"On April 17, 2013, a fire and explosion occurred at the West Fertilizer Company (WFC), a fertilizer blending, retail, and distribution facility in West, Texas. The violent detonation fatally injured 12 emergency responders and three members of the public. Local hospitals treated more than 260 injured victims, many of whom required hospital admission. The blast completely destroyed the WFC facility and caused widespread damage to more than 150 offsite buildings. The WFC explosion is one of the most destructive incidents ever investigated by the U.S.

ABSTRACT: Emergency responders intervene before and during disasters to save lives and property. The uncertainty and infrequency of disasters make it hard for responders to validate that their response strategies will be effective, however. As a result, emergency response organizations use processes for identifying and disseminating lessons in hopes that they and others will be able to learn from past experience and improve future responses. But the term “lessons learned” may be a misnomer. Anecdotal evidence suggests mistakes are repeated incident after incident.

What this is for: Developing plans for personnel, including ground and air medical transport providers, managers of EMS agencies, EMS medical directors, local and state EMS systems, local and state health departments, healthcare facilities, and others involved in the interfacility (including intrastate or interstate), transport of persons under investigation (PUIs) or patients with confirmed Ebola virus disease (Ebola).