the tail was very low. and when it hit, sparks flew. and then it -- for some reason, i guess it must have lost control. because this wing hit and spun it around. and then there was a big explosion. >> i looked over and i saw the plane with the fuselage at a very high angle from the ground facing upward. and it was probably almost 45 degrees. and the tail assembly had now been broken loose and was almost 90 degrees off from the

fuselage. >> the tragedy in san francisco putting a big spotlight this morning on airline safety. despite those chilling sites of the charred hulk of a fuselage only two of the more than 300 passengers were killed in the crash. those two teens believed to have been ejected when that plane broke apart. what is the key to trying to survive a crash? joining us now is commanding officer of the new york port authority police at both jfk and laguardia airports. sadly a veteran of several airplane crashes at those sights. and director of crisis and emergency management now at red redlin strategies incorporated. when you see the pictures of this plane almost everybody got out which is so astounding. obviously they had some time and with the help of those flight attendants to get down those slides. what is most important in those first few seconds when that plane came to a rest. >> they need to pay attention to what the flight attendants are telling them. flight attendants are trained to

look out the windows and to see where the fire is. they will direct them which emergency exits to go to. if you're on an airplane, before it even takes off you want to look around for the nearest two exits to wherever you're sitting. you have an alternate if you can't get out the one you've chosen as a primary. as the flight attendants tell you the nearest exit might be behind you. >> that's interesting. they've got that video on the airplanes now where sometimes -- they used to give the demonstration with the life vest. no one pays attention to that. we sit there, read the magazine, talk and watch tv. that's, i guess, a mistake. >> yes. you really need to pay attention. you need to make sure you are aware of your own surroundings. when you get on an airplane like i said check the nearest exit. you also want to count exactly how many rows it is from where you're sitting. often in a plane crash, the inside becomes filled with smoke or it's dark and you have to count seat backs so you know you stop at the correct row to get out. >> that's fascinating.

visualize where the emergency exit is. if you're in the rear by the lavatory or the kitchen, if you're over the wings where it is specifically. what about what you wear? what really gets me, i see girls wearing flip-flops onboard airplanes. you can't run out of a plane in flip-flops. >> you want to be wearing clothing that's going to protect you. you want to wear natural fibers such as cotton or denim. not polyester. in the heat of a fire, that could melt and it could burn you. you also don't want to take your shoes off until after the plane has taken off. because if you're going to be coming out of the airplane, you want to be able to not have bare feet, have somebody step on your feet. >> something as simple as not wearing sneakers which could melt in this sort of thing as opposed to hard leather shoes. >> sneakers are comfortable, actually help you get out. they're not a problem. if you're going to go down the slide pick your feet up so they don't get caught. what you don't want to wear are high heels. >> why not? >> they're easy to get caught, easy to come off. when you come off more likely

than not you're going to be in a soft area. this area came off the runway and ended up in the mud. >> you've been on duty when this happens. give us a sense of when the bell rings. waiting for years, nothing happens. suddenly, sadly, the alarm goes off and there's a plane in trouble. >> notification generally comes from the faa control tower. the control tower has visual of all the airport. they'll pick up what's called the airport emergency notification system phone. by picking it up it automatically rings in a number of places. the fire station on the airport. the local fire departments around. airport operations. local law enforcement. in the case of the new york airports or in san francisco, the united states coast guard would be notified because they're responsible for water. . the tower controller will make an announcement giving the airline, the flight number, where the aircraft is, what kind of problem they had. if they have the information, they'll tell you how much fuel there was on board. and how many souls on board which would be passengers and the crew. so you know how many people

you're looking for. they will also give you a level. in this case, it would be a crash. so it would be a code 3 or a code 4-3 depending on the airport. the other things you'll also have is they will let the firefighters know if the runway system is shut down or not so they know they can cross without asking for permission. >> we see the fire trucks oftentimes driving around the airport. they practice a lot to make sure that they're ready when this happens. >> well, the faa regulations say that the first piece of aircraft rescue fire fighting equipment must be able to rich the midpoint of the farthest runway from the station in three minutes. and that's arrive on scene and start dispensing firefighter product sf product. >> finally what you see in the response of this crash, what's your sense? >> the guys from san francisco did an extraordinary job as did the flight attendants on the aircraft in getting those people out. >> kenneth honig, thanks for

