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EMS Mass Casualty Plan
This Plan is developed to assist first on-scene emergency responders in management of mass casualty incidents. When multiple sites or events occur, each site or occurrence shall be managed through the separate mass casualty incident command structures, until such time as an area-wide command structure can be activated to integrate and coordinate the separate mass casualty incident commands.
This Plan does not replace or negate any mutual aid or other agreement currently in place between various Manitowoc County response agencies.
Mass Casualty Sub-Committee of
Manitowoc County Local Emergency Planning Committee
Manitowoc County Emergency Management
Updated March 2014 wpm
TABLE OF CONTENTS
|Section I:||Notification of Command/Response Personnel||28|
|Section II:||Initial Response - First Arriving Ambulance Unit||29|
|EMS Chief Officer Job Description||30|
|EMS Triage Officer Job Description||21|
|EMS Assistant Triage Officer Job Description||32|
|Treatment Area Manager(s) Job Description||33|
|Transportation Officer Job Description||34|
|Assistant Transportation Officer(s) Job Description||35|
|Equipment Area Manager Job Description||36|
|Communications Officer Job Description||37|
|Coroner Liaison Officer Job Description||38|
|Staging Officer Job Description||39|
|Appendix "A"||Scene Organization|
|Appendix "B"||Triage Procedures||42|
|Appendix "C"||EMS Mass Casualty Incident Response Kit Contents||45|
|Appendix "D"||Emergency Ambulance Services||46|
|Appendix "E"||Transportation Resources||48|
|Appendix "F"||Hospital/Nursing Home Facilities||50|
|Appendix "G"||Area Funeral Directors||51|
|Appendix “I”||First Responder and Ambulance vehicles||53|
SECTION I: NOTIFICATION OF COMMAND/RESPONSE PERSONNEL BY THE MANITOWOC MUNICIPAL/COUNTY 9-1-1 CENTER
A. Upon receipt of information indicating a potential mass casualty incident by Joint Dispatch Center (JDC), the dispatcher shall attempt to determine at minimum:
1. The nature and scope of the incident.
2. An estimated number of potential patients.
3. The presence of fire, hazardous materials or radiological substances.
B. The JDC Center personnel shall initiate an initial response, notify and activate pursuant to standard operating procedures.
1. Emergency Medical Services (Note: Page 60 of this plan for EMS call list), Fire, Police, Public Works, County Emergency Management, City Transit System and other agencies and apparatus necessary for initial response.
2. Command personnel of local and County EMS, Fire, Police, Public Works and Emergency Management.
3. Other necessary agencies such as Public Health, Red Cross, Helicopter services, etc. as directed by Incident Command Officer.
4. Notification of area hospitals.
5. Call Manitowoc Fire Department and request EMS trailer with triage supplies be transported to scene.
6. Wisconsin Emergency Management hot line (1-800-943-0003) for activation of Wisconsin Emergency Management and Department of Natural Resources, as needed.
C. They shall identify and coordinate all further communications with:
1. Supervisory staff at the appropriate JDC.
2. Emergency Management and command staff at Emergency Operations Center.
3. On-scene Incident Commander.
4. Request mobile command post or inflatable building (Manitowoc or Two Rivers Fire Department).
SECTION II: INITIAL RESPONSE: FIRST-IN Medical Personnel
The first-in Medical Personnel shall remain on-scene and assume all EMS-related scene command functions until relieved or all patients are cleared from the mass casualty incident scene.
A. The Crew Chief of the first arriving Medical Personnel will assume the role of the EMS Chief Officer until relieved and shall:
1. Ensure that no EMS personnel or other emergency responders approach the incident without first determining the nature of the incident and establishing a safety line commensurate with the limitations of safety equipment available to personnel and the nature of the incident.
2. Identify the scope of the incident and hazard present. Consider secondary devices.
3. Identify safety equipment needed before proceeding.
4. Establish a command post and identify a primary communications frequency to coordinate all EMS command functions.
A. Identify with JDC a staging area and channel incoming units should communicate with the staging Officer on. This should be communicated by JDC to units as they page or call for additional help.
