large incident ambulance staging rio grande valley staging plan daniel ramirez emtf-11 coordinator...
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Large Incident Ambulance StagingRio Grande Valley Staging Plan
Daniel Ramirez EMTF-11 CoordinatorJorge Jalomo
Why are we here?
Hurricane Dean (2007)First Deployment of assets with Strike Team Leaders200 Ambulances deployed for a Non-event
Hurricane Dolly (2008)25 EMS Units deployed to the Valley via ARCC Staging
Hurricane Gustav and Ike (2009)Largest deployment of Ambulances in U.S. HistoryStressed the importance of FORWARD STAGING capabilities and coordination
Ambulance Staging Managers
Deployable to Forward / Austere locations
Closer to affected jurisdictions
Utilizing the Ambulance Staging Matrix to plan staging operation
Provide tools to train personnel assigned to ambulance staging
Get a better understanding of the roles of ambulance staging during a disaster
Understanding how ambulance staging operations works alongside the overall response
Working with landowner / jurisdiction having authority over EMS units
Working with EOC / MACC / DDC / M-IST to coordinate logistical needs
Utilizing the ICS Chain of Command for reporting and resource requests
Working with several different bosses
Staging Area ManagerRegional Medical Operations Center / Catastrophic Medical Operations CenterState and Federal Oversight (USPHS, FEMA, DSHS)DPS Leadership / Local Law Enforcement / Local Elected Officials and Chief Officers
Reference the resource typing list for the specific needs for the amount of units you will be staging.
Type 1 500 unitsType 2 250 unitsType 3 125 unitsType 4 25 units
• Area Guidelines– Type IV: 22,600 square feet– Type III: 73,000 square feet– Type II: 136,000 square feet– Type I: 272,000 square feet
• Calculations– 12’ x 35’ / Vehicle– Six Vehicles per Strike Team– 10,000 sq ft for Ops Space– 20,000 sq ft for Ops in Type I
Operational Area Requirements
Step up meeting with local AMS’s to determine the need in our area
The Rio Grande Valley has had 19 Presidential Disaster Declarations
Distance to other major metropolitan areas 300 miles south of San Antonio
Number of potential patients that would need evacuation – over 20,000
Discuss the importance of planning and preparation in the design and layout of the Ambulance Staging Area.
Sergio Castro 9-1-1 IT Dept, Ralph Cantu TranStarr ESM, Ester Salinas Elite EMSTony Lopes Weslaco Fire Dept, Rudy Garza Weslaco Fire Dept, Jorge Jalomo DCChief Nim Kidd, Barbara Adams DSHS, Anselmo Trevino Med Care EMS
Find a location that will accommodate a TYPE 1 Staging
DODGE ARENA
Should be able to accommodate some resources inside
Always plan for the worse case
• Consider Locations of:– Staff Parking– Check-In– Check-Out– Maintenance– Fueling– Supply and Logistics Tents
Good Choices• College / University• Industrial Park• High School• Military Facility• Amusement Park• Large Church• Training Center• Truck Stop • Highway Comfort Station
Considerations
• Environmental Issues– Water Runoff / slope– Fuel Spill containment– Protection from Sun/Wind
Once you have selected a area and have the facilities permission, then began to draw a plan
The design of the parking area should maximize thenumber of units that can beparked in a designated area
Ensure adequate travellanes for one-way or two-way traffic…
Develop a TRAFFIC PLAN
Parking Area Design
Meet regularly to work on plan and make changes as needed
Finalize the plan, but remember its still a working document
Discuss the size and type of area required to accommodate Ambulance Staging Operations.
Utilize the “Matrix” to identify resource needs.
Identify locations in several smaller jurisdictions that could be utilized for Type IV, Type III, Type II and Type I Ambulance Staging Operations.
Discuss the importance of planning and preparation in the design and layout of the Ambulance Staging Area.
In Summary