Discuss the various roles of the following stakeholders in this scenario: * Head of the local Public Health Department * Mayor * Railroad Representative * School Superintendent * Hospital Administrator * Local Red Cross

Description

Read the article attached and Discuss the various roles of the following stakeholders in this scenario: * Head of the local Public Health Department * Mayor * Railroad Representative * School Superintendent * Hospital Administrator * Local Red Cross make sure each paragraph has role title from the bullet point. Include a paragraph on how the actions taken have a financial impact on the agencies/organizations. Assess population needs, assets and capacities that affect communities’ health. Apply principles of leadership, governance and management, which include creating a vision, empowering others, fostering collaboration and guiding decision making. Apply systems thinking tools to a public health issue. Demonstrate approaches to assess, prevent, and control environmental and/or occupational health hazards.

STATEWIDE MEDICAL AND HEALTH EXERCISE TRAIN DERAILMENT (MCI) SCENARIO SUMMARY

SCENARIO

A train is travelling through Kansas City, Missouri, with an estimated 100 cars of mixed freight (including hoppers and tank wagons). At a level crossing near a busy intersection, dozens of vehicles on either side of the tracks wait for the train to pass including two school buses carrying their maximum capacity of 60 K-8 children each. The grade crossing signal malfunctions, causing the gate to open early. While most vehicle drivers understand there has been a malfunction and that the train is still approaching, one impatient driver of a large van attempts to move across the tracks before the train comes through. The movement happens too quickly for the engineer to slow the train significantly. At 0800 local time, the train strikes the van, instantly killing the driver and setting off a chain reaction that begins with a 23-car derailment. Multiple tank cars jump the tracks and strike idling vehicles in the road, including the two school buses. Several of the tank cars carrying Vinyl Chloride Gas overturn. First responders arrive on the scene within minutes. Based on the size of the event and estimated numbers of casualties, the crash is declared a Mass Casualty Incident (MCI) and various agencies, including but not limited to law, fire, EMS, and healthcare facilities, are notified based upon local MCI policies and procedures. MCI triage standard operating procedures (SOP) are immediately implemented (e.g. START/Jump START) with victims at the site. The fire department weighs the possibility of an evacuation or shelter in place order due to initial concerns regarding a potential breach of the train cars carrying Vinyl Chloride Gas. There is discussion that the evacuation area might be as large as a one-mile radius from the train derailment site. The Fire Department also confirms that there is no risk of contamination to victims. The area being considered for evacuation/shelter in place includes many businesses, healthcare facilities (skilled nursing facilities, long term care facilities, etc.), and residences. Law enforcement closes surrounding roads to through traffic. Because the motivations of the driver who crossed the tracks have not been ascertained, the area is being treated as a possible crime scene. Seventeen people have been killed and 113 have been injured, including many of the children that were on the school buses. The scale and nature of the incident, especially the involvement of injured and deceased children, is proving to be psychologically challenging even for veteran first responders. At 0850, the first patients begin arriving at local hospitals.