5. Notify JDC personnel of the nature and scope of the mass casualty incident.
6. Identify EMS and support equipment required to manage estimated patient needs and request same from JDC.
7. Establish triage, treatment, loading, ambulance and equipment staging areas as further described in (Appendix "A", Page 17) plan and assign subordinate command personnel upon availability including a Triage Officer.
8. Re-assess and relocate EMS service areas listed in sub-paragraph 7 of this section as needed to insure the safety of all patients and emergency responders.
9. Coordinate activities with other emergency agencies including Fire, Police, Public Works and Emergency Management (Unified Command).
10. Direct all EMS activities at the scene until the incident is resolved or until relieved.
B. All triage shall be coordinated in accordance with accepted medical practices (See Appendix B page 19 & 20) utilizing the triage tag identification system. Triage tags shall remain with patient's medical record for a minimum of forty-eight (48) hours. The triage tag identification system adopted for Manitowoc County shall be available in the EMS - mass casualty incident response kits described in Appendix "C", Page 21 of this plan.
C. General patient care procedures for specific types of mass casualty incidents are listed in Appendix "B", Page 19 of this plan.
All pre-hospital patient care procedures that differ from established protocols shall be approved by Medical Control if patient volume, communications, airspace and time permit.
D. Location of all principle EMS Service areas shall be constantly re-assessed and relocated to insure the safety of all patients and emergency responders
EMS CHIEF OFFICER JOB DESCRIPTION
It is the responsibility of the EMS Chief Officer to:
A. Declare major EMS incident if JDC information indicates a major incident.
B. Survey the scene upon approach to determine the magnitude of the situation and presence of hazards, (i.e. downed power lines, hazardous materials spills, fire, Secondary devices or other hazards).
C. Declare an actual major incident if it is evident at this time and make a request for immediate dispatch of additional help and equipment including Manitowoc County's command post (Contact Manitowoc and Two Rivers Fire Department).
D. Put on an EMS Command vest immediately after declaring a major EMS incident. (Note: Vest and other equipment may not be on-scene and may have to be requested.) Vests and triage tags are located in the "EMS Trailer” at the Manitowoc Fire Department and at seven other sites in the County (see page 21 for location sites). The roles in this plan may have to be assumed prior to the arrival of the vests and job descriptions.
E. Accompany the EMS Triage Officer, if possible, on initial triage sweep, however EMS Command should attempt to remain at the designated site for the Command Post as much as possible. Assign a staging area and staging officer ASAP.
F. Obtain a count of the total number of patients and determine severity in terms of numbers of critical (RED), Serious (YELLOW), and Minor (GREEN).
G. Confer with the Triage Officer upon completion of triage sweep to determine what additional resources are needed (ambulance, rescue units, personnel, EMS helicopters, buses, etc.)
H. Determine if there is a need to establish a joint command post involving the senior officers of the emergency services at the scene (i.e. EMS, Fire, Police, etc.)
I. Organize the scene by functional areas. This includes organizing the incident area(s), treatment area(s), loading area(s), and staging area(s). Materials for marking treatment area(s) are stored in the "black boxes" located in the EMS trailer stored at the Manitowoc Fire Department. Valders EMS also has large tarps available for marking Treatment areas.
J. Appoint managers, if necessary, for each area as additional personnel arrive. A manager should be appointed for the incident area and each treatment area. If sufficient EMS personnel are available, managers should be designated for the loading area, ambulance staging area, and equipment staging area. If sufficient EMS personnel are not available, other emergency personnel such as fire service personnel should be requested to assist in performing area manager duties.
