CBS/AP/ July 27, 2012, 11:27 AM

Ambulances lagged as Aurora cops pleaded for help

An Aurora police officer talks on his radio outside of the Century 16 theater at Aurora Mall in Aurora, Colo., July 20, 2012.

An Aurora police officer talks on his radio outside of the Century 16 theater at Aurora Mall in Aurora, Colo., July 20, 2012. / AP Photo/Ed Andrieski

(CBS/AP) DENVER - As the horror unfolded for police first on the scene of the Colorado theater massacre, the officers repeatedly sent out urgent pleas for more ambulances even as a two-man crew and their rig were idling just a few miles away.

Radio traffic from last Friday's shooting in Aurora, Colo., showed emergency personnel struggling to grasp both the scope of the tragedy and mobilize a response.

While some ambulances were quickly called to duty, it took dispatchers more than 20 minutes into the crisis to ask the Cunningham Fire Protection District and other nearby agencies to provide aid at the multiplex in suburban Denver.

By the time the Cunningham crew arrived, it was more than a half hour after authorities got first word that a gunman opened fire at a packed midnight showing of the new Batman film "The Dark Knight Rises," killing 12 people and injuring dozens of others.

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The Denver Post reported that at least six medical responders nearby either weren't dispatched to the theater for at least 20 minutes or were just not called.

The ambulance delays came during crucial minutes for the injured victims, though it's not clear whether a faster response would have saved more lives.

Officials have declined so far to release call records of the response.

Aurora Fire Chief Mike Garcia told the Post Thursday night that "routing ambulances to all patient locations was impossible" because of the "severely congested" scene at the movie theater.

"By using available ambulances and police cars, we were able to transport all on-scene patients within 55 minutes," he told the newspaper in an e-mailed statement. "Our response times were outstanding and critical patients were quickly moved from the scene because fire and police worked together to use all available resources."

Experienced emergency responders say no response will ever be perfect. Residents in the Denver area are well aware of the turmoil that comes with mass tragedies, as police were criticized in 1999 for waiting outside Columbine High School instead of immediately pursuing two gunmen who went on a killing rampage inside.

"You always find things that you can improve the next time," said Robert Finn, a retired police and fire chief from the Dallas area who added that officials will usually conduct a post-incident analysis after big tragedies.

On the police radio transmissions, officers said they lacked sufficient medical support for about 30 minutes after the 911 calls came flooding in around 12:39 a.m. and that medical teams didn't report getting inside the theater for about 24 minutes. It wasn't clear whether police efforts to secure the multiplex contributed to the delay in getting medical teams inside.

Dispatchers began their response by quickly sending one ambulance to the scene, followed by another about three and a half minutes into the response. A third ambulance soon followed.

Over the next several minutes, first responders reported on the extent of the casualties, calling in the numbers of wounded in their areas: One said three were shot in one location. Another said someone was shot twice in the back. A third asked that rescue personnel go into the theater to help "multiple victims."

About nine minutes in, one officer in an urgent voice declared bluntly: "I need as many ambulances as we can." Four had been dispatched at that time, according to one person on the scanner traffic.

An officer said he was going to take a victim in his car.

Eleven minutes in, a first responder again barks: "Dispatch, get me some ambulances!" A coordinator replied that Rural/Metro — the private ambulance provider for the area that also declined comment on the response — was sending all available units in Aurora.

David Patterson, Rural/Metro's division general manager, told the Post that the first ambulance was at the theater 2 minutes and 45 seconds after the call.

The Cunningham unit, however, had not been called and sat idle for 10 more minutes. The department operates separately from Aurora officials but coordinates with them on a near-daily basis.

District Fire Chief Jerry Rhodes said one of his units on duty that night had no idea about the turmoil unfolding a few miles away, in part, because they were likely sleeping due to the 24-hour-long shifts they typically staff.

Rhodes said the district's crew, including one paramedic and one emergency medical technician, received the plea for help at 1 a.m. — about 21 minutes after officers first began rushing to the scene.

Denver Health Paramedics, which had two ambulances on the eastern side of Denver that is closest to Aurora, got its call to provide support three minutes after Cunningham. One of the units was eight minutes away.

West Metro Fire Rescue also got a similar call to send medical support — 15 minutes after the Cunningham request.


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© 2012 CBS Interactive Inc. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.
22 Comments Add a Comment
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EmtFF10 says:
Ok was there multiple channels being used at the beginning of this? OR was just about everyone on the same dispatch channel. I live in a fairly decent sized county in NW Pa with approx 85% of the county being in the rural setting. Our County 911 Center has 4 primary dispatch channels broken in to groups (North, East, Central & West) along with 5 TAC channels designed for each primary. ALL Depts within the county have access to all 4 primary & all TAC channels if needed for other responses in other sections of the County.

