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Response notes for "In Untried Emergencies"

These are further response notes for "In Untried Emergencies" and going forward to "The Native Metal of a Man," generally covering the context of the disintegration beam incident in Omaha. As it deals with the aftermath of disaster, this content may be generally distressing.


Press Response

Omaha World-Herald
1314 Douglas Street
Omaha, NE 68102

Floor Plans and Pictures
One of Downtown Omaha’s premier office buildings. Centrally located to the Old Market, Gene Leahy Mall, Holland Performing Arts Center, CenturyLink Center and TD Ameritrade Park. Building amenities include food services, conferencing centers, 24/7 security, health club and more.

This large daily newspaper is still locally owned in Terramagne-Omaha, serving the Greater Omaha Area and stocked in libraries around Nebraska. At least 17 of the Omaha World Herald Newsroom Staff would logically be deployed to the scene, reporting on the disaster and collecting human-interest stories from willing citizens. Probably another 9 are newsroom or other employees with backup reporter credentials, plus 6 high school interns and 6 college interns, who also go out. Of these 38 employees, 12 wind up emotionally injured, 2 needing Emotional Trauma Care and 10 needing Emotional First Aid. This is because T-America requires that public-facing journalists have EFA training so they don't cause problems while pursuing news -- they're not allowed to badger people like here -- and the OWH has a quiet room to help employees cope with job-related stress.


Food Service Response

T-America has ways to reimburse businesses for compassionate donations, which can be figured either item by item (usually used for individuals, not incidents), by department (usually used if a particular category is needed), or by closing regular service and basing the hours served on typical daily income (usually used for incidents). Food service businesses that wish to participate in this often have an emergency menu, like Lucky Cricket after the Big One, which focuses on cheaper, simpler items that can be made quickly and eaten easily. Food support dispatched to emergency scenes will be packed to support physical and mental health, like the galley truck menu described in the notes for "In the Depths of Your Grief."

There are at least 29 eateries within about 2 blocks of the Gene Leahy Mall. I used the GoogleMaps search function to find them rather than examining individual buildings, and it skipped over some, so treat this as a minimum. Of those 29 eateries, 5 of them are at ground zero and must be evacuated (E). That leaves 24 with the option of responding or not. 9 do not offer aid (N). 15 of them offer aid in the form of free food and beverages to victims, citizen responders, and first responders (A). In total, they send 30 staff with aid. Of those volunteers, two thirds sustain emotional injuries from helping: 15 need Emotional First Aid, 5 need Emotional Trauma Care. Interestingly, the place run by former supervillains (Culprit Cafe & Bakery) and the two run by primals (Billy Frogg's Grill and Bar, Mr. Toad Pub) all offer aid. I did not make up those names, just put T-American interpretations on them.

Nosh Restaurant and Wine Lounge (1 block north) N
DJ's Dugout Sports Bar (2 blocks north) A
Kum & Go Convenience Store (2 blocks north) A

Starbucks (1 block west) A
Sullivan's Steakhouse (1 block west) N
Pickleman's Gourmet Cafe (1 block west) N
Panda House Downtown (2 blocks west) A
Culprit Cafe & Bakery (2.5 blocks west, former supervillain) A
Block 16 Sandwich Shop (2.5 blocks west) A

Omaha Taphouse Downtown (across from SW corner) A

Catalyst (ground zero) E
Parliament Pub (ground zero) E
T. Henery's Pub (ground zero) E
Shahi Indian Grill (ground zero) E
Matsu Sushi (ground zero) E

Dubliner Pub (1 block south) A
Harney Street Tavern (1 block south) A
Jam's Old Market (1 block south) A
Bar 415 (1.5 blocks south) N
Blue Sushi Sake Grill (1.5 blocks south) N
Pepper Jacks Grill (2 blocks south) N
Plank Seafood Provisions (2 blocks south) A
Stokes Old Market Southwestern Cuisine (2 blocks south) A
Billy Frogg's Grill and Bar (2 blocks south, primal frog) A
The Berry & Rye Bar (2 blocks south) N
M's Pub (2 blocks south) N
JD Tucker's Sports Bar (2 blocks south) N
Le Bouillon Casual French Cuisine (2 blocks south) A
Mr. Toad Pub (2 blocks south, primal toad) A


