october ast training

ObjectivesWhat is NDMS?Discuss the deployable NDMS teams.We will look at a brief refresher of the

ICS structureWhat is an Ambulance Strike Team?Where does the ATCEMS Ambulance

Strike Team fit into a disaster response?

What is coming in the future?

What is NDMS? 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.

In 2003, NDMS was transferred to The Department of Homeland Security, then under FEMA (Federal Emergency Management Agency).

The System has three components:– direct medical care

– patient evacuation

– definitive care

Types of NDMS Teams Disaster Portable Morgue Units Team -

(DPMU) National Pharmacy Response Teams (NPRT) National Nurse Response Team (NNRT) Disaster Mortuary Team (DMORT) Veterinary Medical Assistance Team (VMAT) Disaster Medical Assistance Team (DMAT)

The most common groups we would interact with would be DMAT and DMORT Teams.

What are DMAT’s?• 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

• 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

TX-1 DMAT

TX-3 DMAT

TX-4 DMAT

What are DMORT’s? Provide victim identification and

mortuary services. Responsibilities include:

temporary morgue facilities victim identification using latent

fingerprint, forensic dental, pathology, and forensic anthropology methods

processing preparation and disposition of remains

We could potentially interact with this group depending on the disposition of patients

ICS Refresher• We are all familiar with the basic ICS

structure

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.

Air OpsBranchAir OpsBranch

DivisionsDivisions GroupsGroups

Operations SectionOperations Section

Single ResourceSingle Resource

Task ForceTask Force

Strike TeamStrike Team

ResourcesUnit

ResourcesUnit

Planning SectionPlanning Section

Demob.Unit

Demob.Unit

SituationUnit

SituationUnit

Doc.UnitDoc.Unit

Logistics SectionLogistics Section

SupplyUnit

SupplyUnit

FacilitiesUnit

FacilitiesUnit

Finance/Admin. Section


TimeUnit

TimeUnit

CompensationClaims Unit


ProcurementUnit

ProcurementUnit

Cost UnitCost Unit

Incident CommanderIncident Commander

Public InformationOfficer


LiaisonOfficerLiaisonOfficer

SafetyOfficerSafetyOfficer

Commun.Unit

Commun.Unit

MedicalUnit

MedicalUnit

FoodUnit

FoodUnit

ServiceBranchServiceBranch

SupportBranch

SupportBranch

GroundSupport Unit

GroundSupport Unit

BranchesBranches

Operations

The Operations Staff is responsible for all operations directly applicable to the primary mission of the response

Where the rubber meets the road!!!







ResourcesUnit

ResourcesUnit


Demob.Unit

Demob.Unit

SituationUnit

SituationUnit

Doc.UnitDoc.Unit


SupplyUnit

SupplyUnit

FacilitiesUnit

FacilitiesUnit



TimeUnit

TimeUnit



ProcurementUnit

ProcurementUnit

Cost UnitCost Unit






Commun.Unit

Commun.Unit

MedicalUnit

MedicalUnit

FoodUnit

FoodUnit


SupportBranch

SupportBranch

GroundSupport Unit

GroundSupport Unit

BranchesBranches

Operations 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) Divisions demarcate physical or geographical areas of operation within the

incident area. North, South, East, West Side A, Side B, etc. Airport, Convention Center, Delco Center, etc.

Groups demarcate functional areas of operation for the incident. Rescue Group Emergency Medical Services Group Shelter Group

Operations Types of resources

Single resources - Resources may be deployed on an individual basis Single person Single helicopter Single vehicle

Task Forces - Task Forces are any combination of resources put together to accomplish a specific mission (Paramedics, Nurses, Rescue Personnel, Pharmacist, etc.)

Texas Task Force 1 DMAT’s (Disaster Medical Assistance Teams)

Strike Teams - Specified combinations of the same kind and type of resources, with common communications and a leader (All Paramedics)

A/TCEMS Ambulance Strike Team

Planning

The planning process is not limited just to a specific incident but includes pre-planning performed before an incident occurs.







ResourcesUnit

ResourcesUnit


Demob.Unit

Demob.Unit

SituationUnit

SituationUnit

Doc.UnitDoc.Unit


SupplyUnit

SupplyUnit

FacilitiesUnit

FacilitiesUnit



TimeUnit

TimeUnit



ProcurementUnit

ProcurementUnit

Cost UnitCost Unit






Commun.Unit

Commun.Unit

MedicalUnit

MedicalUnit

FoodUnit

FoodUnit


SupportBranch

SupportBranch

GroundSupport Unit

GroundSupport Unit

BranchesBranches

Planning 1. Understand the Situation.

The first phase includes gathering, recording, analyzing, and displaying situation and resource information.

2. Establish Incident Objectives and Strategy.The second phase includes formulating and prioritizing incident objectives and identifying an appropriate strategy.

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.

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.

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.

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.

Objectives Size of the event Map of the area involved Assigned Units Communication information (radio channels, points-of-contact) Weather Updates for the operational period

Logistics

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.







ResourcesUnit

ResourcesUnit


Demob.Unit

Demob.Unit

SituationUnit

SituationUnit

Doc.UnitDoc.Unit


SupplyUnit

SupplyUnit

FacilitiesUnit

FacilitiesUnit



TimeUnit

TimeUnit



ProcurementUnit

ProcurementUnit

Cost UnitCost Unit






Commun.Unit

Commun.Unit

MedicalUnit

MedicalUnit

FoodUnit

FoodUnit


SupportBranch

SupportBranch

GroundSupport Unit

GroundSupport Unit

BranchesBranches

Logistics A. SUPPLY UNIT.

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.

B. FACILITIES UNIT. 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.

C. GROUND SUPPORT UNIT. 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.

D. COMMUNICATIONS UNIT. 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.

E. FOOD UNIT. 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.

F. MEDICAL UNIT. 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.

ICS Radio Communications Use standard, common terminology – NO 10 CODES

Avoid jargon – Use plain english in all communications Use standard ICS position titles and facility names Develop a communications plan and protocols specific to

the incident, including specific radio channels Determine flow path for communications Observe strict radio/telephone procedures Limit radio and telephone traffic to essential information

only

october ast training

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