ATST Safety Review Emergency Response and Status Chuck

ATST Safety Review Emergency Response and Status Chuck Gessner Risk Manager Sharon Loando-Monro for content January 25, 2011

Maui’s Emergency Response • • Geography Review Available Services and routes Two Primary Hospitals AMR medical transport – 911 response Medical Air Evacuation Capabilities Fire Fighting Capabilities Road Conditions and Hazards Limited Services on Haleakala

Island of Maui

Haleakala Highway 37

Maui Memorial • • • 200 attending physicians 231 beds Critical Care unit Ambulatory Surgery Center (Surgi. Center) 20 patient holding rooms Physical/Occupational Therapy unit 24 -bed Medical/Surgical unit Intensive Care Unit (ICU) – 29 beds MMMC Emergency Department ED, 9 exam/treatment rooms, an additional triage room and a larger and more enhanced waiting room. Helipad located on the MMMC campus 39. 7 miles or 1 hour and 27 minutes

Maui Memorial to Haleakala

Kula Hospital • Kula Hospital is currently designated as a critical access hospital and provides a variety of vital health care services that can service the project: – – – – • • • Acute Care Services Inpatient Skilled Nursing and Intermediate Care Outpatient Clinic Services Pharmacy Rehabilitative Physical and Occupational Therapy Laboratory & Diagnostics Services Emergency Room Services Kula Hospital has over 200 employees and is recognized as a long standing tradition of delivering the highest quality of care. 100 Keokea Place, Kula, HI (808) 878 -1221 27. 6 Miles from Haleakala Observatories (about 1 hour)

Kula Hospital to Haleakala

American Medical Response • American Medical Response provides 911 emergency medical coverage for Maui County. • Contracted by the State of Hawaii • Ambulances are staffed with EMT’s and MICT’s (mobile intensive care technicians, or paramedics). MICT’s can administer drugs and are on the phone with doctors. • • Over 75 MICTs and EMTs in the system. EMT’s and MICT’s work 48 hour shifts. • AMR also provides non-emergent ambulance transport on the island of Maui. • Provides medical personnel and ambulances for standby events though out the county. Please call 800 -742 -5457 for more information.

AMR “note to self” • American Medical Response 230 Hana Highway Suite 10 B Kahului, HI 96732 Phone 808 -871 -2153 Fax 808 -871 -2863 Operation Manager - Curt Morimoto MICT Maui County EMS Medical Control - Dave Nelson MD • Maui County Paramedic Stations Medic 1 - Wailuku Medic 2 - Makawao Medic 3 - Kihei Medic 4 - Lahaina Medic 5 - Napili Medic 6 - Hana Medic 8 - Molokai Medic 10 - Kahului Medic 11 - Kula Medic 13 - Lanai Medic 14 - Wailea

Air Medical Service • Maui's Air Medical Helicopter Service went in effect September 2004. This joint venture with Pacific Helicopters covers all of Maui County with Medical Evacuation 24/7 with full ALS care.

Maui Fire Fighting Capabilities • Fire and Rescue Operations is the primary emergency response. • Firemen are not EMT trained, trained in first response • Staffing & Resources Fire/Rescue Operations includes 279 personnel trained to respond to and mitigate a wide variety of emergency situations. They are assigned to 14 fire stations spread throughout the county. Available resources include: – • 14 engine companies, 3 mini-pumpers, 2 ladder companies, 1 helicopter, 1 rescue company, 3 rescue boats, 1 hazardous material company, 4 personal watercraft, 4 tankers, and 11 utility vehicles Maui Fire Fighters are not EMT’s or Paramedics

Kula Fire Station • 50 Calasa Road Kula, Maui, HI 96790 • 24. 1 Miles estimated response time 1 hour

Hale Road- Park Road Section Mile Markers Haleakala National Park P. O. Box 369 Makawao, HI 808 -572 -4400 www. nps. gov/hale Drive time from the Entrance to the Observatory is about ½ hour.

Park Entrance and Helicopter landing site

Park Road and Park Facilities

Park Road approaching Haleakala

Examples of some Hazards

Haleakala Emergency Contact Info at Mees • Work in Progress…