Hotel Response

Based on GoogleMaps, there are at least 8 hotels near the Gene Leahy Mall. Of these, 1 is at ground zero and must be evacuated (E). The remaining 7 can choose whether to respond. Of those, 4 do not send aid (N) while 3 offer to help (A). Hotels that take in emotional casualties: Courtyard by Mariott Omaha Downtown (1 block north), Residence Inn by Mariott Omaha (1 block north and 1 block west), and the Embassy Suites (2 blocks south).

Courtyard by Mariott Omaha Downtown (1 block north) A
Hilton Garden Inn Omaha Downtown (1 block north) N

Residence Inn by Mariott Omaha (1 block north and 1 block west) N
Doubletree by Hilton Hotel Omaha (2 blocks north and 2 blocks west) N

Hotel Deco (1 block south and 1 block west) N

The Farnam, Autograph Collection (ground zero) E

The Embassy Suites (2 blocks south) A
Hyatt Place (2.5 blocks south) N


Counseling

Based on GoogleMaps, there are no churches anywhere near the Gene Leahy Mall, so that's not an option for setting up emotional care stations in this case. However, there are at least 8 locations offering some sort of counseling. The ground zero ones have to be evacuated and can't provide care space, but any uninjured staff may volunteer to help. The others can provide both space and staff, but can't soak up hundreds of emotional casualties. Therefore, those with Emotional Trauma Care staff will be used for the worst cases, while Emotional First Aid facilities cover what they can. Evacuated staff can fall back to another location and work there. Some of them will likely set up stations in nearby parking lots or buildings to spread out the crowds.

Stormberg & Martin: Caita Mary Ann Family Counselor (across SW corner) EFA
Let's Talk (2 blocks west, 1 block south) ETC
Neve Robert D (2 blocks west, 1 block south) ETC

Old Market Therapy (ground zero) ETC
Brian Shaw Psychotherapy (ground zero) ETC
Hukilani Medical Clinic (ground zero) EFA

Old Market Neurotherapy (1.5 blocks south) ETC
North Central Rehabilitation Physical Therapy Clinic (2 blocks south) EFA


Emergency Supplies

Emergency preparedness largely began with Civil Defense. In local-America it hasn't developed into a very cohesive system, as much of it fell apart after the Cold War ended. In Terramagne-America they have a thriving system of bunkers useful in all types of emergency, and people generally have a good level of family preparation. Emergency response includes making plans for businesses and events in case of mishap. Terramagne divides emergencies into two broad categories based on response: evacuation vs. shelter.

Emergency supplies are essential in areas prone to natural disasters. In T-America, many parks stock those because they're public places. Bus stops often have a tornado shelter underneath, stocked with food, water, medical supplies, and rescue equipment. What really makes a big difference is citizen responders and first responders equipped to treat heavy bleeding -- that's the quickest killer that is easy to stop with first aid. Fortunately there are mass-casualty kits for this purpose, so you just need somebody to find those. Here are some examples likely to show up as part of this incident.

(Available at the State of Nebraska Office Building and the Advanced Surgery Center) PUBLIC ACCESS BLEEDING CONTROL STATIONS - 8-PACK METAL
This metal cabinet contains a carrying case with supplies including 8 individual bleeding control kits.

