DMAT and Medical EOC of the US

Transcription

1 DMAT and Medical EOC of the US Alexander Isakov, MD, MPH Director, Section of Prehospital and Disaster Medicine Professor, Department of Emergency Medicine Emory University School of Medicine Atlanta, Georgia, USA

2 Atlanta, Georgia, USA

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5 Objectives Describe the National Response Framework Describe the US federal government coordination of public health and medical services in response to disaster Describe the US National Disaster Medical System and DMAT

6 The National Response Preparedness is a shared responsibility of all levels of government, the private and non-profit sector, and individuals Defines national doctrine of response to disaster Framework

7 The National Response save lives, protect property and the environment, stabilize communities, and meet basic human needs following an incident Also includes response plans to support shortterm recovery Framework

8 NRF Core Capabilities Planning Public Information and Warning Operational Coordination Critical Transportation Environmental Response/Health and Safety Fatality Management Services Infrastructure Systems Mass Care Services Mass SAR Operations On-scene security and protection Operational Communications Public and Private Services and Resources Public Health and Medical Services Situational Assessment

9 Emergency Support Functions 1 Transportation 2 Communications 3 Public Works and Engineering 4 Firefighting 5 Information and Planning 6 Mass care, emergency assistance, temporary housing and human services 7 - Logistics 8 - Public health and medical services 9 Search and rescue 10 Oil and hazardous materials response 11 Agriculture and natural resources 12 Energy 13 Public safety and security 14 External affairs

10 HHS leads ESF - 8 Secretary of HHS principally through the Assistant Secretary for Preparedness and Response (ASPR) to provide the mechanism for coordinated Federal assistance to supplement State, Tribal, and local resources in response to an emergency.

11 Functional areas Assessment of public health/medical needs Public health surveillance Medical care personnel Medical equipment and supplies Patient movement Hospital care/outpatient services Victim decontamination Safety and security of human drugs, biologics, medical devices, veterinary drugs, etc. Blood products and services Food safety and security Agriculture feed safety and security Worker health and safety All hazard consultation and technical assistance and support Mental health and substance abuse care Public health and medical information Vector control Potable water/wastewater and solid waste disposal, and other environmental health issues Victim identification/mortuary services Veterinary services.

12 HHS Assistant Secretary for Preparedness and Response (ASPR) Centers for Disease Control and Prevention (CDC) Food and Drug Administration (FDA) National Institutes of Health (NIH) and more

13 HHS Secretary s Op Center Operational 24/7/365 Emergency Management Group (EMG) Continuous surveillance Public health data Operational reports Media reports Natural disasters

14 Incident Response Coordination Team (IRCT) Coordinates all deployed ESF-8 assets Often led by a Regional Emergency Coordinator Senior Health Official (SHO) may be deployed as the Secretary s direct rep

15 Medical Assistance USPHS Commissioned Corps Strategic National Stockpile (SNS) Federal Medical Stations Medical Reserve Corps National Disaster Medical System (NDMS)

16 USPHS Commissioned Corps Rapid Deployment Force (RDF) 5 teams with 105 staff Deploy within 12 hours Can provide mass care at shelters, can staff Points of Distribution and Casualty Collection Points Can conduct community assessment and outreach

17 USPHS Commissioned Corps Applied Public Health Team (APHT) public health department in a box Can deploy within 36 hours Can assist with public health assessments, environmental health, infrastructure integrity, food safety, vector control, epidemiology and surveillance

18 USPHS Commissioned Corps Mental Health Team (MHT) Can deploy within 36 hours Mental health and behavioral health experts assess stress and suicide risk of affected population manage responder stress provide therapy, counseling and crisis intervention

19 Strategic National Stockpile A national all-hazards cache of medicines and medical supplies Antibiotics, antidotes, anti-toxins Ventilators Medical supplies 12-hour push package VMI

20 Federal Medical Station Deployable healthcare facility stable primary or chronic care patients 3 day supply of resources Delivered in 24-48hrs

21 Medical Reserve Corps National network of volunteer medical and public health professionals Organized locally 989 community-based units and 200,000 volunteers

22 National Disaster Medical System Deployable response teams, patient movement, definitive patient care Department of Health and Human Services Department of Homeland Security Department of Defense Department of Veterans Affairs

23 National Disaster Medical System

24 National Disaster Medical System Disaster Medical Assistance Team (DMAT) Disaster Mortuary Operational Response Team (DMORT) National Veterinary Response Team (NVRT) National Medical Response Team (NMRT) International Medical/Surgical Response Team (IMSURT) 6500 personnel in 90 teams

25 Disaster Medical Assistance Team personnel Professional and paraprofessional Mobilize in 6 hrs Self-sufficient 72 hrs Deploy 2 weeks as intermittent federal employees

26 Disaster Medical Assistance Team Medical response Patient movement Definitive care

27 Review Preparedness is a shared responsibility of all levels of government, the private and non-profit sector, and individuals Federal response to support local, state, tribal and territorial jurisdictions DHSS leads ESF-8 (Medical and Public Health) coordinated through the Sec Op Center NDMS response teams, patient movement, definitive care DMAT federal asset comprised of volunteer professionals who become activated and deployed as intermittent federal employees

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