Priscilla David Catherine Cook-Cottone Raj Sharman H. Raghava Rao Shambhu Upadhaya University at Buffalo, SUNY Objectives of the Study • To study the transition of first responders from normal incident response to disaster level patterns • To analyze the data collected from first responders from the October 2006 Snow Storm in Buffalo to understand their transition Saturday, May 28, 2016 University at Buffalo, SUNY 2 Grounded Theory The Perspective of the First Responder Open Coding (naming phenomenon) Axial Coding (process of relating codes to each other) Selective Coding (finding core categories and themes) Saturday, May 28, 2016 University at Buffalo, SUNY 3 Questions Under Study During the October Storm, first response infrastructure shifted from normal simple incident response patterns to disaster level patterns (a) Describe how you knew the transition was needed. (b) Describe how the functions of your unit changed during and after this transition. Please describe the most difficult tasks during the transition from normal simple incident response patterns to disaster level patterns during the October Storm. Saturday, May 28, 2016 University at Buffalo, SUNY 4 Problems in Evolving Disaster Response Systems Communication systems Comfort et al., (2004): state that when one method or process fails, the normal psychology of man is to opt for the next method thus overcrowding that method which causes the failure of the alternative method. Auf der Heide (2006): reports that in some EMS a common radio frequency for communication has not been established. In the event of a disaster, communication problem are a huge hindrance when one emergency response team is trying to communicate with another. Saturday, May 28, 2016 University at Buffalo, SUNY 5 Problems in Evolving Disaster Response Systems Coordination systems Coordination by plan: Definite procedure that has to be followed by the EMS; experience success or additional challenge based on their activity. Coordination by feedback: Errors and successes of incidents are noted; lessons are learned from past experience Saturday, May 28, 2016 University at Buffalo, SUNY 6 Coordination Problems: Unexpected Help Unexpected help: Instant rescue operations are performed by those who are present on the scene, the civilians. Their attempts to respond to the disaster are often not well coordinated; lead to impairment of the organizational efficiency during a disaster. Unexpected help: Auf der Heide (2006): Help comes from unexpected sources when it may not be required. Having more help than for which was planned, leads to the additional coordination problem. Saturday, May 28, 2016 University at Buffalo, SUNY 7 Coordination systems (discussions from Comfort et al., 2004) Training and education guides the responders during uncertainties Three types of responses during disaster recovery: Blind response occurs when the responders do not have information about the time and severity of the specific call or need. Time-based response is when information is available to responders based on time of demand (first come first serve basis). Severity-based response occurs when information is provided about the time and severity of the incident wherein severity is the predominant factor (calls would be triaged) If resources are used to the maximum and not conserved at the preliminary stage, they are exhausted and are not able to work to the best of their ability at progressing stages of the disaster. Saturday, May 28, 2016 University at Buffalo, SUNY 8 Problems in Evolving Disaster Response Systems Flexible leadership and first responder role adaptation Waugh & Streib (2006): Rigid method of hierarchical decision making is not effective. Kelly (1995): Flexibility may also play a role in FR efficacy. FRs often perform tasks beyond their roles and responsibilities. Waugh & Streib (2006): Role adaptation and intensification is experienced in most disaster response situations Saturday, May 28, 2016 University at Buffalo, SUNY 9 Questions Under Study During the October Storm, first response infrastructure shifted from normal simple incident response patterns to disaster level patterns (a) Describe how you knew the transition was needed. (b) Describe how the functions of your unit changed during and after this transition. Please describe the most difficult tasks during the transition from normal simple incident response patterns to disaster level patterns during the October Storm. Saturday, May 28, 2016 University at Buffalo, SUNY 10 Saturday, May 28, 2016 University at Buffalo, SUNY 11 Theoretical Construct: Event Indicators Concepts Category Response Apparent Magnitude of destruction Magnitude and Complexity of event “Could visibly see the devastation” Magnitude of event Complexity of the event “The overall scale & severity of damage to widespread area” “Complexity and extent of the event made this obvious” Theoretical Construct: Impact Indicators Concepts Loss of Electricity Category Civic infrastructure effects of event Driving Ban Disconnection of Cellular Services Limitations of travel for responding units Need to assist public Community Impact Resource Demands Overwhelming Emergency calls Inability to keep up with emergency calls Saturday, May 28, 2016 “This was very obvious- driving ban, no power” “Cell phone services swamped” “We were unable to get our vehicles out