office, 1990.Google Scholar
18. Tokle, G (Ed): Hazardous Materials Response Handbook, 2nd Ed, Quincy, MA: National Fire Protection Association, 1993.Google Scholar
19. Gosselin, RE, Smith, RP, Hodge, HC: Clinical Toxicology of Commercial Products. Baltimore: Williams & Wilkins, 1984.Google Scholar
20. Leonard, R: Mass evacuation in disasters. Journal of Emergency Medicine 1985;2:279–286.CrossRefGoogle ScholarPubMed
21. Blaser, MJ: Rapid nighttime evacuation of a Veteran's Hospital. Journal of Emergency Medicine 1985;3:387–394.CrossRefGoogle Scholar
22. Blumhagen, DW: Evacuation of patients during a fire at a general hospital. Ann Emerg Med 1987;16:209–213.CrossRefGoogle ScholarPubMed
23. Phoenix Fire Department. Lessons learned: Phoenix General Hospital evacuation (unpublished report), 1986.Google Scholar