U.S. Department of Homeland U.S. Department of Homeland Security Federal Emergency Security Federal Emergency Management Agency Management Agency Mass Casualty Medical Mass Casualty Medical Response Capabilities Response Capabilities Response Division
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U.S. Department of Homeland Security Federal Emergency Management Agency Mass Casualty Medical Response Capabilities Response Division.
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U.S. Department of Homeland Security U.S. Department of Homeland Security Federal Emergency Management AgencyFederal Emergency Management Agency
Mass Casualty Medical Response Mass Casualty Medical Response CapabilitiesCapabilities
Response Division
DHS/FEMA Vision/Concept for Federal DHS/FEMA Vision/Concept for Federal Medical Response to Mass CasualtyMedical Response to Mass Casualty
Build on existing NDMS team capabilities and equipment to serve as the “point of the spear” to begin rapid execution of medical operations
24 Disaster Medical Assistance Teams (Fully Operational/Operational 31 Disaster Medical Assistance Teams (Augmentation/Developmental) 4 National Medical Response Teams / WMD 4 Burn Teams 2 Pediatric Teams 1 Crush Medicine Team 3 Medical/Surgical Response Teams (MSuRT)* 2 Mental Health Teams 1 Family Assistance Core Group 4 Veterinary Medical Assistance Teams11 Disaster Mortuary Operational Response Teams (1 WMD)12 National Pharmacist Response Teams10 National Nurse Response Teams 1 Management Support Team
* Includes 2 under development
NDMS RESPONSE TEAMSNDMS RESPONSE TEAMS
Basic Building Block- DMAT
DMAT Scope of ServicesDMAT Scope of Services
Austere primary andAustere primary and acute careacute care
Triage of mass casualtiesTriage of mass casualties
Preparation of patients Preparation of patients for evacuationfor evacuation
DMAT Scope of ServicesDMAT Scope of Services (cont.)(cont.)
Acute careAcute care (250 patients / 24-hours)(250 patients / 24-hours)
Acute Care (160), Acute Care (160), stabilize stabilize and hold 6 patients /10 hr and hold 6 patients /10 hr
(2 critical care) (2 critical care)
Community Medical Community Medical OutreachOutreach
Ward care for 30 med/surgWard care for 30 med/surg
Triage and prepare 200 patients at a casualty collection Triage and prepare 200 patients at a casualty collection point (CCP) for evacuation / transportation.point (CCP) for evacuation / transportation.
Alternate Medical Care Facility (150)Alternate Medical Care Facility (150)
Mass drug distribution or immunizationMass drug distribution or immunization
DMAT Scope of ServicesDMAT Scope of Services (cont.)(cont.)
DMAT Medical ServicesDMAT Medical Services
Limited laboratory Limited laboratory
Hb, lites, ABG, Hb, lites, ABG, stool for blood, stool for blood, dipstick urinalysis dipstick urinalysis
Augment StandardAugment Standard Med-Surg WardMed-Surg Ward
- 50 Pts- 50 Pts
Casualty CollectionCasualty Collection Holding CenterHolding Center
-150 Pts 150 Pts (Similar to NDMS (Similar to NDMS Reception Center)Reception Center)
NDMS Medical Care Capabilities(Categories are exclusive, not additive!)
SCOPE OF MEDICALSERVICES
SINGLE TEAM
35 Pers.(D+0)
14 TEAMS490 Pers. (D+1)
31 TEAMS1085 Pers.
(D+3)
Treat & Release(Outpatient
Facility)
250 Patients/day
2,500 Patients/day
5,000 Patients /day
Treat & LimitedHolding
160 Outpatients/da
y8-10 Inpatients
2,250 Outpatients/day112 Inpatients
4,500 Outpatients/day224 Inpatients
HospitalWard
50 Patients 700 Patients 1,400 Patients
Mass Casualty Incident
Holding/CollectionFacility
(Reception Center)
150 Patients 2,100 Patients 4,200 Patients
Initiative developed jointly by DHS and Initiative developed jointly by DHS and HHS to create a deployable infrastructure HHS to create a deployable infrastructure to help close the U.S. surge capacity gap, to help close the U.S. surge capacity gap, that could, by 2010 create 31,000 beds.that could, by 2010 create 31,000 beds.
Federal Medical Contingency Stations
Three types of FMCS deployable caches are Three types of FMCS deployable caches are envisioned:envisioned:
Type I - Medically robust facility comprehensive capability Type I - Medically robust facility comprehensive capability (field hospital) to care for severely ill or injured patients(field hospital) to care for severely ill or injured patients
Type II- Specialized versions of the FMCS Type I configured Type II- Specialized versions of the FMCS Type I configured for specific needs , such as respiratory isolation and/or burnsfor specific needs , such as respiratory isolation and/or burns
Type III – Low to mid-level acuity of care that may be used for Type III – Low to mid-level acuity of care that may be used for special needs shelters, quarantine function, alternate care or special needs shelters, quarantine function, alternate care or step-down facility to augment community hospital capability in step-down facility to augment community hospital capability in a shelter-of-opportunitya shelter-of-opportunity
Support National Patient Accountability, Movement & Regulating Initiative with DOD and DOT
USG Medical Surge Bed Capacity Target By FY 2010 : 31,000+ (pending funding)
DHS/FEMA Capability(Staffed by NDMS Teams)• 500 FY05•1000 add’l by FY08 pending
support for funding
Medical Surge Bed Capacity
Private S
ector
HH
S
VA DoD
GAPSGAPS
Hospital Beds & facilitiesHospital Beds & facilitiesHealthcare personnelHealthcare personnelEquipment & suppliesEquipment & suppliesInteroperable electronic medical recordsInteroperable electronic medical recordsPatient movement capabilityPatient movement capabilityExpertiseExpertiseADEQUATE funding & staffing to address gapsADEQUATE funding & staffing to address gaps
Sufficient medical surge capacity in the US to Sufficient medical surge capacity in the US to respond to a naturally occurring catastrophic respond to a naturally occurring catastrophic disaster or terrorist event WMD - including disaster or terrorist event WMD - including CBRN agentsCBRN agents