Is the Aurora Area set up? I am sure being a city they would be some set up in the same general direction. You get multiple radio transmissions during a bad incident like this. Possible communications breakdown some where along the line?? Was this too much & overwhelmed the dispatchers on duty at that time? There are countless questions that could be asked over this matter.
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Jaylah54200 says:
You occasionally hear about disaster/mass casualty drills in local media. And, as far as I know from working in hospital settings for many years, even the smallest county hospital have disaster plans in place for just such a mass-casualty event.

I suppose the problem is that all the disaster plans in the world don't work very well if they aren't practiced regularly and fully.

While each facility may conduct their own disaster drills, they also need to perform joint drills in order to insure that communications between facilities work.

Everyone that's ever served in the military remembers how annoying those middle-of-the-night "alerts" were. You had to get up out of your cozy bed, get into full uniform, and report to your assigned position. As soon as all of the members of your unit were there, the commander reported that information to the "top brass." Once a certain percentage of people were accounted for (sometimes 90%, sometimes 100%), everybody was allowed to go back home and try to get a few more hours sleep. Even if the response time was good (while it was never "good" enough for the top brass) it meant you lost at least a couple of hours sleep that night. And if it took too long for the required number of people to show up, you heard about it long and hard the next day. Not to mention that anybody that didn't have an official reason (leave, TDY, etc.) for not showing up, and didn't, more than likely got some disciplinary actions against them.

You can't just put a disaster plan on paper and then expect it to go off without a hitch if the worst happens.
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ThomasSense says:
I thought the police did an excellent job: quick response, triage, and capture of the suspect. I feel there was extreme frustration with dispatch not understanding the enormity of the need: police radioing to send all available ambulances, and even taking people to hospitals.

Communication and dispatch had major failures. Analyze it and broadcast so others know what the problem was and don't repeat it.
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FerdFerkle says:
Geeze...just let it be, the cops & rescue did the best they could and the whining and complaining about it not helping anyone heal. Would of or could of just exacerbates the whole mess and stresses the police & rescue departments out. They don't deserve it, give them a break AND some respect. You're not in their shoes, and probably wouldn't have done any better. So "media" and everyone else...SHUT UP already!
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side_road says:
The first responders did their job & duties just fine!

The problem(s) lie with the communication systems that our local & state agencies use.
There should have been a system in place that puts out an area wide
'all hands/units/services' call. We all pay the E911 tax but the systems are still antiquated even after 09/11.
I am willing to bet that if some digging was done it would be discovered
that they are still using some old 800MHz system and that there is
no possibility that the different departments and services still can not
talk to each other and that they still have incompatible equipment.

Sad truth despite all the monies that were spent after 09/11...

_sr
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AnnieDanny says:
I don't think the news media has any business criticizing whatever happened that night. If all the critically wounded were transported within an hour, that sounds like effective response time to me. And like the chief said, it was extremely congested. Movie theaters usually are congested with traffic, much less a situation like this.
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credibility2 says:
The media will do anything to try and shift blame for aspects of this tragedy. Given the time when this happened, I'm sure most first responders were probably sleeping, which contributed to some of the delay. The dispatchers, police and EMTs did the best they could and now it's not good enough for some Monday morning quarterbacks.
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rjack61 says:
Please find something else to talk about about. Those first responders did the best they could under the circumstances. You folks are always looking for the negative. Get a life!!!
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josephp5 replies:
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As thomasmc1957 said below, waiting for half an hour for an ambulance while you are bleeding out is not "the best they could under the circumstances."
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thetruthwillout says:
I just hope no one died as a result of the delay, but I guess we'll never know.
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bigreggieb says:
I can't & will not blame the people who did their best to help these victims. They did their best to help.To many people it may have not been their best! They where called out and responded fast as they can.Why point fingers at them. They were not the shooter. It is a tragedy that no one should ever live.I wish people would realize these people are human to they are not super heroes. I personally thank all the people involved in this tragedy for doing their best and commend them for even putting their lives on the line & helping the victims in this tragedy.I wish no human should ever live this tragedy.
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josephp5 replies:
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The article states that the Cunningham unit did not arrive until 30 minutes after the shooting. That doesn't sound like they were "doing their best to help" to me. Either they never got the call, or they did not respond quickly when they did. Either case is unacceptable.
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