(This is something that first responders or citizen responders may bring in or find among emergency supplies in a tornado shelter.)
BleedStop MAX CONTROL 300 MASS-CASUALTY Bleeding Wound Kit Backpack [TREATS 12 BLEEDING WOUNDS]
This backpack contains 6 BleedStop DOUBLE 300 OTS BLEEDING WOUND KITS, each packed for 2 major injuries, although there's enough material that it may stretch farther than that. The side pockets are often stuffed with extra clotting gauze or T-American wound sealing gel on one side and extra SWAT-T tourniquets because those have so many uses. The front pocks typically hold extra gloves, flashlights, or medical tools.

(This is a good broad-spectrum trauma kit that people might keep in a car or office in case of large emergencies.)
MobileAid Hi-Visibility XL 200 EMS Medical Responder Backpack Kit
The backpack contains individual modules for different purposes.

(This is a large dufflebag packed with heavy-duty medical equipment, the kind of thing that medics use as a grab-and-go bag in ambulances or other first responders with advanced first aid training may keep in their car.) Advanced Trauma Care First Aid Kit


Casualty Counts

It's challenging to estimate from a weapon that flops around at random, but I did note which buildings had minor damage (e.g. beam bouncing along roof) or major damage (e.g. beam slicing off or through part of the building) around the Gene Leahy Mall. This will generate two main clusters of injuries and some subsidiary clusters:
1) amputation or slices with extreme bleeding from the beam itself
2) impact or crush injuries from debris
3) vehicle accidents due to chaos, falling debris, blocked roads, etc.
4) crowd injuries from bumping, falling, trampling, etc. and other general mayhem injuries associated with evacuation.

The Greenhouse Apartments building has 7 large windows wide per side, so figure 14 apartments per floor on most floors , and 9 floors of windows of which the lowest is the amenity floor, so 8 residential floors. In T-America, the top two floors each have six 3-bedroom penthouses plus some premium amenities. Based on floor plans, many apartments have only one window, although the larger ones have more. With half of the top three floors sliced away, that's six 3-bedroom apartments and seven smaller ones, for a total of 13 units affected. Assume an average of 3 people per 2-bedroom apartment (21) and 4 people per 3-bedroom apartment (24) for a total of 45 residents. Most of those were probably away from home in daylight, so say 10 were home, of which 8 are fatalities and 2 survivors. Debris from the severed floors falls primarily into the plaza and water features below, possibly some onto South 10th Street and Farnam Street. Since many people will be outdoors socializing, figure 24 casualties, of which 8 are fatalities and 16 are survivors. Most casualties in this area will have crush/impact injuries.

A cluster of businesses includes the historic Poppleton Block building along with several other structures built alongside it. The Downtown Coffee Company is between Matsu Sushi and Urbane Salon & Day Spa. The others include Shahi India Grill (on the far side of Matsu Sushi), The Nail Shop (next to Urbane Salon), and Omaha Visitors center along Farnam Street. The roofs of the buildings are damaged, and Shahi catches fire. Civilian casualties on the sidewalk and street take direct damage from the disintegration beam plus some impact damage from the falling debris. Lots of people will be out in daylight. Figure 30 casualties, of which 5 are fatalities, 10 serious, and 15 minor to moderate. This area has a lot of beam injuries because it hit street level in front of the Downtown Coffee Company.

The large midrise includes Orangetheory Fitness, along with offices and such, which has a partially damaged roof. This will cause debris injuries on the sidewalk, say 10 with 0 fatalities. The fitness center is a good source of citizen responders, because fitness mavens tend to know first aid and people who respond to emergencies like to stay fit. It has a first aid room tailored to sport-type injuries, thus good for impact injuries (bad bruises, abrasions, and broken bones) but not so much for heavy bleeding. All customer-facing staff members should know at least basic first aid; all teachers and personal trainers should know intermediate to advanced first aid. Figure 10 employees on duty, 5 with basic and 5 with higher first aid; 30 customers, all athletic, 20 with basic first aid and 10 with higher first aid; none injured as they were indoors and roof damage didn't extend into inhabited areas.