K. The EMS Chief Officer should periodically confer with officers and Managers to confer status of situation.
L. Scene/hospital communication is the responsibility of the EMS Chief Officer and the Communications Officer only.
_____ Appoint a staging officer and designate a staging area
_____ Appoint an equipment area manager
_____ Appoint a treatment area manager(s)
_____ Appoint triage officer and assistant if needed
_____Appoint a transportation officer
_____ Appoint a communications officer
_____ Appoint a liaison to the coroner if needed
EMS TRIAGE OFFICER JOB DESCRIPTION
The EMS Chief Officer shall immediately appoint an Initial Triage Officer from the crew of first-in ambulance, whose responsibilities shall be as follows:
A. Put on "Triage Officer" vest.
B. Provided the area is safe, conduct an immediate triage sweep of the scene to count the number of patients and determine severity in terms of critical versus non-critical injuries. It is appropriate to use a loud speaker system and to request all ambulatory patients to walk to a designated treatment/triage area. This will greatly reduce the number of patients wandering around unattended and the number of personnel required to manage removal of these patients.
C. During the initial triage sweep, count the number of Patients in each category such as patients tagged red (critical), yellow (serious), green (minor), or black/white (DOA). Apply triage tag to patient. (Tie or Tape). Initial set of tags shall be contained in every ambulance in service in Manitowoc County as part of its basic equipment, First responder groups should also have tags as part of their routine equipment. Extra tags may be obtained from either hospital. (Waterproof plastic triage tags available in EMS black box, use china marker for writing).
D. Confer with the EMS Chief Officer to inform command of the number and severity of the injured patients and to advise the EMS Chief Officer of additional help needed in terms of Basic and Advanced Life Support EMS units, number of EMS personnel, and special resources such as extrication or air evacuation.
E. In conjunction with EMS Chief Officer, assign responsibilities to additional EMS personnel as they arrive at the scene through contact with staging officer. (For example: "We need one EMT with patient #5, two EMT's with patient #8, etc." and issue appropriate vests).
F. Inform equipment manager of equipment needs in incident and treatment areas.
G. At the end of each triage sweep of the scene, inform the EMS Chief Officer of the latest patient status. The Triage and the EMS Chief Officer should confer concerning the need for additional EMS resources and any other considerations such as hospital destination,
medical direction, etc.
H. Continually confer with the EMS Chief Officer, the Treatment Area Manager, the Transportation Officer, the Staging Area Officer and Equipment Area Managers, and others to ensure that all necessary considerations are being given in terms of patient care.
I. Continually repeat triage until all patients have been cleared from scene.
EMS ASSISTANT TRIAGE OFFICER JOB DESCRIPTION
A. Reports to EMS Triage Officer.
B. Wears "Triage" vest.
C. Assists Triage Officer in conducting initial and subsequent triage sweeps at incident scene and within triage area.
D. Ensures safety of patients and EMS personnel within the Triage area.
TREATMENT AREA MANAGER(S) JOB DESCRIPTION
A. Reports to EMS Triage Officer and EMS Chief Officer.
B. Wears "Treatment" vest.
C. Secures banners or tarps labeling treatment areas from storage in the black boxes located in EMS trailer or from Valders EMS, and sets up such treatment areas. Ensures safety of patients and EMS personnel with assigned treatment area.
D. Assigns personnel to patient care duties and identifies EMS equipment needs to render care within treatment area. Assigns personnel to patients and assures that triage tag information is filled out on each tag. Re-evaluate patients to assure patients are transported in an appropriate order.
E. Coordinates evacuation of patients with Transportation Officer to area hospitals or other intermediate facilities or locations.
F. Request transport of the "black boxes" located in EMS trailer at the Manitowoc Fire Department. (Note: EMS black boxes contains additional supplies of triangular bandages, tape, 4x4's, trauma dressings, leg splints, arm splints, vests, banners, oxygen multi port, C-Collars, long boards and additional waterproof triage tags).
TRANSPORTATION OFFICER JOB DESCRIPTION
A. Reports to EMS Chief Officer and/or EMS Triage Officer.
B. Wears "Transportation" vest.
C. With approval and concurrence of EMS Chief Officer and EMS Triage Officer establishes:
1. Patient loading area
2. Ambulance staging area
3. Equipment staging area
D. Establishes communications contact with Staging Officer and advises number of ambulances and special service equipment needed to perform patient transport.
