Significant Incident Reviews
The Loudoun County Combined Fire and Rescue System routinely evaluates responses to major, critical and other high-priority incidents and communicates the findings, including lessons learned, to the community and its members through Significant Incident Reviews. The Significant Incident Review can be a powerful tool for influencing change by providing first responders a clear understanding of the impacts of their actions on the outcome of the incident. By comparing expected outcomes to actual results and assessing successes and shortcomings, the system can make productive organizational changes and service delivery improvements.
The Significant Incident Review is a detailed process and analysis of a complex or challenging incident and may take weeks, months, or even years to analyze actions and decisions that were made in seconds or minutes. These types of incidents usually involve large scale responses and assistance from other outside agencies. Some examples include:
- Mass Casualty Events
- Terrorist Events
- Major Fires
- Line of Duty Death or Near Death
- Events that result in a large number of members and/or civilians injured
The Significant Incident Review is used to reconstruct the major incident to determine if the system had appropriate plans, policies and procedures and if those plans, policies and procedures were followed. Every component of the incident is carefully reviewed and analyzed to determine what went well, to suggest needed improvements, and to explain why those improvements are needed.
Additionally, LC-CFRS routinely reviews less complex fire and medical incidents in a similar manner. Some examples of those incidents may include:
- Cardiac arrests
- Respiratory failures/arrests
- Blood administration
- Significant traumatic incidents
- Structure Fires
LC-CFRS remains committed to providing Loudoun County residents the best service possible and uses Significant Incident Reports and Significant Incident Reviews as one of many ways to help improve service and safety to the community and system members.
On June 4, 2020 fire and rescue personnel from Montgomery County, Maryland and Loudoun County, Virginia responded to a reported drowning victim at Confluence Park, which is privately owned by the River Creek community, located off of Perdido Bay Terrace in Leesburg, Virginia.
Tragically 16 year old Fitz Thomas could not be resuscitated by the citizen bystanders that first initiated CPR nor the Loudoun County emergency responders who arrived at the victim and took over the resuscitation efforts.
Significant Incident Review
Public Safety Improvements Tasks
On May 25, 2008 a significant fire occurred in a single family home at 43238 Meadowood Court in Leesburg, Virginia. Over the course of the incident, seven Loudoun County Fire and Rescue System personnel were injured, with four receiving serious burns. The entire Loudoun County Fire and Rescue System has been affected by this incident and resulting personnel injuries.
Significant Incident Review and Findings
Significant Injury Report
Meadowood Court Recommendations Status
- Suggested Priorities from Meadowood Court (PDF)
- Informational Bulletin 2008-025 Meadowood Court Investigation (PDF)
- FRG Admin 18.104.22.168.1 - Priorities from Meadowood Investigation (PDF)
- Significant Incident Report: 43238 Meadowood Court-Potomac Station (PDF)
- VOSH Citation Meadowood Fire (PDF)
- Meadowood Court Video (YouTube Video)