your advice this morning. >> thank you. >> jamie? >> such great and usable advice. thanks for coming in. also, we're going to learn a little bit more in a news conference that's expected shortly at the san francisco airport. we're going to bring that to you live when it happens. also, the more than 180 passengers who are recovering in area hospitals, there's a tremendous number of people that had these emergency rooms and got there all at one time. how do the doctors deal with that influx? how prepared were they for this tragedy? what sort of injuries did they see? the doctors are in, and they're going to give you their perspective in a very special sunday "house call." engineer: rolling...take 13. geico's defensive driver, good student and multi-policy discounts could save you hundreds of dollus. engineer: uh geico's discounts could save you hundreds of "doll-ars." it sounds like you're saying "dollus." dollus. engineeif you could accentuate the "r" sound of "dollars." are...are... are... engineer: are... arrrrrr. arrrrr.

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the day building a play set begins with a surprise twinge of back pain...

and a choice. take up to 4 advil in a day or 2 aleve for all day relief. [ male announcer ] that's handy. ♪ were you scared? >> yeah. we all were. the moment we heard that loud bang and, you know, we were pretty sure, you know, that something had gone wrong. >> that's one passenger vedpal singh the moment he realized his plane was not landing properly. he suffered a fractured collarbone and had his arm in a sling. 181 passengers were injured in this crash. 49 remain in critical condition in local hospitals. joining us, dr. david samadi and dr. marc siegel, associate professor of medicine at nyu's lango medical center. doctors, good morning.

your colleagues in san francisco must have been and are very busy today. marc, what do they deal with? how do they treat these patients? what's the first priority? >> right on the scene they have to triage. the way they've been triaging in california lately, something called s.t.a.r.t. a program they're using. they first will decide the people that can walk they set aside. those people are probably okay. in this case there were spinal injuries. you saw on the scene people that had injured spines they put on boards. they tape them, literally, their head to the board because they don't want any movement with a spinal injury whatsoever. can they breathe? do they need an airway to help them breathe? is there any bleeding going on? what is their mental status? those are the first things you think about. you know what happens in a situation like this? people get injured and they don't even know it. they get thrown about the cabin. they may have a head yinjury they're not going to know about right away. they're confused. or they have a puncture wound. some kind of internal injury they don't know about. there's clearly going to be a lot of shock involved with this situation. emotional problems. because it all happened so

suddenly without any warning. >> how do you treat shock? >> well, the first thing you do is triage people. and you comfort them. and you let them know that you're there to take care of them. then, of course, it seeps in over time. jamie, we've talked about use of medications for this and therapy. we've talked about this on the show. you're going to see post-traumatic stress disorder here. people are going to need a lot of support. for now the idea -- we talked about this with boston. the idea they're here in san francis francisco, san francisco general hospital one of the top and most organized hospitals in the country for something like this. chris barton, head of the emergency room there, said we pulled out those tents. we set up the triage system already. we haven't used those tents, he said. but they're already ready with what's called surge capacity. david knows about this having done trauma training. you need a surge capacity where the emergency room can expand. and where the hospital has the ability to take care of patients it wasn't expecting. >> david, we have 49 people now in critical condition. obviously the focus is on them. talk about that surge capacity and what doctors are doing now for those? >> what really happens in a

situation like this when you have a crisis, the doctors are not at the scene. you have the ems going over there. all the ambulances coming in from every angle, every hospital to be able to assess exactly what's going on. the first thing comes to mind is the abc they have to take care of. airway, breathing, circulation, making sure everyone is able to breathe. there's no active bleeding going on. they're securing the breathing. what we get, this is obviously in san francisco. but usually when you're in the trauma booth, you get an emergency call from all the hospitals. so whether you're orthopedic surgeon, urologist, general surgeons, vasculars, everybody comes on board to the trauma booth. the burn unit goes up. pediatrics emergency room goes up. also the trauma booth. they're waiting for those 49 or even more people to come in. as the capacity fills up, the hospital that we are in, we're going to say we are capped. we can't take anymore. goes to the next available hospital who's available to take them. if it comes a situation where you have more than a couple

hundred people that are injured those tents that will go up within minutes is capable to take any kind of overflow patients. in the trauma booth what happens there again is when the patient comes in, we like at the vital signs immediately. find out if they are breathing. i think, jamie, we have talked about this. a lot of times people quickly take -- undress people, look at any kinds of injuries, broken bones, bleeding. and immediately two large iv boards go in to make sure that we have blood and fluid in cases. now, a lot of times we go through the patient quickly. this is within seconds. we will know if there's any kind of vital signs that are critical, any internal bleeding, bruises, broken bones. if they are stable that goes somewhere else for x-rays and if there's a critical patient, getting the airway control, making sure there's other fluid and blood available, somebody's drawing the blood. so there's a whole team working on the same person all at the same time to control this kind of traumatic situation. >> marc, i want to ask you, it

