October AST Training

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October AST Training

  1. 1. Disaster Training Are we prepared?
  2. 2. Objectives <ul><li>What is NDMS? </li></ul><ul><li>Discuss the deployable NDMS teams. </li></ul><ul><li>We will look at a brief refresher of the ICS structure </li></ul><ul><li>What is an Ambulance Strike Team? </li></ul><ul><li>Where does the ATCEMS Ambulance Strike Team fit into a disaster response? </li></ul><ul><li>What is coming in the future? </li></ul>
  3. 3. What is NDMS? <ul><li>Developed in 1984, the National Disaster Medical System (NDMS) is a federally coordinated, public/private partnership, the purpose of which is to manage, coordinate and deploy an integrated national medical response. This capability assists state and local authorities to deal with the medical and other effects of major natural disasters, emergencies, or terrorist events. </li></ul><ul><li>In 2003, NDMS was transferred to The Department of Homeland Security, then under FEMA (Federal Emergency Management Agency). </li></ul><ul><li>The System has three components: </li></ul><ul><ul><li>direct medical care </li></ul></ul><ul><ul><li>patient evacuation </li></ul></ul><ul><ul><li>definitive care </li></ul></ul>
  4. 4. Types of NDMS Teams <ul><li>Disaster Portable Morgue Units Team - (DPMU) </li></ul><ul><li>National Pharmacy Response Teams (NPRT) </li></ul><ul><li>National Nurse Response Team (NNRT) </li></ul><ul><li>Disaster Mortuary Team (DMORT) </li></ul><ul><li>Veterinary Medical Assistance Team (VMAT) </li></ul><ul><li>Disaster Medical Assistance Team (DMAT) </li></ul><ul><li>The most common groups we would interact with would be DMAT and DMORT Teams. </li></ul>
  5. 5. What are DMAT’s? <ul><li>DMAT’s are rapid response elements composed of professional and para-professional medical personnel (supported by logistical and administrative staff) designed to provide medical care during a disaster or other event </li></ul><ul><li>DMAT’s will deploy to disaster sites with sufficient supplies and equipment to sustain themselves for a period of 72 hours while providing medical care at a fixed or temporary medical care site </li></ul>TX-1 DMAT TX-3 DMAT TX-4 DMAT
  6. 6. What are DMORT’s? <ul><li>Provide victim identification and mortuary services. </li></ul><ul><li>Responsibilities include: </li></ul><ul><ul><li>temporary morgue facilities </li></ul></ul><ul><ul><li>victim identification using latent fingerprint, forensic dental, pathology, and forensic anthropology methods </li></ul></ul><ul><ul><li>processing </li></ul></ul><ul><ul><li>preparation </li></ul></ul><ul><ul><li>and disposition of remains </li></ul></ul><ul><li>We could potentially interact with this group depending on the disposition of patients </li></ul>
  7. 7. ICS Refresher <ul><li>We are all familiar with the basic ICS structure </li></ul><ul><li>Over the course of the next few slides we will cover the areas that we will be concerned with in the event of a deployment. </li></ul>Air Ops Branch Divisions Groups Operations Section Single Resource Task Force Strike Team Resources Unit Planning Section Demob. Unit Situation Unit Doc. Unit Logistics Section Supply Unit Facilities Unit Finance/Admin. Section Time Unit Compensation Claims Unit Procurement Unit Cost Unit Incident Commander Public Information Officer Liaison Officer Safety Officer Commun. Unit Medical Unit Food Unit Service Branch Support Branch Ground Support Unit Branches
  8. 8. Operations <ul><li>The Operations Staff is responsible for all operations directly applicable to the primary mission of the response </li></ul><ul><li>Where the rubber meets the road!!! </li></ul>Air Ops Branch Divisions Groups Operations Section Single Resource Task Force Strike Team Resources Unit Planning Section Demob. Unit Situation Unit Doc. Unit Logistics Section Supply Unit Facilities Unit Finance/Admin. Section Time Unit Compensation Claims Unit Procurement Unit Cost Unit Incident Commander Public Information Officer Liaison Officer Safety Officer Commun. Unit Medical Unit Food Unit Service Branch Support Branch Ground Support Unit Branches
  9. 9. Operations <ul><li>Divisions & Groups – Used when the number of resources exceeds the Operations Section Chief’s manageable span of control (a ratio of one-to-five reporting elements is recommended) </li></ul><ul><ul><li>Divisions demarcate physical or geographical areas of operation within the incident area. </li></ul></ul><ul><ul><ul><li>North, South, East, West </li></ul></ul></ul><ul><ul><ul><li>Side A, Side B, etc. </li></ul></ul></ul><ul><ul><ul><li>Airport, Convention Center, Delco Center, etc. </li></ul></ul></ul><ul><ul><li>Groups demarcate functional areas of operation for the incident. </li></ul></ul><ul><ul><ul><li>Rescue Group </li></ul></ul></ul><ul><ul><ul><li>Emergency Medical Services Group </li></ul></ul></ul><ul><ul><ul><li>Shelter Group </li></ul></ul></ul>
  10. 10. Operations <ul><li>Types of resources </li></ul><ul><ul><li>Single resources - Resources may be deployed on an individual basis </li></ul></ul><ul><ul><ul><li>Single person </li></ul></ul></ul><ul><ul><ul><li>Single helicopter </li></ul></ul></ul><ul><ul><ul><li>Single vehicle </li></ul></ul></ul><ul><ul><li>Task Forces - Task Forces are any combination of resources put together to accomplish a specific mission (Paramedics, Nurses, Rescue Personnel, Pharmacist, etc.) </li></ul></ul><ul><ul><ul><li>Texas Task Force 1 </li></ul></ul></ul><ul><ul><ul><li>DMAT’s (Disaster Medical Assistance Teams) </li></ul></ul></ul><ul><ul><li>Strike Teams - Specified combinations of the same kind and type of resources , with common communications and a leader (All Paramedics) </li></ul></ul><ul><ul><ul><li>A/TCEMS Ambulance Strike Team </li></ul></ul></ul>
