Arlington County Emergency Medical Services

The Army’s DiLorenzo Tricare Health Clinic (DTHC) and the Air Force Flight Medicine Clinic, both housed within the Pentagon, hold a tabletop exercise along with Arlington County Emergency Medical Services. The scenario practiced for is of an airplane crashing into the Pentagon’s west side—the same side as is impacted in the attack on 9/11. [US Department of Health and Human Services, 7/2002, pp. B17 ; Goldberg et al., 2007, pp. 23 and 107] Reportedly, the purpose of the exercise is “to fine-tune their emergency preparedness.” [US Medicine, 10/2001] According to US Medicine newspaper, the plane in the scenario is a hijacked Boeing 757. [US Medicine, 1/2002] (Flight 77, that targets the Pentagon on 9/11, is a 757. [New York Times, 9/13/2001] ) But a federally funded report on the response to the Pentagon attack says it is a commuter airplane. [US Department of Health and Human Services, 7/2002, pp. B17 ] The Defense Department’s own book about the Pentagon attack says the plane in this exercise is a twin-engine aircraft (757s, like Flight 77, are twin-engine aircraft), but that it crashes into the Pentagon by accident in the scenario. [New York Times, 9/13/2001; Goldberg et al., 2007, pp. 107] The idea of a plane hitting the Pentagon was suggested by Colonel John Baxter, the commander of the Air Force Flight Medicine Clinic, who has often been reminded that the Pentagon is on the flight path of nearby Reagan National Airport. The scenario was approved by Air Force Surgeon General Paul Carlton Jr. [Goldberg et al., 2007, pp. 107 and 109] Baxter and Col. James Geiling, the commander of the DTHC, later say this exercise prepares them well to respond to the Pentagon attack on 9/11. For example, the Air Force Flight Medicine Clinic retools its trauma packs as a result. [US Medicine, 10/2001] And, due to the exercise, staffers of both clinics will wear special blue vests on 9/11 labeled “physician,” “nurse,” or “EMT,” to allow for easy identification. [Uniformed Services University, 1/2002 ] Paul Carlton will say, “We learned a lot from that exercise and applied those lessons to September 11.” [Murphy, 2002, pp. 222] And Major Lorie Brown, the chief nurse of the DTHC, who leads the exercise, will later recall, “The training made a huge difference” on 9/11. [Nursing Spectrum, 9/24/2001] The two Pentagon clinics routinely hold mass casualty tabletop exercises. The scenario changes for each drill. [Goldberg et al., 2007, pp. 107]