could be very important for the doctors to have a family history or know any special conditions you might have or blood type. i suppose they could be typed and cross-matched. in terms of medications you're on, this is a situation to remind us it might be important to carry in your wallet a medical history or wear a bracelet if you need it? >> you read my mind on this, jamie. i was thinking as david was talking. number one point he made about triage. you got to take care of the sickest first, the ones who are most life threatening injuries, get them to the operating room if necessary. get them stabilized. get the people out of the way that are stable. then your other point is really important. which is people need to go on planes with a list of their medications. maybe with a copy of an ekg. something about their past. you know what? when you're in this kind of stress, it brings out the heart attacks. it brings out suddenly a problem breathing. smoke inhalation is something we haven't mentioned yet. if you have asthma you are going to have a problem right away. if someone sees something in your wallet that says asthma they're going to know to respond to that more quickly. more information the better. >> look at the top of the plane if we could put the picture

again of the black -- the whole thing is charred. obviously smoke inhalation. you only have a certain number of seconds, maybe you have a minute and a half, i've heard, max, to get out of a plane like that. >> that's what the other previous guest spoke about. to be able to know where the exit rows are and be able to get out in a timely fashion. because time is of essence. burning is one of the major risks. some of the passenger jumped in the water to be able to protect themselves. the truth of the matter is that that's an excellent question. but in reality, not too many people out there are walking around with a copy of their ekg and the list of medications and the entire thing. you can do it for a week. but if you are a critical patient, and if you are lucky to wear one of those necklaces that shows that you're a diabetic, but in a situation like this, you don't need to know exactly what the major medical issue is. because if you're bleeding, you're going to get the universal "o" negative blood for transfusion. if you're diabetic we're going to give you iv fluid anyway to make sure that -- so this is a

critical trauma. and from air all the way from internal bleeding, et cetera, is going to be assessed. if we see, say, some -- that you're giving blood, still the blood pressure is not controlling, you get a quick caf thing out. >> they did an unbelievable job. this is so important and the information so valuable we're going to ask you to say. going to ask you to say. in my passport

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>> well, the doctors are still here with us. we wanted to give you more news you can use, after this tragedy in san francisco. perhaps, there is something we can learn. doctor, you said your kids were watching and they are going to see this picture. >> a child might not want to get on an airplane. an adult might not want to get on an airplane.

how do you handle the mental stress and strain of being afraid to fly. >> in 2010, there were over 1,000 crashes. but the fatality was really low. travel is still safe. probably safer than walking and driving a car. there is not a major fear. i am concerned that a month from now or longer, all of these passengers are going to have -- to go through the post traumatic stress disorder. there will be a phobia of taking off and landing. there is going to be reliving that bump that they talk about or the bang factor. they have to go through they werey and really get over the behavioral stuff. but life goes on. >> what do you recommend? >> i want to talk to the people out there, not necessarily the people on the plane. you are watching this today. one guest is telling you wear denim clothes. i am telling to you fill your wallet with your medications. i want to tell you, statistically, the chances of this happening to you are extremely low. air flight is incredibly safe.

but we feel it isn't because we are way up in the clouds and we have a sense of loss of control. now, you watch us on tv, talking about this and you think it's going to happen to you. we need plane flight to be safe. we can learn from this, but the chances of this happening to you did not go up today because of this crash. >> thank you. of course, next week, we will have many of the topics we planned on, more health news that's so important to us. >> great advice. thank you. well, we will have a news conference any moment from san francisco airport about the latest on this crash. we will bring that to you as soon as that happens. this is betsy. her long day of pick ups and drop offs begins with arthritis pain... and a choice. take up to 6 tylenol in a day or just 2 aleve for all day relief. all aboard. ♪

>> eric: fox news alert. we are awaiting a news conference any moment now on the latest developments in the tragedy in san francisco. that crash that claimed two young lives, but miraculously spared so many others. the two who were killed were two 16-year-old teens from china. they were on their way to experience an american tradition, summer camp in california. they are the only two fatalities so far. but nearly 200 others are hospitalized with various injuries. 49 passengers are in critical condition at local hospitals. now, the investigation has begun for what caused that airliner to apparently hit a sea wall at the end of the sfo runway and break