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Introduction to Disaster Medical Assistance Teams - MedicCom

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Introduction to Disaster Medical Assistance Teams - MedicCom Powered By Docstoc
					      Introduction to
Disaster Medical Assistance
           Teams
       James Fenn, RN, EMT-P
      Don McConnaughy, EMT-I
            Discussion

• Federal Response Plan
• National Disaster Medical System
• Disaster Medical Assistance Teams
  – Form and function
  – Ohio teams
Federal Response Plan
         Federal Response Plan
       Emergency Support Functions
USDA   AID                                  DOE
DOJ    ARC                   USDA                           DOT
DVA    EPA                                   Energy




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DOD    FEMA




                                                             tio
                                 Food




                                                            ta
DOT    GSA       EPA                                                 NCS




                                                           or
                                                       sp
DOE    NCS




                                                      an
                         Hazardous
                                           11 12 1




                                                      Tr
                         Materials                         Communication
                                      10               2
                       Urban Search
              FEMA     and Rescue 9    ESF   3 Public WorksDOD
                                                (USACE)

                              al
                                   8
                                   8       4
                          d icand
                       Health
                        e            7 6 5
                    h &M
                       Medical                Firefighting
                 lt
              Hea ices
                HHS                                      USDA
                  rv
               Se              Resource          Information         & FS
       HHS                     Support Mass Care & Planning

                            GSA                            FEMA
                                            ARC
      ESF #8 - Health & Medical Services


• Functions
– Preventive Health Services
– Environmental Health Services/Surveillance
– Medical Services*
– Mental Health Services*




                       * (performed by NDMS)
        ESF #8 - Health & Medical Services


• Functions
 – Federal Augmentation for Medical
   Response to Terrorist Incidents
   Involving Weapons of Mass Destruction
   (WMD)*




                        * (performed by NDMS)
National Disaster Medical
         System
 National Disaster Medical
      System (NDMS)

NDMS is a public/private sector partnership
 HHS DOD VA FEMA
        National Security Decision
         Directive 47 (NSDD-47)

• Approved by the President (July,
1982)

• Set forth Emergency Mobilization
  Preparedness Principles for:
   – National Security Emergencies
   – Domestic Emergencies
             NDMS Purpose

A Nationwide Medical Response System to:

 â   Supplement state and local medical
     resources during disasters or major
     emergencies
 â   Provide backup medical support to the
     DOD/VA medical care systems during an
     overseas conventional conflict
       Major Components


â Medical Response
â Patient Evacuation
â Definitive Medical Care
Federal Health and Medical
        Response

    Natural Disasters

    Transportation Disasters

    Terrorism


    Technological Disasters
                                       NDMS Organizational
                                           Structure
                              President                                                   Homeland Defense

National Security Council                   Domestic Policy Council


  Senior Policy Group (SPG)
  Members:                                       NDMS Directorate
  •Asst. Sec. for Health, HHS (Chair)
  •Asst. Sec. for Defense, Health Affairs      Members:
  •Director, FEMA                              •Deputy Asst. Sec. for Health, HHS
  •Undersecretary of Health, DVA               •DASD(HA) Medical Readiness
                                               •Asst. Associate Director,
  Responsibilities                              Mobilization Preparedness, FEMA
  •Set policy and Goals for National           •Director, Emergency Management
                                                Strategic Healthcare Group, VA       NDMS Directorate Staff
  Medical Preparedness
  •Oversee Directorate and Panel               •Responsibilities
                                                                                    Members:
                                                Implement Policy
                                                                                    •HHS/PHS - Director, NDMS (Chair)
                                                                                    •DOD
                                                                                         •OASD (HA)
                                                                                         •ARMY
                                            NDMS Participating                           •NAVY
  State Agencies                            Organizations
                                                                                         •AIR FORCE
                                                                                    •VA
                                                                                    •FEMA
        NDMS Response Teams

           (HHS Lead)

•   DMAT
•   DMORT
•   VMAT
•   NMRT/WMD
           NDMS Patient Evacuation

Lead Responsibility - DOD

 â   Provide Patient
     Movement from the
     Disaster Area

 â   Utilize All Types
     of Transportation

 â   Primarily Relies on
     Aeromedical
       NDMS Definitive Medical Care


• Civilian - Military Contingency
  Hospital System
  – Network of approximately 2,000 non-
    Federal hospitals
• 63 FCCs, which coordinate in
  excess of 80 receiving areas
         NDMS Definitive Medical Care

    Lead Responsibility - DOD/ VA

â    Concentrated in Major Metropolitan Areas

â    Air Access

â    Federal Coordinating Centers (FCCs)
â    Available Hospital Support
â    Patient Reception and Distribution
     Capabilities
    NDMS Readiness Activities


• Maintenance of Plans
• Training
• Exercises
• Special Events
• Annual Conferences
System Activation
      Circumstances for Which NDMS
            May be Activated