E. Coordinates ambulance routing and response to ambulance staging area. May require setting up special routes for ambulances to enter and leave staging areas.
F. Establishes communications contact with Emergency Operations Center (if activated), Medical Control and area hospitals via Communications Officer to determine area hospital's capabilities to receive patients.
G. Numbers triage tags and maintains patient information and destination forms (see form in transportation clipboard) and routes patients to appropriate hospitals with coordination of Communications Officer and Medical Control if available.
H. Transportation officer be in charge of routing patients.
I. The closest hospital will be medical control unless passed to on-scene physician or other designee.
J. Consider sending minor Patients to local clinics, so hospitals are not overwhelmed with minor patients.
K. As patients are loaded for transport to hospital fill out the transportation log: Name, transported by, transported to, and time
ASSISTANT TRANSPORTATION OFFICER(S)
A. Reports to Transportation Officer.
B. Wears "Transportation Assistant" vest.
C. Coordinates ambulance loading duties under the direction of the Transportation Officer.
D. In charge of recording each transport and to what destination (See form in transportation clipboard).
EQUIPMENT AREA MANAGER
A. Wears "Equipment" vest.
B. Establishes equipment area which should be strategically located between treatment and ambulance staging areas.
C. Communicates with EMS Triage Officer and provides the needed equipment at the incident and treatment areas.
D. Collects and inventories equipment and supplies from ambulances arriving at the scene (i.e. backboards, splints, oxygen, etc.) Ambulances coming into the scene of a Mass Casualty Incident should back into the ambulance staging area unless a dive through can be set up. Equipment such as splints, bandages, long boards, collar, etc. should be removed and placed in the equipment bank (equipment not identified with ambulances name will be written on equipment with permanent marker).
E. Collects and inventories supplies as brought in from various sources. Label equipment if time permits to allow for proper return.
F. Distributes supplies as requested in triage and treatment areas.
G. Collects and inventories equipment at the end of the incident and returns the same to its proper source or designated area for units to pick up.
H. Maintain an on-going lists of suppliers and supplies.
I. Make sure EMS trailer has been requested from MFD and is en route to scene.
J. Sets up EMS trailer when it arrives on scene. Moves equipment to designated areas with the help of assistants requested through staging manager.
COMMUNICATIONS OFFICER JOB DESCRIPTION
A. Wears "Communications" vest.
B. Works with Transportation Officer, communicating via radio, to hospitals, with information on patients and estimated times on arrival.
C. Establishes communications contact with Emergency Operations Center and Fire/Hazmat (if activated) (call JDC at 683-4201 for phone numbers) Medical Control, and area hospitals and determines area hospitals' capabilities to receive patients. This information shall be shared with the Transportation Officer.
D. The Communications Officer shall be the only person contacting the hospitals with patient information and estimated times of arrivals. Communications to hospitals should be some like Ambulance 20 is transporting a red patient that is 18 years old with airway trauma ETA is 10 Minutes.
E. Once communication is received via cell phone that line will remain open and not be hung up.
F. Command post has one portable satellite phone available if needed.
G. Confer with medical control as to what clinic(s) the minor patients should be taken to.
Hospital Phone Numbers:
Holy Family Memorial 920-320-2603
Aurora Medical Center 920-794-5125
Calumet Medical Center 920-849-7527
Sheboygan Memorial 920-451-5553
St. Nicholas Hospital, Sheboygan 920-459-4760
St. Vincent Hospital, Green Bay 920-433-0312
Aurora Baycare, Green Bay 920-288-4060
Bellin Hospital, Green Bay 877-235-5461
Theda Clark, Neenah 920-729-2480
CORONER LIAISON OFFICER JOB DESCRIPTION
A. Acts as assistant to and under the direction of the Coroner.
B. Facilitate movement of deceased patients from treatment area(s) to a temporary morgue. This shall only be at the direction of the County Coroner.
