Katrina Megashelter Ops - Texas Emergency Management

Hurricane Katrina
Houston Megashelter Operations
Houston Area Command
Lieutenant Commander (Sel) Joseph J. Leonard, Jr.—US Coast Guard
Fire Marshal Mike Montgomery—Harris County Fire Marshal
Chief Robert W. Royall, Jr.—Harris County Fire Marshal’s Office
Chief David Wade—Harris County Fire Marshal’s Office
Assistant Chief Rick Flanagan—Houston Fire Department
Stephen Kastensmidt—Greater Houston Local Emergency Planning Committee
Colonel James Beesely—US Army
Reliant Park Command
Captain Ralph Royall—Houston Fire Department
Texas In-Processing Command
Lieutenant Gary Schiebe—Houston Police Department
Houston Area Command
“Day” Shift
“The Four Horsemen of the Apocalypse”
Houston Area Command
Night Shift
“Night Court”
Reliant Park Command
Texas In-Processing Command
HOUSTON CHRONICLE
Date: SUN 09/11/05
Section: A Page: 1 Edition: 2 STAR
“HOW A CITY WAS BUILT IN LESS THAN
24 HOURS”
Facing the daunting task of converting the aging and semi-retired
Astrodome into a city for 23,000, Houston managed to deliver the
shelter in 19 hours . We'll give you a step-by-step account of how
it was accomplished. PAGE A25
A small group of thoughtful people
could change the world. Indeed, it’s the
only thing that ever has.
Margaret Mead
As quoted and prescribed in a Mattox Minute
“Leadership is
doing
what is right . . .
not what you have
the right to do.”
- Robert Eckels
Harris County Judge
From the State of Texas Emergency
Management Coordinator…
Judge, can you to take care of 2,300
folks?
Judge, I’ll need you to take care of
23,000 folks.
Judge, you WILL be taking care of
230,000 folks!
31 August 2005 -- 7:00 AM
Stakeholders Meeting
31 August 2005 -- 7:00 AM
Stakeholders Meeting
Situation Report
• Harris County will open the
Astrodome as a mass shelter.
• Prepare for 23,000 - 25,000
“Superdome” evacuees.
• Most evacuees will be “Special
Needs” citizens with an unknown
spectrum of medical conditions.
• Expect first buses early Thursday
morning (1 September) .
L
Resources Needed
Resources Needed
•
•
•
•
•
•
•
23,000 – 25,000 cots
Showers and restrooms
Replacement clothing
Multiple meals per day
Comfort kits
Blankets
Hundreds of staff
– Medical triage
– In-processing
– Shelter management
Medical Resource Needs
• A 100,000 square-foot Clinic
–
–
–
–
16 examining rooms
4 isolation rooms
20 hospital beds – observation/holding
15 mental health spaces
• Emergency Department Equipment
–
–
–
–
–
–
–
•
•
•
•
40 gurneys or stretchers
2 ob/gyn tables and kits
general medical supply cache
10 wheelchairs
2 cardiac crash carts
portable oxygen
portable x-ray machine
Five ambulances
Three Security Officers
Medical waste disposal
Large supply of medical forms and portable file
cabinets
The Grand Ole Lady – The Houston Astrodome
Seats 60,000
First bus
arrives
11:00 PM
Wednesday
night,
August
31st
(7 hours earlier
than expected)
Then they
continued
to come!
For six (6)
more days
“Do you want the
problem
inside the fence or,
outside the
fence?”
- Capt. Anderson
Houston Police Department
Nothing gets done without a 213
KATRINA
GENERAL MESSAGE
TO:
POSITION:
FROM:
POSITION:
SUBJECT:
DATE:
09/
/05
TIME:
MESSAGE:
Requests for materials MUST include the quantity, any known parameters and a place of delivery. (What)
Request must include reason for requesting. (Why) How soon do you need it? (When ) Where does it go? (Where)
SIGNATURE:
POSITION: (Who)
CELL PHONE NUMBER:
REPLY:
 Approved by, date and time:
DATE:
TIME:
SIGNATURE/POSITION:
Initial processing &
triage (D-MAT)
Over 65,000 evacuees
Reliant Center,
8,000 residents
Dome,
17,000 residents
Reliant City
Town Center
Reliant Arena
2,000 residents
38,000 evacuees
to other
locations
Houston Shelter Ops
Processing
Group
Donations
Group Center Division
Security Group
Dome
Division
Carnival
Command
Arena
Social
Division
Services
Group Medical
Branch
GRB CC
Command
Houston Megashelter Organization
Area Command
DHS (USCG) HCFMO HCHS&EM HFD GHLEPC
Planning—CIMA
Logistics—HCFMO
Military Liaison—USAR
Safety—HFD / CIMA
Joint Information Center
HCJO MediaCon
Reliant Park
Command
GRB
Command
Carnival
Command
Texas Inprocessing
Command
HFD HPD ARC
TXARNG CoH
HCFMO HFD USCG
HPD TXARNG
Shelter Branch
ARC
Shelter Branch
ARC
C/S SENSATION Branch
Medical Branch
HCPH&ES HCHD
Medical Group
CoH
C/S ELATION Branch
Security Branch
HPD HCSO Metro PD
Security Group
HPD
Social Services Branch
FEMA ARC HCHA
Social Services Group
FEMA ARC CoH
News Media
“Let’s be clear
about two things . . .