The tall mirrored building is the Landmark Building, part of which is a hotel called the Farnam, Autograph Collection. Others include RSM US LLP Accountant, Booz Allen Hamilton Business management consultant, and Bridgepoint Investment Banking. It has about half of the top four floors missing, cut somewhat flatter, on the side facing the Nebraska State Office Building. The lowest level is the amenity floor, including a stylish restaurant and bar. There are 14 windows per floor on the facing side, so about 28 hotel rooms are affected, 14 occupied, and 18 fatalities. At street level, there are 30 casualties, 10 fatalities and 20 moderate injuries. Some of these are due to the ground-level windows shattering from debris. Unlike other buildings which are mostly brick, this falling debris contains a large amount of glass, which creates bleeding injuries even though the beam didn't touch the street level. Furthermore, the debris falls into South 13th Street, blocking it completely; and Farnam Street, making it difficult for vehicles to get past. Another 23 people are trapped in cars, with trivial or no injuries but unable to escape without help due to the fallen debris.

The red building between South 13th Street and South 14th Street is the State of Nebraska Office Building, cut vertically in half on the diagonal from the Farnam/S13 corner to the Harney/S14 corner, likely the true target of the rampage. A quirk of architecture has the windows deepset with angled frames, minimizing damage from falling debris, and the shell is solid brick. Inside there are 45 casualties, 15 fatalities, 30 moderate injuries, from a mix of beam and debris.


Greenham Apartments: 10 casualties (8 fatalities, 2 survivors) indoors; 24 casualties (8 fatalities, 16 survivors) outdoors.
Strip Mall: 30 casualties (5 fatalities, 25 survivors) outdoors.
Orangetheory Fitness: 10 casualties (0 fatalities, 10 survivors) outdoors.
Landmark Building: 18 fatalities indoors; 30 casualties (10 fatalities and 20 moderate injuries) outdoors. Another 23 people are trapped in cars, with trivial or no injuries but unable to escape without help due to the fallen debris.
State of Nebraska Office Building: 45 casualties (15 fatalities, 30 moderate injuries) indoors.

Farnam Street at large: 3 elderly heart attacks, 3 elderly strokes from shock; 3 fatalities, 3 survivors
325 Emotional First Aid victims (not otherwise injured; minor to moderate injuries may also want EFA)
75 Emotional Trauma Care victims (not otherwise injured; moderate to severe injuries often need ETC too)
120 people in car crashes, 55 injured (5 fatalities, 15 serious injuries, 25 minor to moderate injuries) 75 uninjured
25 lost children/infants, 10 belonging to injured/dead parents, 15 just separated
Press Response: 12 emotional casualties (2 ETC and 10 EFA)
Food Service Response: 20 emotional casualties (5 ETC, 15 EFA).

These are not all the casualties from the event, but those in the largest clusters along Farnam Street, the current focus.


Continuing Cleanup & Repair

T-America is more efficient than here, and most people who can leave under their own power will get themselves out of the way, but there's still a huge mess to handle. It will take about 12 hours to clear almost all the casualties from the area. Most ambulatory casualties and gawkers get cleared within 2 hours, as do red-card casualties with the worst injuries. Most easily transportable ones get cleared within 4 hours. Most trapped ones get cleared within 8 hours. The last 4 hours are devoted to the serious cases of people in crushed cars or buried under copious rubble, who require much effort to extract. Search-and-rescue teams may turn up a few stragglers over the next several days as the rest of the rubble is cleared.

The Gene Leahy Mall and the streets immediately bordering it are closed and will remain so for a while due to damage and other challenges: Douglas Street and Farnam Street between South 14th Street and South 10th Street. One block out from that -- Dodge Street and Harney Street between South 15th Street and South 8th Street -- will be reserved for emergency and other official use only, until enough of the mess is cleaned up that they can reopen to regular traffic. Beyond that, people are merely encouraged to minimize trips near the area as much as possible to keep traffic manageable. The area is mostly a grid, so it is pretty straightforward to route traffic around the closed part.