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Heat-Driven Mass-Casualty Response at Reading Station After Big Boy Visit

The incident shows how extreme temperatures can overwhelm on-site medical capacity at large outdoor gatherings.

Overview

  • Emergency crews declared a mass casualty incident after Berks County 911 began receiving calls around 1:30 p.m. Thursday while crowds gathered to see Union Pacific’s Big Boy locomotive.
  • First responders treated more than 100 people on site and at cooling stations, and about 45 were transported to local hospitals for further care.
  • Officials said most patients were elderly or children and that one person suffered cardiac arrest but was resuscitated before transport to a hospital.
  • Mutual-aid resources from Berks, Lancaster, Chester and Schuylkill counties responded with dozens of ambulances, tents and cooling buses to triage and treat patients under a unified command.
  • The event delayed the train’s schedule as crews slowed operations in extreme heat, and authorities say final patient-condition totals are pending as hospitals and agencies consolidate reports, highlighting gaps in heat planning for large public events.