This will not be the
Superdome…
Failure is not an
option.”
- LT Joe Leonard
U.S. Coast Guard
Area Commander
Unified Command in the
Area Command Post
Reliant City Operation
START
Preliminary Screening and Assessment
Non-resident
HOLDING AREA
Triage
Bus Arrival
GRB City resident wristband
YELLOW
Medical wristband
RED
Reliant City residence wristband
Medical System
Clean and refuel,
Driver rehab
PINK -- DOME
GREEN -- ARENA
BLUE -- Center
OFFSITE
EMS transport /
hospital system
OFFSITE transfer to:
George R. Brown
Other regional shelters
Shelters in other cities
Family pick-up
Shelter services
9/4/05
Medical Branch
Medical Branch ICS Structure
Operation Katrina
Medical Branch
Dr. Palacio / Dr. Shah – Directors
Dr. Mattox – Deputy Director
Ambulatory Clinical Group
Dr. Palacio / Dr. Shah
Reliant Arena Clinic
Task Force
Dr. Gavagan
Public Health Surveillance and Response
Group
Emergency Medical
Group
Dr. Palacio / Dr. Shah
A. Johnson
Epidemiology Strike Team
C. Kilborn
Astrodome – First Aid
Task Force
VPD – Immunization
Task Force
Dr. Gavagan
L. Austin
Reliant Center – First Aid
Task Force
Environmental Health
Task Force
Dr. Gavagan
J. Lane
Mental Health Task Force
TB Task Force
E. Stolte
C. Robertson
Texas In Processing
Task Force
A. Johnson
EMS Task Force
A. Johnson
HCPHES – Support
Resource
E. Love / J. Stanley / A. Gierzak
Updated 09/14/05 MVV
Dr. Ken Mattox
and
Medical Staff
Volunteers
Medical Branch
•
Over 5,000 licensed professionals
–
–
–
40-persons medical unit from Austria
Contingency of Denmark doctors
56-person DMAT, CO-2
•
•
150 patients handled per hour
Prescriptions in 20 Minutes
•
(over 15,000 provided in a 2-day period)
15,000+ inoculations administered
•
•
•
•
•
Eyeglasses in one hour
Hearing aids
30-48 ambulances per shift
30 Mental Health professionals
Education of the residents
Message boards
And the Volunteers !!!
60,003 Total
CERT Volunteers
Medical Reserve Corps Volunteers
Citizens who just wanted to help
• Survey says …95% satisfaction
with Houston sheltering operations
• Biggest complaint, Texans don’t
know how to make coffee.
Donations and Shopping
Showers and Laundry Facilities
School Registration
Coming back
from school
Reliant City Town Center
From FEMA…on Day 17
•
•
•
•
After the shelters have been activated…
After over 38,000 evacuees have arrived…
After we have activated additional shelters…
After we cancelled the cruise ships…
“We are beginning to get organized.”
After Order comes Law;
After Law comes the Judge
Relocation Activities
Hurricane Housing Hotline 713-221-1636
www.houstonhurricanerecovery.org
Medical
Relocation & Housing
Other agencies / services
Auditorium / Play Area
Food services
Day care
P.D.
Relocation
& Housing
Other
agencies/
services
Living
Quarters
Supplies warehouse
Volunteer center
Living quarters
Keep clear
Town
Center
Living
Quarters
Supplies
Warehouse
Food Services
Day Volunteer
care center
Post Office
P.D.
Plan Beginning 9/16
Eating / Rest Area
JIC
Media
Briefing
Area
Agency
Meeting
Room
Unified
Command
Hurricane Rita
Hurricane Rita
Baytown
Houston
La Porte
League
City
Alvin
Texas
City
Houston-Galveston
Study Area
Mean Sea Level
Galveston
Baytown
Houston
La Porte
League
City
Alvin
Texas
City
Hurricane Model
MEOW NW at 8 MPH
Surge: 22.4 Feet
Galveston
Preparedness
Partnerships
Practicing
Reliant City
Source: hcjic.org
Hotwash
Lessons Learned
• Unified command does work—for any incident
• Seek out folks who know more than you do
• It’s the little things . . .
• Anticipate other potential problems and plan accordingly
• Be flexible & keep an open mind
• Build relationships NOW…Know your fellow response
partners BEFORE the incident occurs!
Schools and Children
• Start early and watch for needs
• Children get separated from parents
• Childcare needs to be done by true professionals
• The social structures and cultural differences are
important
• Having children in school is required to allow the
victims of disaster to begin moving forward
• Focus on solutions not on the problems
Thanks for your Interest!
Any Questions???