National Disaster Medical System (NDMS) Department of Health and Human Services

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1 National Disaster Medical System (NDMS) Department of Health and Human Services

2 BRIEFING OVERVIEW ESF #8 Role in Federal Response National Disaster Medical System Local Needs - The Driving Force

3 Emergency Preparedness Natural Disasters Technological Disasters Terrorism

4 THE FEDERAL THE FEDERAL RESPONSE RESPONSE PLAN PLAN THE FEDERAL THE FEDERAL THE FEDERAL THE FEDERAL RESPONSE RESPONSE RESPONSE RESPONSE PLAN PLAN PLAN PLAN Disaster Disaster Occurs Occurs Local First Responders Local First Responders County Executive County Executive Alert Requests Aid From Governor Governor FEMA Regional Director FEMA Regional Director Informs FEMA Director FEMA Director Advises President President Contacts Declares Disaster Declares Disaster Requests Assistance Emergency Response Team Emergency Response Team 12 Emergency Support Functions (ESFs) 12 Emergency Support Functions (ESFs) Provides Federal Coordinating Officer Federal Coordinating Officer State Coordinating Officer State Coordinating Officer Appoints Sets Up Joins Field Operations Disaster Field Office

5 FEDERAL RESPONSE PLAN EMERGENCY SUPPORT FUNCTIONS USDA DOJ DVA DOD DOT AID ARC EPA FEMA GSA FEMA EPA HHS USDA Hazardous Materials Urban Search and Rescue Health and Medical GSA Food Resource Support 7 DOE Energy ESF 6 Mass Care ARC DOT Transportation Communication Information & Planning Public Works (USACE) Firefighting FEMA NCS USDA & FS DOD

6 Roles of Emergency Support Function #8 1. Assessment of Health and Medical Needs 2. Health Surveillance 3. Medical Care Personnel 4. Health/Medical Equipment and Supplies 5. Patient Evacuation 6. In-Hospital Care 7. Food/Drug/Medical Device Safety 8. Worker Health/Safety 9. Radiological, Chemical, and Biological Hazards 10. Mental Health 11. Public Health Information 12. Vector Control 13. Potable Water/Wastewater & Solid Waste Disposal 14. Victim Identification/Mortuary Services 15. Veterinary Services

7 NDMS is a public/private sector partnership Federal partners - HHS, DOD, VA, FEMA

8 Major Components Medical Response Patient Evacuation Definitive Medical Care

9 NDMS Purpose A Nationwide Medical Response System to: Supplement state and local medical resources during disasters or major emergencies Provide backup medical support to the DOD/VA medical care systems during an overseas conventional conflict

10 NDMS Medical Response Lead Responsibility - HHS Assessment of Health/Medical Needs Medical Care Personnel Health/Medical Equipment and Supplies Victim Identification/Mortuary Services Veterinary Services

11 NDMS Medical Response Disaster Medical Assistance Teams (DMATs) Volunteer Groups Affiliated with NDMS Approximately 100 Persons per Team (> 6,000 personnel) Variety of Health/Medical Skills Locally Sponsored Community Based Local/ State Asset

12 NDMS Medical Response DMAT FUNCTIONS At Disaster Site Triage Austere Medical Care Casualty Clearing/Staging At Local NDMS Reception Area Patient Reception

13 NDMS Readiness Level 1 Disaster Medical Assistance Teams GUAM AK Los Angeles Area HI Maui Seattle WA MT OR ID WY NV UT CA San Bernadino San Diego AZ NM CO Denver ND SD Albuquerque El Paso NE KS TX OK MN IA MO AR LA WI Fort Wayne IL RI MS IN MI AL Westland Toledo OH GA WV PA FL VA NY MD VT NJ DE CT NH MA PR ME PHS Fort Thomas KY Winston-Salem TN Tulsa SC NC Little Rock Riverdale Birmingham Pensacola Port Charlotte Miami USVI Worcester Boston Providence

14 NDMS Medical Response SPECIALTY TEAM FUNCTIONS Pediatric Burn Disaster Mortuary Teams (DMORTs) Urban Search and Rescue Mental Health Veterinary Medical Assistance Teams (VMATs) C/ B Incident National Medical Response Teams (NMRTs)

15 NDMS Patient Evacuation Lead Responsibility - DOD Provide Patient Movement from the Disaster Area Utilize All Types of Transportation Primarily Relies on Aeromedical

16 NDMS Definitive Medical Care Lead Responsibility - DOD/ VA Concentrated in Major Metropolitan Areas Air Access Federal Coordinating Centers Available Hospital Support Patient Reception and Distribution Capabilities

17 NDMS Definitive Medical Care Federal Coordinating Centers (FCCs) AK WA CA OR NV ID UT MT WY CO ND SD NE KS MN IA WI IL MI IN OH WV PA VA NY MD VT NH MA CT NJ DE ME RI Army FCC Navy FCC Air Force FC VA FCC AZ NM TX OK MO AR KY TN SC NC MS AL LA GA FL USVI HI UAM PR

18 ESF # 8/NDMS ACTIVATIONS Hurricane Hugo Loma Prieta Earthquake Hurricane Andrew Typhoon Omar Hurricane Iniki Midwest Floods Northridge Earthquake Southwest Georgia Floods Houston Floods Oklahoma City Bombing Hurricanes Marilyn & Opal Centennial Olympic Games Hurricane Fran

19 ESF # 8/NDMS ACTIVATIONS (CONT D) Republican Convention Democratic Convention Quincy, IL Aircrash Oregon Floods Hurricane Bertha Hurricane Edward Hurricane Hortense Presidential Inaugural California Floods Monroe, MI Aircrash North Dakota Floods Minessota Floods Hurricane Fern Indiana Storms

20 ESF # 8/NDMS ACTIVATIONS (CONT D) Ohio Floods Nevada Floods Hawaii Floods Summit of the Eight (SOTE) Guam Aircrash Idaho Floods Kentucky Floods New York Ice Storms State of the Union California Floods Florida Fire Storm Ohio Floods Texas Floods Hurricane Bonnie Hurricane Georges State of the Union Pope s Visit

21 For further information visit our website at:

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