C. Helps set up temporary morgue (inflatable building is located at TRFD or with refrigerated semi trailers).
STAGING AREA OFFICER JOB DESCRIPTION
A. Wears "Staging" vest.
B. Sets up staging area, preferable in a large lot about 2-3 blocks away from incident.
C. Works with EMS Chief, and other Officers coordinating the dispersal of available resources including people and vehicles.
D. Keeps track of personnel reporting to staging area. Keeps track of where personnel are sent.
E. Directs incoming resources to needed areas.
F. Responsible for keeping a log EMS personnel on scene.
B. Unit affiliation
D. Time arrived
E. Time dismissed
APPENDIX "A" - SCENE ORGANIZATION
Organizing a major EMS incident scene may require the designation of specific manageable areas. If there are sufficient personnel, each area should have a manager designated to organize the activities of the area. All area managers report directly to the EMS Command Officer.
A. EMS Command Post
An Emergency Medical Services Command Post should be located in a safe area to facilitate access of the EMS Chief Officer to all subordinate staff and communications. The EMS Chief Officer shall remain at the Command Post at all times except for initial triage sweep with Triage Officer. (Consider using county hazmat command post/inflatable building or emergency vehicle for this purpose.) Consider the placement of this vehicle at or close to the staging area.
B. Triage Area
The triage area should be strategically placed in a safe location between the Command Post and the treatment area(s). The Triage Officer shall only leave this area to perform initial triage sweep or to supervise patient care activities in the treatment area(s) or to confer with the EMS Chief Officer.
C. Treatment Area(s)
The treatment area(s) should be organized in relation to the number of patients.
1. With larger numbers of patients, a separate Critical (RED TAG) treatment should be identified to allow advanced or more experienced EMS personnel and equipment to be concentrated in the "Critical” treatment area. BLS may be mixed as needed
2. A separate Serious (YELLOW TAG) treatment area, for serious but non-critical patients, may be staffed by ALS and BLS personnel.
3. Patients categorized as "Minor" (GREEN TAG) require observation and at least one person to continually re-assess their condition. Patients who are initially "minor" may develop complications and need to be upgraded to "Serious" or "Critical". Consider placing these patients in a bus, near by building or location close by. If a
bus is used these patients could go to a local clinic for an assessment and release.
D. Equipment Staging Area
In certain major incident situations, an equipment staging area should be established. As EMS units arrive at the staging area, backboards, splints, oxygen, and other portable equipment should be removed and taken to the equipment bank area. This area should be strategically located between treatment and ambulance staging areas.
E. Ambulance Staging Area(s)
If necessary, one or more staging areas should be designated for EMS vehicles to park as they arrive at the scene. This will prevent EMS vehicles from blocking each other and allow an organized movement of vehicles as directed by the Ambulance Loading Officer. This area and a path to it should be cleared of all debris to allow safe ambulance operation. It should be situated to minimize exposure of patients and personnel to toxic fumes. All vehicles entering this area shall back in with one attendant outside the vehicle acting as a guide to the driver for safety purposes, unless a turn around or dive through is available. When leaving the area, an Ambulance Loading Officer shall walk directly in front of the vehicle to avoid running over debris, etc. If you have a large event an ATV and private vehicle staging area might be needed.
F. Ambulance Loading Area(s)
A loading area should be established in proximity to the treatment area(s) to allow ambulance vehicles to pull up, load and leave under the direction of the Transportation Officer(s). This area and a path to it should be cleared of all debris to allow for safe ambulance operation and be so situated to minimize Exposure of patients and personnel to toxic exhaust fumes.
Deceased patients should be left at a specified site with all human remains and personal effects until directed by the County Coroner or designee, with the exception of those patients who die after being placed in the treatment area(s). Movement of deceased patients from treatment area(s) to a temporary morgue shall occur only with permission of and at the direction of the County Coroner and facilitated by the Coroner Liaison Officer.
A LAW ENFORCEMENT OFFICER SHALL SECURE THE AREA AT ALL TIMES WHERE DECEASED PATIENTS ARE KEPT!
