(From Right) Nursing Supervisor Jaclyn Castano directs patient movement with Dawn Loftus, RN, at Madigan Army Medical Center's Emergency Department following an Amtrak train derailment near DuPont Wa. The incident left 3 dead and 62 injured with 19 of those coming to Madigan.

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Keywords: amedd, america, amtrak, armed, army, defence, derailment, dha, emergency, employee, federal, forces, government, hospital, injured, injuries, medical, medicine, military, response, service, states, train, united, usa