NYC-WTC_000174805

NYC 9/11 Public Portal Document

8 AFIP Letter/Vol. 159, No. 5 / October 2001

Operation Noble Eagle: Electronic Mass Disaster Dental Identification Triage utilized following Pentagon attack "A step in the right direction!” ast spring, member.s of the 436’*’ Dover Air Force Base new software protocols. Getting on line was a direct result of the (DAFB) medical group (dental and radiology) civil incredible efforts of our computer strike team, composed of TSgt engineers, DAFB Port Mortuary staff, and CAPT Douglas Hines, HMC Butler, Mr Doug Oswell, and SSgt John Spreadbury. Arendt, USN, DC, held a 2-day brainstorming session to develop The bottom line is we set up an integrated system that accepted a plan for possible retrofit of part of the triservice port mortuary and manipulated digital x-ray image.s and networked a mass (fig 1). Arendt, who .serves a.s chief of Forensic Dentistry for disaster graphical interface, and information-sorting program AFIP’.s Department of Oral and Maxillofacial Pathology, said (WINIDII) (fig 2). that the goal was to upgrade conventional radiologic resources to As antemortem clinical record.5 arrived, staff manually digital radiographic capture and reviewed them and developed a historical composite of all IO facilitate more efficient mass clinical procedures, then converted thi.s information to computer I disaster identification triage codes and entered it into WINID II. At the same time, antemor­ algorithms—“specifically, to set tem images were scanned using a TPU (transparency adapter) and the framework for a more linked with the antemortem clinical charting file in WINID II. ■ futuristic patient electronic data Other staff H management and retrieval simultaneously f f (« 4 Ht ’ {. r ; K r ■ : H r-fl G .fi t ■ ■

" system." entered postmor­ CAPT Doii^lcis Ai eiidi, USN, DC AFIP initiated this new 3; 3t 11. g/ > w ■ 5 Jr ” tem data, system following the tragic crash of American Airlines Flight 77 l+l-frltltlil. I III I I H .« H M : creating a hard into the Pentagon. Coincidentally, much of the equipment had H H 4' H H US W GR MR E t«.a2 copy snapshot of 'Si- -i-’X-zx the CDR digital recently arrived at Dover, and was waiting to be set up. This short-fused evolution wa.s aided by Mr. Manny Penna, a Schick x-rays, and $ : H H H . 5 '<! ' < CDR (computerized digital radiography) representative who linked them to j «-r.tvcwP8W8 j HXRwej >-> I PwCowita. |

witnessed the collapse of the World Trade Center towers from postmortem data his office across the river in New Jersey. Manny volunteered to Fi(f 3—E-xample of Odontogram files. As the data drive to DAFB with missing x-ray sensors and expedited digital banks increased radiography training for members of the 436'*’. As a result, we in size, computer successfully IrtarJiiMfS searches and integrated the 2“® “77“ •TTTT’ prioritized I electronic sensors matches were ,j with laptops in the developed. x-ray bays. Once a VI The other possible match ..pl was generated, ■Sf elements of the proposed electronic odontologist.s kxL triage ID sy.stem ID# Zoom -J- then examined went into place on an odontogram & (fig 3) (a

t KB pictorial chart comparing Fi^ l—U Col Biieeher antemortem and and staff hrain.ilornun)’ postmortem in X-rav bayx. LW dental charting), PrWThisPage I ;< PievKMRecwd r Wuxi Record 1 followed by viewing the ail I Fig 4—Antemortem (iiid postmortem linked antemortem and B x-ray i/nages on monitor. postmortem x- Fig 2-HMC Buller ami TSGT Hines 1 ray images on preparing network the monitor (fig cables. 4). If a reason-

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