National Guard Domestic Operations Colonel Dan Bochicchio, MD. Vice Chief Surgeon, National Guard Bureau June 2008
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1 National Guard Domestic Operations Colonel Dan Bochicchio, MD. Vice Chief Surgeon, National Guard Bureau June 2008 UNCLASSIFIED 1
2 National Guard Joint Capabilities Briefing Agenda: Overview of the National Guard National Guard Medical Assets Air National Guard Aeromedical Evac Assets Domestic CBRNE Response Capabilities WMD - Civil Support Teams (CST) CERFP Program 2
3 The National Guard. Hey Who Are These Guys!? Everybody knows the name; but nobody knows who we are. History Formed in 1636 Massachusetts Bay Colony Militia Clauses US Constitution Art.1, Sec.8, Clauses 15 and 16: To provide for calling forth the Militia to execute the Laws of the Union, suppress insurrections and repel invasions The Second Amendment qualified Art. 1, Sec.10: To insure that the federal government could not disarm the state militias. Insisted on by the anti-federalists, states, "A well-regulated militia, being necessary to the security of a free State. Current Force Structure Army National Guard ~ 355,000 Air National Guard ~ 106,000 3
4 National Guard Statuses State Active Duty (SAD) Title 32 Title 10 Command & Control Governor Governor President Location of Duty IAW State Law CONUS Worldwide Funding State Federal Federal Mission Types IAW with State Law (riot control, emergencies) Training and/or other federally authorized missions Overseas Training and other missions as assigned Support to Law Enforcement Yes, within authority extended by state law Yes, within authority extended by state law In accordance with Posse Comitatus Act Indemnity State Federal Federal 4
5 A Community Based Force 3200 ARNG Facilities, 89 ANG Bases in 2700 Communities 5
6 National Guard Operations Domestic Operations CONUS MISSIONS ARNG ANG TOTAL DOMESTIC OPS (SAD) ,110 OPERATION JUMP START (T-32) 4, ,642 COUNTER DRUG (T-32) 1, ,563 *AIR SOVEREIGNTY (T-32) 0 1,681 1,681 TOTALS 7,673 3,323 10,996 * ANG ASA & AIR DEFENSE PERSONNEL State Active Duty / T-32 Breakdown WA 28 CA 46 KS 33 NM 4 CA 1,257 CA 124 AZ 1,920 AZ 60 NM 953 NM 50 TX 1,512 TX 104 LEGEND Crisis Response Key Asset Protect POTUS/VPOTUS Law Enforcement Spt Counter Drug Hurricane Support CST Response Border Security NY 596 MA 18 NJ 55 GA 44 FL 53 LA 258 FL 3 MAP ROLL-UP TOTALS US 9,886 -T-32 US 1,110 -SAD 59,000 49,000 39,000 51,400 49,467 43,563 41,271 45,940 48,463 53,263 54,337 53,215 48,029 49,412 FUTURE PROJECTIONS Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 NY 596 INFRASTRUCTURE PROTECTION 1 JAN 05 - TBD LA 258 NOPD SPT - CHECKPOINTS & PATROLS 20 JUN 06 - TBD NJ 55 INFRASTRUCTURE PROTECTION 3 JAN 06 - TBD FL 53 WILDFIRE SUPPORT 5 MAY 07 - TBD CA 46 INFRASTRUCTURE PROTECTION 1 OCT 06 - TBD GA 44 WILDFIRE SUPPORT 8 MAY 07 - TBD KS 33 TORNADO RESPONSE 5 MAY 07 - TBD MA 18 INFRASTRUCTURE PROTECTION 2 JAN 05 - TBD NM 4 POTABLE WATER DISTRIBUTION 28 JUN 05 - TBD FL 3 SEAPORT INSPECTION PROGRAM 1 JUL 06 - TBD AZ, CA, NM,TX 5,642 OPERATION JUMP START 1 JUN 06 - TBD 54 States/ Territories OCONUS Operations (T-10) Mission Breakdown STATE ACTIVE DUTY MISSIONS TITLE - 32 MISSIONS 2,197 COUNTER DRUG ONGOING 19 States 1,681 AIR SOVEREIGNTY SEP 01 - TBD SWB 338 COUNTER NARCOTICS SPT (CBP) 15 MAY 06 - TBD WA, KS, WI 28 OPERATION OUTLOOK II 1 MAY JUN 07 6
