NTSB
Railroad Accident Report
11. As a result of victims being transported to hospitals without coordination, some hospitals were overutilized while others were significantly underutilized during the response to the derailment.
12. Transportation of injured victims by police or other municipal vehicles early in a mass casualty incident may be a reasonable use of resources.
13. Current Philadelphia Police Department, Philadelphia Fire Department, and Philadelphia Office of Emergency Management policies regarding transport of patients in a mass casualty incident were not, and still are not, integrated.
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