  11. 11. Planning <ul><li>The planning process is not limited just to a specific incident but includes pre-planning performed before an incident occurs. </li></ul>Air Ops Branch Divisions Groups Operations Section Single Resource Task Force Strike Team Resources Unit Planning Section Demob. Unit Situation Unit Doc. Unit Logistics Section Supply Unit Facilities Unit Finance/Admin. Section Time Unit Compensation Claims Unit Procurement Unit Cost Unit Incident Commander Public Information Officer Liaison Officer Safety Officer Commun. Unit Medical Unit Food Unit Service Branch Support Branch Ground Support Unit Branches
  12. 12. Planning <ul><li>1. Understand the Situation. The first phase includes gathering, recording, analyzing, and displaying situation and resource information. </li></ul><ul><li>2. Establish Incident Objectives and Strategy. The second phase includes formulating and prioritizing incident objectives and identifying an appropriate strategy. </li></ul><ul><li>3. Develop the Plan. The third phase involves determining the tactical direction and the specific resource, reserves, and support requirements for implementing the selected strategy for one operational period. </li></ul><ul><li>4. Prepare and Disseminate the Plan. The fourth phase involves preparing the plan in a format that is appropriate for the level of complexity of the incident. </li></ul><ul><li>5. Evaluate and Revise the Plan. The planning process includes the requirement to evaluate planned events and check the accuracy of information to be used in planning for subsequent operational periods. </li></ul><ul><li>The EMS Special Event Summaries created by Commander Jakubauskas are a good example of incident pre-planning. They include needed information for all involved with the incident. </li></ul><ul><ul><li>Objectives </li></ul></ul><ul><ul><li>Size of the event </li></ul></ul><ul><ul><li>Map of the area involved </li></ul></ul><ul><ul><li>Assigned Units </li></ul></ul><ul><ul><li>Communication information (radio channels, points-of-contact) </li></ul></ul><ul><ul><li>Weather Updates for the operational period </li></ul></ul>
  13. 13. Logistics <ul><li>Logistics Section provides the service and support of the incident. The six equally important functions of the Logistics Section are Supply, Facilities, Ground Support, Communications, Food, and Medical. </li></ul>Air Ops Branch Divisions Groups Operations Section Single Resource Task Force Strike Team Resources Unit Planning Section Demob. Unit Situation Unit Doc. Unit Logistics Section Supply Unit Facilities Unit Finance/Admin. Section Time Unit Compensation Claims Unit Procurement Unit Cost Unit Incident Commander Public Information Officer Liaison Officer Safety Officer Commun. Unit Medical Unit Food Unit Service Branch Support Branch Ground Support Unit Branches
  14. 14. Logistics <ul><li>A. SUPPLY UNIT. </li></ul><ul><ul><li>The MCI Trailers are stocked with needed supplies/equipment. There is a stock of commonly used medical supplies to allow medics to provide care until a larger cache of equipment/supplies can be obtained. </li></ul></ul><ul><li>B. FACILITIES UNIT. </li></ul><ul><ul><li>We have recently obtained, through grant funding, two Portable Field Hospital Shelters. This is a rapidly deployable, temporary shelter that can be used either as a treatment area or shelter for providers. </li></ul></ul><ul><li>C. GROUND SUPPORT UNIT. </li></ul><ul><ul><li>This unit is responsible for maintaining and repairing vehicles during an incident. For incidents where many units will be needed or when units will be leaving the locally area, a mechanic from EMSG accompanies the vehicles in a Service Truck in order to perform on the site repairs. </li></ul></ul><ul><li>D. COMMUNICATIONS UNIT. </li></ul><ul><ul><li>A cache of radios is available for use during large events. These radios will travel with the group and be used for both the caravan to the site as well as operations at the incident. </li></ul></ul><ul><li>E. FOOD UNIT. </li></ul><ul><ul><li>MRE’s are included as part of the MCI trailer stocking to ensure that personnel will have a source of food with a heating element included. </li></ul></ul><ul><li>F. MEDICAL UNIT. </li></ul><ul><ul><li>Medications for basic medical complaints (ie. Tylenol, Ibuprofen, Immodium, Benadryl) should be part of everyone’s personal deployment gear. Vaccines will be administered to deployed personnel based on the area of travel. </li></ul></ul>
  15. 15. ICS Radio Communications <ul><li>Use standard, common terminology – NO 10 CODES </li></ul><ul><li>Avoid jargon – Use plain english in all communications </li></ul><ul><li>Use standard ICS position titles and facility names </li></ul><ul><li>Develop a communications plan and protocols specific to the incident, including specific radio channels </li></ul><ul><li>Determine flow path for communications </li></ul><ul><li>Observe strict radio/telephone procedures </li></ul><ul><li>Limit radio and telephone traffic to essential information only </li></ul>

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