of station” Impact on the public (Panic, etc) Need for more resources Response “Major power outage” University at Buffalo, SUNY “Assist the public with utility problems and transport the sick” “One was able to tell there was a widespread panic” “When more resources were needed and the call volume kept rising” “The storm produced a tidal wave of calls” “Call volume increased. Late response increased” 12 Theoretical Construct: Experience Indicators Concepts Category Response Assessment based on experience Experience as responder Communicated about the storm Indicators apparent in operating procedures “The disaster level was greater than we had ever experienced before” “Town-wide communications of the state of the Town” “When the emergency response team was activated” “By direct orders through supervisors” Shift in response plan Leadership Theoretical Construct: Responder Role Change Concepts Category Response Specific change in role Role Adaptation – Type of work changed “We were tasked with functions not part of our normal duties” “Immediate emergency care to more of an assistance team” “went from primarily enforcing the law to helping people with home problems” “At work we just extended shifts” “The functions stayed primarily the same, the scale just became larger” “Call volume increased. Late response increased” “Response to specific calls became more difficult because trees, snow” Shift from emergency care to assistance Shift from normal operation to public service & assistance Augmented work shifts Same Function but increase in magnitude Role Intensity Handling increased calls Changes in Response Time Saturday, May 28, 2016 Increased Difficulty in Role Performance University at Buffalo, SUNY 13 Theoretical Construct: Integration of Response Concepts Category Response Increased Coordination (among Responders, departments) Coordination, Collaboration and Emergency Operation Plan Activation “Everybody worked well together” “Unit's came together in a timely manner” “We were split up into teams” Different units came together Responders split into teams “Smoothly” Type of Transition in the functions of the unit Increased need for resources Resources and support from outside “more man power” Insufficient amount of resources “resources became low” Functions changed to increased information communication with public “communication with residents ” Functions did not change( Required outside assistance) “We just integrated outside assistance were needed” “able to release a few personnel at a time” “More technology in form of communications” Personnel relief and respite Increased Communication (among Responders, departments) Communication and coordination issues Problems in Communication (among Responders, departments)- Negative Saturday, May 28, 2016 University at Buffalo, SUNY “Transportation and communication problems” 14 Theoretical Construct: Disaster Impact Concepts Category Response Work around for failed systems Failed Systems Most difficult period during the storm Responder mobility issues Storm Impact “Setting up work arounds for failed systems” “This was the most difficult first 8 hours of the storm” Impact of Driving Ban Theoretical Construct: Resource Demands “Getting through all of the damage was difficult” “Trying to re-open our facility when there were still community driving bans” Concepts Category Response Resource Management (Managing the available) Need for Resources Physical Resource Needs “Deployment of man power” Unavailability of TechnologyElectricity Loss Extended shifts Responder Needs Personal needs of the Responder Training Saturday, May 28, 2016 University at Buffalo, SUNY “Getting man power to handle the severe volume” “Dealing with power outage and access to pre existing programs.” “I worked 27 hours in a row after coming off a 12 hour shift” “Sleeping in the hall without family on cots for 2 days” “Trying to prepare personnel and equipment to do a job” 15 Theoretical Construct: Community Issues Concepts Category Response Protect the public and provide care/service to them Concern for safety and community “prevent the public from electrocution hazards ” “Making sure home life was ok ” Concern for family safety Delayed response times Saturday, May 28, 2016 Delays University at Buffalo, SUNY “Response time to storm victims was much greater” 16 Conclusion The qualitative analysis of the FR reports regarding the Buffalo October storm suggests that there are three are three major areas to consider when working towards understanding the nature of the transition to a disaster-level response: disaster-indicators FRs must be good assessors of event-specific-indicators dynamics-in-transition disaster-impact i.e., civic-infrastructure-effects, community-impact, and resources-demands use FR experience to evaluate these data. Also critical is the ability of FRs to negotiate the dynamics of the transition to a disaster. requires role flexibility and adaptation as FRs respond to increases in the intensity of their work as well as increases complexities of role performance. the dynamics-in-transition appear to include substantial coordination and communication demands. the transition to a disaster level response hinges on the actual disaster impact. That is, the impact on systems, physical resources, responders, and the community. Saturday, May 28, 2016 University at Buffalo, SUNY 17