The Dallas FireRescue Experience Louie Bright III Fire Chief Dallas FireRescue Department 1 Background First Africa outbreak in 1976 WHO reports 24 previous outbreaks Current African outbreak involves the EbolaZaire strain ID: 568800
Download Presentation The PPT/PDF document "2014 Ebola Virus Disease in Dallas:" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
2014 Ebola Virus Disease in Dallas:The Dallas Fire-Rescue Experience
Louie Bright, III
Fire Chief
Dallas Fire-Rescue Department
1Slide2
BackgroundFirst Africa outbreak in 1976WHO reports 24 previous outbreaks
Current African outbreak involves the Ebola-Zaire strain 55-60% fatality rate Total cases: 13,567Lab confirmed cases: 7,728Total deaths: 4,951
2Slide3
First NotificationTransport Sunday, September 28, 2014Dallas County HHS interviewed index patient Index patient was tested for Ebola on Monday September 29, 2014
DFR was notified of suspicion of Ebola at approximately 0900 Tuesday September 30Positive test result confirmed at approximately 1600 Tuesday September 30
3Slide4
The First 24 Hours4Slide5
Initial Action Plan5
City of Dallas Emergency Operations Center (EOC) briefing
Plan for paramedics
Initial actions by City of DallasSlide6
DFR PersonnelDFR personnel involvedTwo paramedicsOne paramedic internBaseline medical exam21-day in-home monitoring
DFR medical direction teamCDC or DCHHSFamily stayed in the home and were free to come and go
6Slide7
Media
7Slide8
The First Few Days8Slide9
9Slide10
10Slide11
11Slide12
12Slide13
13Slide14
14Slide15
15Slide16
16Slide17
Turning the Corner (We Thought)Fear vs. FactMedia driven eventPolitics
17Slide18
Nurse 118
Nina Pham, R.N.
T
reated index patient
Tested positive on 10/12
Flown to NIH Hospital in Baltimore on 10/16
Declared virus free on 10/24Slide19
Waiting for the Other Shoe To Drop: Nurse 2Amber VinsonTrip to Cleveland 10/10-13Diagnosed with Ebola 10/15
Flown to Emory University Hospital in Atlanta 10/15Declared virus free 10/22
19Slide20
NYC’s TurnCraig Spencer, M.D.Worked with Doctors without Borders
in GuineaArrived in U.S. 10/17Diagnosed with Ebola 10/23
20Slide21
Week 521Slide22
Things We Did WellAction plan for three directly impacted medicsRapid order for PPEInformation action planRapid review and update of PPE and D
econ SOP’sRapid changes to dispatch proceduresDaily coordination meetingsCity media planInvolved regional partners
22Slide23
Lessons Learned
23
It’s a full department issue – not just EMS or
Haz
-Mat
It’s a regional issue, not just local
It’s hard to overcome the media – go with the science
Face-to-face education – early and continuous
Expect the politicians to overreact
Expect your firefighters/paramedics to follow suit
Ebola Virus is spread by direct contact with infected body fluids, nothing more & nothing less
If diagnosed early, Ebola appears to be very treatable in the U.S.
Review and update your PPE and procedures as needed
Train, train, train
Perhaps this episode will remind all of us to utilize PPE more appropriatelySlide24
DFR EMS Deputy Chief George GamezDFR Assistant Medical Director Dr. Thomas KofoedDFR Infection Control Nurse Allison GreeneDr. Fernando Benitez, Dr. Ronna Miller and Dr. Matt LawrenceDFR EMS Command StaffDFR EMS Supervisors
DFR Command Staff and officersThe brave and dedicated men and women of the Dallas Fire-Rescue DepartmentAnd Dallas City Manager AC Gonzalez
Dallas Mayor Mike RawlingsThe Dallas County Health AuthorityDallas Office of Emergency Management’s Rocky Vas and staffUT Southwestern Department of Emergency Medicine Chair Dr. Deborah Diercks and the EM faculty and residents
Parkland Memorial Health and Hospital System’s Dr. Fred Cerise, Kris Gaw, Clifann McCarley Dr. Alex Eastman, Dr. John Pease, Jorie Klein, Kathy O’Dell, Chris Noah, David McCartey) and the dedicated nurses and staffBioTel’s LuAnn McKee and Wayne HillaryThe UTSW/BioTel EMS Medical Direction Team (Dr. Ray Fowler, Dr. Ray Swienton, Dr. Fernando Benitez, Dr. Gil Salazar, Dr. Thomas Kofoed, Dr. Alex Eastman, Dr. Jeff Metzger, Dr. Kelly Klein, Dr. Kathy Rinnert, Dr. Ronna Miller, Rick
LaChance)Dallas Fort Worth Hospital CouncilDallas County Medical Society
North Central Texas Trauma Regional Advisory Committee (NCTTRAC)The dedicated staff of Texas Health Resources Presbyterian Medical Center DallasThe family of Thomas Eric Duncan
Acknowledgments
24