7 Army & Air National Guard Core Capabilities 10 Domestic Support Capabilities JFHQ-State C2 WMD Response Civil Support Teams CBNRE Response Teams Maintenance Aviation and Airlift Engineer (Tech Search & Rescue) Medical (Including Mass Decon) Communications Transportation Security Logistics 25% Enhanced Pool Intensive Training Getting Ready 25% Mobilized & Deployed Forces 50% - Homeland Defense - Homeland Security - National Response Plan - All Hazards Plans 7
8 Concept of Operations Capabilities the National Guard Brings: Medical Triage Emergency Medical Treatment Patient Evacuation Ground Ambulances Air Ambulances (Rotary) Mobile Aeromedical Evacuation Staging facilities (MASF) Aeromedical Evacuation (Fixed Winged) Preventive Medicine and Critical Incident Stress Mgt Teams Task Organization: Assets would come under Joint Task Force Commander 8
9 Multi-Functional Medical Battalions Mission: The MMB Headquarters is designed to provide (C4I) systems 641ST EVAC 146 TH MMB 110 th EVAC 109 th MMB CT 118 th MMB MMB: Provides C4I for up to ~6 Company sized elements HQ = 81 personnel 111 th ASMB ( MMB) 161 st MMB Deployed Pending Deployment Available Homeland Support 9
10 Air Ambulance Companies Mission: Provides Short Range MEDEVAC (16 Co s available) C/2-211 MN/IA C/1-126 ME C/3-126 VT/MA C/7-158 OR C/1-159 WY/AZ C/1-189 SD/MT 832 WI/GA/ND C/3-238 NH/MI C/1-168 CA/NV C/2-135 NE/CO C/2-238 IN/CO C/2-104 WV/TN 249 NY/RI/NH C/ MD/PA/KY C/1-171 NM/KS 121 DC/DE 812 LA/CA/NM 15 Aircraft per Company C/2-149 TX/OK FMC Single Lift Capability: ~60 Litter or 105 Ambulatory OP Rate ~66% = ~128 AA Available C/1-111 FL/AR Deployed Pending Deployment Available Homeland Support 10
11 Ground Ambulance Companies Mission: Provides ground evacuation of injured via wheeled Ambulances Ambo s per Company FMC Single Lift Capability: 96 Litter or 192 Ambulatory OP Rate ~ 75% = 90 Ground Ambo s available Deployed Pending Deployment Available Homeland Support 11
12 Area Support Medical Companies (ASMC) Mobile Emergency Rooms Mission: Provide Triage, Emergency Treatment and Evacuation (22 Co s available) 814 th Det 204TH 135th 1171 st 466 th 209 th 284th 285 th 738 th 144 th 709/ 708 th 142nd 1077 th 206 Det 684th 215 th 224 th 205 th 1163 rd 163 RD 996 th 1209 th 213 Det PR 1065 th ASMC 248th 756 th 1165 th ASMD Each Company provides: Emergency Med Treatment 40 Temp Holding Cots (880 total) FMC: 8 Ground Ambulances (176 total OP=74% ~130 avail) 256th Deployed Pending Deployment Available Homeland Support 12
13 Brigade Support Med Co (BSMC) Mobile Emergency Rooms Mission: Provides Triage, Emergency Treatment and Evacuation (28 Companies available) 41 st BCT VT MA Hawaii 1/34 BCT 218 th BCT NJ MD Puerto Rico 92th BCT Each Company provides: Emergency Med Treatment 40 Temp Holding Cots (1120 total ) FMC: 8 Ground Ambulance (224 total OP75% = 170 Ambo s Avail) Deployed Pending Deployment Available Homeland Support 13
14 Air National Guard EMEDS+25 by FEMA Region 10 9 Training Equipment Set Approximately 10% of EMEDS Personnel Deployed 14