APPENDIX "B" - TRIAGE PROCEDURES
Treatment priority must be established to furnish maximum assistance to the greatest number of victims.
Assignment to a specific category depends on the severity of injury and length of time required for treatment; the number of support personnel required to deliver satisfactory treatment; and the prospect for return to productive life and function.
A. Transportation of Patients From Scene
1. Red Tag Patients - CRITICAL
2. Yellow Tag Patients - SERIOUS
3. Green Tag Patients - MINOR
B. Patient Injury Categories
See next page for Triage Guide.
1. RED TAG PATIENTS (Critical or Immediate)
Patients that are salvageable and may return to society as they were prior to event.
2. YELLOW TAG PATIENTS (Serious-Second Priority)
Patients that require medical care, but several hours will not result as to loss of life or limb.
3. GREEN TAG PATIENTS (Minor- Last priority)
They are ambulatory and may be directed away from the treatment site and might be directed to a clinic for an assessment or simple treatment.
4. WHITE/BLACK TAG PATIENTS (DOA)
Patients whose injuries are so extensive that even with optimal care, the prognosis for recovery or restoration of normal function is poor. They should receive simple "custodial care" and be kept as comfortable as possible if personnel permit.
APPENDIX "C" - EMS MCI RESPONSE KIT
Four EMS mass casualty incident response kits ("black boxes") are stored in the EMS trailer at the Manitowoc Fire Department for easy and fast deployment. Triage tags are kept on all county ambulances and first responder rigs as basic equipment. Additional basic starting kits consisting of triage tags, clipboards, job descriptions and vests are kept at the following locations and can be requested through JDC who will dispatch the appropriate unit:
1. Cleveland First Responders - Cleveland
2. Kiel Ambulance Service - Kiel
3. Mishicot Ambulance Service - Mishicot
4. Valders Ambulance Service - Valders
5. Manitowoc Fire Department - Manitowoc
6. Two Rivers Fire Department - Two Rivers
7. Reedsville Fire Department - Reedsville
These 7 kits contain the following:
● Reflective vest labeled "EMS COMMAND" known as EMS Chief.
● Two (2) reflective vests labeled "TRIAGE" and "TRIAGE OFFICER"
● Reflective vest labeled "TREATMENT"
● Two (2) reflective vests labeled "TRANSPORT" and "ASSIST. TRANSPORT"
● Reflective vest labeled "EQUIPMENT"
● Reflective vest labeled "COMMUNICATIONS"
● Reflective vest labeled “STAGING”
● Triage tags and duct tape in the colors of Green, Yellow, Red, and White
● Clipboards with instructions and pen (quantity 8)
● Checklists and forms including:
◦ Laminated job descriptions for above positions.
◦ EMS Command Officer duty checklist (See position job description).
◦ EMS Triage Officer duty checklist (See position job description).
◦ Resource Report/Status Form (Appendices "D", "E" and "F" hereof).
◦ Patient condition/transport/destination form.
◦ County Map.
APPENDIX "D" - MANITOWOC COUNTY AREA EMERGENCY AMBULANCE SERVICES
Algoma Rescue Part-Time/Dispatched through
400 Third Street Kewaunee County Sheriff's Dept.
Algoma, WI 54201 (920) 388-3100
(Services Annapee and ½ of Pierce Township)
Brillion Rescue (920) 849-2335
Brillion, WI 54110
Calumet Memorial Hospital Ambulance (920) 849-2124
614 Memorial Drive
Chilton, WI 53014
County Rescue (920) 469-9779 (Monday-Friday)
1765 Allouez Avenue (920) 448-4210 (Dispatched thru Brown Co.)
Green Bay, WI 54311 (920) 469-9777
Door County Ambulance Service (920) 743-4133
123 South 5th Avenue
Sturgeon Bay, WI 54235
Eagle III Helicopter (920) 469-9779 (Monday-Friday)