• Military Contingency - Overseas Conventional
  Armed Conflict Involving U.S. Forces

• Presidential Declaration of Disaster

• Request for Major Medical Assistance
       Federal Activation
• Federal EOC activated
• Push Package deployment/EST
• Disaster Field Office (DFO) established
• Representative to Incident Command
  Post
• Mission assignment and direction per
  local Incident Command
Disaster Medical Assistance
          Teams
        NDMS Medical Response
    Disaster Medical Assistance Teams (DMATs)



– Volunteer Groups Affiliated with NDMS
– Approximately 100 Persons per Team
  (>7,000 personnel)
– Variety of Health/Medical Skills
– Locally Sponsored
– Community Based
  • Local / State Asset
          NDMS Medical Response
      Disaster Medical Assistance Teams (DMATs)



– Volunteer status until activated
– Additional training
  •   HAZMAT
  •   WMD
  •   Disaster response
            NDMS Medical Response
       Disaster Medical Assistance Teams (DMATs)



• Federal Enrollment of Team
  Members
• Federalization Upon Activation
  – Special Needs Authority
  – Accepted Volunteer Services Authority
• Importance of Federalization
  – Licensure / Certification
  – Liability
  – Compensation
             NDMS Medical Response
        Disaster Medical Assistance Teams (DMATs)



• DMAT Deployment Asset
  – 35 member team
    •   Command
    •   Finance
    •   Communications
    •   Logistics/security
    •   Pharmacy
    •   Medical care providers
       NDMS Medical Response
                   DMAT Missions

At Disaster Site
  â   Triage
  â   Medical Care in
      austere conditions
  â   Casualty
      Clearing/Staging
At Local NDMS Reception Area
  â   Patient Reception
NDMS Medical Response


         Fully
      Deployable
       LEVEL - I



   Augmentation
     LEVEL - II



   Local Response
     LEVEL - III
             NDMS Response Assets

   AK
                                                                                                                                ME
                       WA             MT
                                                ND                                                                   VT
                                                               MN
                                                                                                                           NH

                  OR
                                                                         WI                                     NY         MA
                                                SD                                       MI                               CT
                            ID
                                      WY
                                                                                                           PA        NJ
                                                                I                  RI


                                                                A
                                                                                               OH               MD   DE
                                                     NE
                       NV                                                               IN
                                                                MO                                   WV
                                 UT                                           IL                               VA
                                           CO
             CA
                                                     KS                                       KY

                                                                                         TN                     NC
                                                                                                          SC
                                                          OK
                             AZ       NM                            AR
                                                                                         AL         GA
                                                                              MS
                                                     TX              LA
        HI                                                                                                FL
                                                                                                                                USVI



GUAM
                   NMRT               DMORT
                                                                                                                          PR
                   DMAT-1             NMRT-DC

                   MMST (*Local Asset)
             Limitations
•   System activation time
•   Out the door time
•   Employer right to deny leave
•   In State Response
DMAT as a local resource
          HHS Strategic National
          Counterterrorism Plan


• Create local resources - rapid response time
  required
• Develop partnerships to:
  – Improve local health and medical system
    capability to respond effectively (MMST)
  – Improve Federal health and medical capability to
    rapidly augment State/local response
• Includes the National Disaster Medical
  System (NDMS)
       Ohio DMAT


OH-5               OH-6



          OH-1
       Ohio Assets




DMAT
                      DMORT
MMRS (*Local Asset)
                        OH-1
•   Location: Toledo             •   Level I team
•   Formed 1986                  •   Full basic load
•   Membersip - 120              •   Pharmacy cache
    –   Command - 5
    –   EMT - 19
    –   Nursing - 30
    –   Physicians - 19
    –   Veterinarian - 1
    –   Logistics/Support - 12
    –   Cross trained
                       OH-1
• Experience             • Training
  – Hurricane Andrew       –   HAZMAT
     • 700 patients
                           –   WMD
     • 3000 health
       assessments         –   180th ONG
  – Hurricane Marilyn      –   Lucas County EMS
     • 1200 patients
  – Hurricane Floyd
  – Kosovo refugee
    response
  – Atlanta Olympics
  – NATO Summit
  – 2001 Inauguration
                   OH-5
•   Location - Dayton   • Achieved Level I
•   Membership            status 2001
    – 50                • Acquiring basic
                          load
                   OH-5
• Experience             • Training
  – New York Ice           – Medical
    Storms                 – Communications
  – NATO Summit
  – Hurricane Georges
  – Hurricane Floyd
  – Atlanta Olympics
  – World Trade Center
                        OH-6
• Location:
  Youngstown
• Level III team
• Experience
  –   NATO Summit
  –   Hurricane Floyd
  –   OH-1 drills
Questions

				
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