15 Aeromedical Evacuation Squadrons 10 ANG AE Squadrons => 1 Mobile Aeromedical Staging Facility (MASF),1 Aeromedical Evac Liaison Teams (AELT), 7-11 AE crews ( Total ~115 personnel) 109 AES, St Paul, MN 139 AES, Scotia, NY 187 AES, Cheyenne, WY 142 AES, New Castle,DE 137 AES, Oklahoma City 167 AES, Martinsburg, 146 AES, Port Hueneme, 118 AES, Nashville, TN 173 AES, Jackson, MS 156 EAS, Charlotte, NC Deployed MASF: 1. One per Squadron 2. Stages patients for fixed wing transport 3. Can prep ~ 40 pt s /hr AELT: Commo and Ops for AE lift assets AE Crew: A 5 pax team: provides basic in flight medical care Pending Deployment Available Homeland Support 15
16 MISSION: Support civil authorities CBRNE incident by: Identifying CBRNE agents/substances, Assessing current and projected consequences, Advising on response measures, and Assisting with RSO&I for military and state assets KEY KEY CHARACTERISTICS: Must Must be be certified by by Secretary of of Defense Unique to to National Guard Main role role is is support to to Governor and and Incident Commander Title Title Full-time (AGR) Army and and Air Air National Guard personnel Interoperable with with Civil Civil Responders 16
17 CST Team Composition Full Capability for WMD Response Specializing in Advanced Communications and Technical Analysis 17
18 CST Vehicle Fleet Large SUV-type vehicles with pre-installed communications Specially constructed vans for the Mobile Analytical Laboratory System and the Unified Command Suite Admin-Log/ Survey UCS ALS Command & Medical Opns & Survey 18
19 CBRNE Enhanced Response Force Package (CERFP) Task organized from existing National Guard units or organizations Comprised of traditional soldiers and airmen Trained and equipped for domestic response to perform: Triage, Emergency Treatment and Stabilization Mass Casualty Decontamination Patient Decontamination Casualty Extraction Can respond in SAD, T-32 or T-10 Status 19
20 Bridging The Gap Military Response (NG Forces) WMD-CST Local and State First Responders NGRF C E R F P Capability Gap - Extraction, Decon, Med Triage and Treat Federal Response Military Response (Title 10 Forces) 0-06 Hours Hours Hours 20
21 CERFP TF Organization NG CERFP C2 MTOE BN HQ C2 MED ANG Medical Group DECON MTOE Chem CO CASUALTY EXTRACTION MTOE Eng CO Designed to operate under NIMS HAZMAT trained and certified IAW NFPA 472 Specialized equipment meets NIOSH/OSHA standards 21
22 17 CERFP Locations AK Region IX Hawaii CA OR WA Region X NV Region IX ID UT AZ MT ND MN Region VIII WY CO NM SD NE IA Region VII KS MO OK Region VI Canada WI AR MS MI Region V IL IN TN AL OH GA PA WV VA KY NC Region IV SC MD NY Region II Region III Region I VT NH ME MA CT RI NJ DE DC TX LA FL VI Mexico CERFP States FY 06 New CERFP States FEMA Region Boundaries PR 22
23 In Summary The magnitude and composition of the medical response will depend on the severity and nature of the disaster. NuDet Hurricane Pandemic The National Guard Medical assets provide: The three T s : Triage (Medical triage) Treat (Emergency treatment) Transport (Evacuation) The National Guard is actively engaged with our federal and state response partners define shortfalls and develop unity of effort 23
24 Questions? Rosie the Riveter circa
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