1765 Allouez Avenue (920) 448-4210 (Dispatched thru Brown Co.)
Green Bay, WI 54311 (920) 469-9777
Flight-For-Life (414) 475-1000
Kewaunee Rescue Part-Time/Dispatched through
207 First Street Kewaunee County Sheriff's Dept.
Kewaunee, WI 54216 (920) 388-3100
(Services West Kewaunee, Carlton,
parts of Casco and ½ of Pierce Township)
Kiel Area Ambulance (920) 894-2211
Kiel Fire Station Joint Dispatch Center (JDC)
Kiel, WI 53042
Luxemburg Ambulance Part-Time/Dispatched through
516 Maple Street Kewaunee County Sheriff's Dept.
Luxemburg, WI 54217 (920) 388-3100
(Services Mt. Pellier, Luxemburg,
Red River, Lincoln, ½ of Casco Township)
Manitowoc Fire Dept & Ambulance 9-1-1 (Emergency)
911 Franklin Street (920) 686-6540 (Non-Emergency)
Manitowoc, WI 54220
Milwaukee Children's Hospital Transport (414) 931-4136
Mishicot Area Ambulance 9-1-1 (Emergency)
511 East Main Street (920) 755-2525 (Non-Emergency)
Mishicot, WI 54228 (920) 683-4201 (Sheriff's Department)
Sheboygan Orange Ambulance Service (920) 457-4233 (Emergency)
2629 North 7th Street (920) 451-5527 (Non-Emergency)
Sheboygan, WI 53081
Theda Star 1-800-236-2066
Two Rivers Fire Department 9-1-1 (Emergency)
2122 Monroe Street (920) 793-5521 (Non-Emergency)
Two Rivers, WI 54241
US Coast Guard Two Rivers (920) 793-1304 or 1-800-321-4400
Valders Ambulance Service 9-1-1 (Emergency)
103 Eisenhower Street (920) 755-4526 (Non-Emergency)
Valders, WI 54245
Viking Rescue Part-Time/Dispatched through
383 Cty . R
P.O. Box 276 Brown County Sheriff's Dept.
Denmark, WI 54208 (920) 448-4210
(Services Cooperstown Township) (920) 863-2752 (non-emergency)
APPENDIX "E" - MANITOWOC COUNTY TRANSPORTATION RESOURCES
A. VEHICLES AVAILABLE FOR MOVEMENT OF PERSONS
Brandt Buses, Inc. 22 buses
101 E. Albert Drive (Each bus carries 46 people)
Manitowoc, WI 54220
Assist to Transport 5 vans
(Affiliated with Brandt Buses) 4 mini buns
101 E. Albert Drive
Manitowoc, WI 54220
Two Rivers Buses, Inc. 20 buses
3515 Lincoln Avenue (Each bus carries 66-71 people)
Two Rivers, WI 54241 2 buses 48 pass with 2 wheel chair
Holy Family Memorial Medical Center 1 laundry truck
2300 Western Avenue 1 mini van
Manitowoc, WI 54220 6 Carevans
Maritime Metro Transit System 9 buses which hold 35-37 people
2655 South 35th Street
Manitowoc, WI 54220 *Will put all 6-9 buses into operation
(920) 683-4560 if necessary
B. REFRIGERATED VEHICLES
Cher-Make Sausage Company 1 truck with 8 foot box
2915 Calumet Avenue 2 trucks with 18 foot boxes
Manitowoc, WI 54220 2 additional trucks with 18 foot boxes
(920) 683-5980 available in extreme emergency
McGregor Trucking 10 semi-trailer units
5509 Thunder Rd
2606 18th Street
5122 Woodland Dr
Two Rivers, WI 54241
*Coroner's Transportation Officer/
Handles all matters in relation to
movement of deceased bodies from
scene in Manitowoc County
*NOTE: Many companies, hotels, etc. in Manitowoc, as well as smaller companies and van rental companies within the County have vehicles that could be used in the event of an emergency!
