Newborn dies; DC 911 dispatcher sends crew to wrong address
WASHINGTON - A Southeast D.C. family has serious questions after a public safety advocate revealed that a 911 dispatcher's error may have delayed first responders in getting to their unresponsive newborn.
Baby Sevyn was just two days old, according to her mother Shartise Schatzman-Chase.
"I got the doctor telling me that she had milk in her lungs. And then I got the autopsy people telling me that her autopsy came out inconclusive – like they couldn’t find nothing wrong with her," Schatzman-Chase recalled. "So, I’m waiting for another autopsy, and they tell me it will take at least about 60 days. I feel like if they would’ve gotten here earlier or anything like, she would probably would still be here right now."
In the early morning of Sunday, July 3rd, Schatzman-Chase said she called 911 after finding Sevyn unresponsive. The infant was "purple," Schatzman-Chase told FOX 5.
Schatzman-Chase said she told the 911 dispatcher her correct Savanah Terrace Southeast address more than once. The person who took the call then instructed her to perform CPR until help arrived.
"It took my breath away, particularly when the mother sent me the pictures of her one-day-old child," Public Safety Advocate Dave Statter said. "And when you hear the stories about the mother doing CPR and being told help is on the way when it really wasn’t, it really shakes you,"
The family says it was not the city, but Public Safety Advocate Dave Statter who told them that going through audio transmissions on the dispatch recording site OpenMHZ, he discovered it took some 10 minutes to get first responders to little Sevyn — a delay Statter says is because a DC 911 dispatcher gave first responders the wrong address.
The Office of Unified Command confirms Schatzman-Chase gave the correct Savanah Terrace Southeast address in the 911 call that came in at around 2:26 a.m. on July 3rd. At 2:27 a.m., a dispatcher could be heard saying, "Savannah Street Southeast," in police and fire radio dispatch recordings saved on the site OpenMHZ.
Savannah Street Southeast is about .4 miles or an 11-minute walk away from Schatzman’s Savannah Terrace Southeast home, according to Google Maps.
About 10 minutes later, Statter says a first responder checks back on that address in the OpenMhz audio recording.
The first responder can be heard saying, "We’re at [inaudible location given] can you do a call back? Nobody’s answering the door" in the recorded correspondence. By 2:39 a.m., about 13 minutes after the original 911 call, the audio of a first responder saying, "Medic 25, CPR in Progress" can be heard.
Another mistake, according to Statter: the call taker then corrected the address in DC Fire’s automated system, but did not tell crews trying to find this family.
Statter says a first responder going through the system themselves had discovered the correct location.
"This is one of eight calls over three years where people have died and there were mistakes and delays when at DC 911," Statter told FOX 5. "Four of them have occurred this year. Something needs to be done."
FOX 5 reached out to the Office of Unified Command (OUC), which runs the District's 911 call center.
Over the phone, a spokesperson disputed some of Statter’s account regarding the delay in response.
The spokesperson told FOX 5 two crews did go straight to the correct address first, and that Medic 25 responded within 8 minutes and 50 seconds.
OUC provided this response to FOX 5 early Wednesday evening:
"The Office of Unified Communications (OUC) extends our deepest sympathies to the family who lost an infant on July 3, 2022, after a call was placed to 911 for an infant in cardiac arrest. Subsequently, OUC reviewed all records related to this incident and found that the call taker initially selected an incorrect address.
OUC is aware of current reports about the handling of this 911 call. Below is our initial summary and timeline concerning the emergency in the 2100 block of Savannah Terrace SE; Washington DC 20020. The investigation we conducted was complex and required review of first responder radio traffic, dispatching system records, audio recordings, GPS data and internal OUC personnel interviews to create the most accurate and complete emergency response timeline. During cardiac arrest calls, the most important step in the chain of survival is to provide CPR instructions for the caller to perform until FEMS arrives on the scene.
Our call taker started providing CPR instructions within 59 seconds of receiving the call and continued to do so until Medic 25 arrived on the scene. The dispatch system automatically selected and recommended 3 available FEMS units for response, and all 3 of these units were simultaneously dispatched within 1 minute and 30 seconds of receiving the call. Engine 32 was dispatched from .4 miles away, Medic 25 was dispatched from 1.7 miles away, and EMS 3 was dispatched from 2.1 miles away. Engine 32 arrived at the incorrect address at 2:35:03, 7 minutes and 30 seconds after the call was dispatched. Medic 25 went directly to the correct address and arrived at 2:36:23, 8 minutes and 50 seconds after the call was dispatched, which was 1 minute and 20 seconds after Engine 32 arrived at the incorrect address. The infant was later transported to a local hospital.
On July 3, 2022, at approximately 2:26:03am we received a call for emergency services in the 2100 block of Savannah Terrace SE. The OUC Call Taker verbally verified the address twice, recognized the need for cardiopulmonary resuscitation (CPR) within 59 seconds of the call coming in, and immediately started giving telephone CPR instructions. Initially, the OUC Call Taker recorded the address incorrectly in the dispatch system as the 2100 block of Savannah Street SE, about .4 miles from the verified address location of the 2100 block of Savannah Terrace SE. The OUC Call Taker updated the correct address in the dispatch notes in the dispatch system at approximately 2:34:21am. The OUC Call Taker did not update the location field in the dispatch system. A Metropolitan Police Department unit arrived at the 2100 block of Savannah Terrace SE at approximately 02:35:31am. Medic 25 arrived at the 2100 block of Savannah Terrace SE at 2:36:23am.
Our internal review revealed that the first OUC Call Taker verified the address verbally twice in accordance with our standard operating procedures. The OUC Call Taker initially selected the wrong address in the dispatch system, and corrected it in one of two fields in the dispatch system. The OUC Call Taker started telephone cardiopulmonary resuscitation, and continued providing instructions until Medic 25 arrived.
The Office of Unified Communications continues to consistently develop and train its team members to meet our Agency’s mission. When necessary, we take appropriate personnel action in accordance with our policies and collective bargaining agreement."
On its website, DCF&EMS notes national standards for emergency response calls that the department tried to adhere to.
In the section pertaining to "Percentage of high priority (C2 and C3) EMS calls when a first responding EMT arrived in 5 minutes or less," data shows since 2016, the city’s ability to meet that standard appears to have slowly worsened. It’s not immediately clear why.
A GoFundMe page has been created to support Sevyn's funeral.