If a "company truck", (particularly a food service company) is used, obliterate identification of vehicle ownership on the truck body before using to store or
APPENDIX "F" - MANITOWOC COUNTY HOSPITAL/NURSING HOME FACILITIES
1. Hamilton Care Center 7. Holy Family Memorial Medical Center
1 Hamilton Drive 2300 Western Avenue
Two Rivers, WI 54241 Manitowoc, WI 54220
(920) 793-2261 (920) 320-2011
2. Manitowoc Health & Rehab 8. Aurora Medical Center
2021 S. Alverno Road 5000 Memorial Drive
Manitowoc, WI 54220 Two Rivers, WI 54241
(920) 683-4100 (920) 794-5000
3. North Ridge Care Center
1445 North 7th Street
Manitowoc, WI 54220
4. River’s Bend
960 South Rapids Road
Manitowoc, WI 54220
5. Shady Lane Home, Inc.
1235 South 24th Street
Manitowoc, WI 54220
6. St. Mary's Home for the Aged
2005 Division Street
Manitowoc, WI 54220
APPEXDIX “G” - MANITOWOC COUNTY - AREA FUNERAL HOMES
Reinbold & Pfeffer Funeral Home Christianson/Deja Funeral Home
816 State Street Box 318
Manitowoc, WI 54220 Valders, WI 54245
(920) 682-0118 (920) 775-4433
Pfeffer Funeral Home Stoltenberg Funeral Chapel
928 S. 14th Street 1060 Hickory Street
Manitowoc, WI 54220 Cleveland, WI 53015
(920) 684-4642 (920) 693-8741 or (920) 452-5863
Jens Funeral Home Knutson Funeral Home
1122 S. 8th Street 137 E. Main Street
Manitowoc, WI 54220 Denmark, WI 54208
(920) 682-1568 (920) 863-2411
Harrigan Parkside Funeral Home Ebre-Evjen Funeral Home
628 N. Water Street 2215 Wisconsin Avenue
Manitowoc, WI 54220 New Holstein, WI 53061
(920) 682-0346 (920) 898-4300 or (920) 795-4091
Klein/Stangel Funeral Home Lambert Funeral Home
1420 - 22nd Street 344 S. State Street
Two Rivers, WI 54241 Mishicot, WI 54228
(920) 793-1396 or (920) 794-1143 (920) 755-2212
Deja/Martin Funeral Chapels Meiselwitz Funeral Home
1506 - 18th Street 815 Sixth Street
Two Rivers, WI 54241 Kiel, WI 53042
(920) 793-1756 (920) 894-3348
Wieting Schneider Funeral Home Reinbold & Pfeffer Funeral Home
15 Seventh Street 1124 Main Street
Reedsville, WI 54230 Kellnersville, WI 54215
(920) 754-4088 (920) 732-3535
APPENDIX "H" - AREA CLINICS
1. Aurora Manitowoc Clinic 9. Woodland Clinic
601 Reed 1900 Woodland Drive
Manitowoc- 682-8841 Manitowoc – 320-6212
2. Aurora Manitowoc Clinic 10. Orthopedic Assoc
4100 Dewey 501 N. 10th St.
Manitowoc- 686-5700 Manitowoc – 682-6376
3. Aurora Manitowoc Clinic- Valders
106 Wilson St
4. Aurora Two Rivers Clinic
2219 Garfield St
Two Rivers- 793-2281
5. Cleveland VA Clinic
1205 North Ave
Cleveland – 693-5600
6. Harbortown Clinic – HFM
1650 S. 41 Street
Manitowoc – 320-4500
7. Lakeshore Peds – HFM
4303 Michigan Av
Manitowoc – 320-4300
8. Two Rivers Health Center
3310 45th Street
Two Rivers – 793-3900
APPENDIX I - AMBULANCES AND FIRST RESPONDER VEHICLES
10 Rescue Squads
Two Rivers Fire Department
3 Rescue Squads
First Responder Agencies:
Branch First Responders
Collins First Responders
Cleveland First Responders
Francis Creek First Responders
Kellnersville First Responders
Maribel First Responders
Newton First Responders
Reedsville First Responders
Silver Creek First Responders
St. Nazianz First Responders
Two Creeks First Responders