National Disaster Medical System Preventive /Aerospace/Occupational Medicine Role Disclosure Information American OsteopathicCollegeof Occupational & Preventive MedicineOMED-Las Vegas, NV-October1, 2013 Allen J. Parmet, MD I have no financial relationships to disclose. I will not discuss off-label use and/or investigational use in my presentations Allen J. Parmet, MD, MPH, FACPM, FASMA, FACOEM, AIAASM MO1-DMAT drparmet@kc.rr.com National Disaster Medical System United States Department of Health and Human Services (HHS) responsible for managing Federal government's medical response to major emergencies and disasters NDMS was returned to DHHS (US Department of Health and Human Services) on January 1, 2007 by an Act of Congress). Federal Partners: FEMA, DoD, DVA National Disaster Medical System (NDMS) Response Teams Disaster Medical Assistance Team (DMAT) (55) Disaster Mortuary Operational Response Teams (DMORT) (10) International Medical Surgical Response Team (IMSURT) (4) National Veterinary Response Team (NVRT) (10) National Disaster Medical System Disaster Medical Assistance Team (DMAT) Disaster Mortuary Operational Response Team (DMORT) International Medical Surgical Response Team (IMSuRT) A-1
Disaster Medical Assistance Team (DMAT) A DMAT is a group of professional and para-professional medical personnel (supported by a cadre of logistical and administrative staff) designed to provide medical careduring a disaster or other event. NDMS recruits personnel for specific vacancies, plans for training opportunities, and coordinates the deployment of the teams. DMATs are designed to be a rapid-response element to supplement local medical care until other Federal or contract resources can be mobilized, or the situation is resolved. DMATs deploy to disaster sites with sufficient supplies and equipment to sustain themselves for a period of 72 hours while providing medical careat a fixed or temporary medical care site. The personnel are activatedfor a period of two weeks. State Disaster Medical Assistance Team (DMAT) MO1-DMAT/MoDRS The DMAT as a state organization is a 501.3ctaxexemptentity which can be activatedbythe state disasterresponse system and respond to the governor s requeststo supportmedical needsin anyemergency. Examples in tornados,floods,ice storms augmenting orreplacing local medical resources, sheltering special needsand institutionalized persons. Aerospace Medicine in DMAT Team Occupational Medicine Fitness For Duty Pre-deployment vaccinations, respirator fits Deployment injuries, illness and follow-up Deployed Public Health Aeromedical Evacuation MODRS Information: Personnel should check their go kits Monitor your email closely for any MODRS related information Check your personaland family preparedness plans andchangethebatteries inyour All Hazards Weather Radio THIS DOCUMENTIS FOR OFFICIALUSE AND INFORMATIONAL PURPOSESONLY AND IS NOTINTENDED TOBE AN OPERATIONS ORDER OR MISSIONASSIGNMENT. ADDITIONALUPDATESWILLBE SENTAS WARRANTED. ### DMATs around the USA Strike Team-Rapid Response Unit 4 hours, 5 people, 4 Beds A-2
Full Team-Mobil Medical Unit 24 hours, 50 people, 50 Beds 2006-Hurricane Charlie-Punta Gorda, FL Casualties 158 Dead 1,150 Injured 450Patients inst. John s Hospital $3 Billion damages Timeline: May 22 5:34-6:12PMCDT-TornadoinJoplin 6:25-Governordeclares disaster 6:40-MO1-DMAT Activated 8:30 FirstStrikeTeamArrives May 23 2:30AM-ThirdStrikeTeam Arrives 2:00PM-Mobil MedicalUnitsets up 4:00PM-Patients transferredfrom St. Johns May 25 StrikeTeams close May 29 MobilMedicalUnitturned over to St. John s staff andis designated St. John s/mercy FieldHospital June 1 DMORT7completes casualty IDs Disaster Mortuary Operational Response Teams (DMORTs) The National Response Framework (NRF) utilizes the National Disaster Medical System (NDMS), as part of the Department of Health & Human Services, Assistant Secretaryfor Preparedness and Response (ASPR), Office of Preparedness and Operations (OPEO), under Emergency Support Function #8 (ESF #8), Healthand Medical Care, to provide victim identification and mortuary services. These responsibilities include: temporary morgue facilities victim identification forensic dental pathology forensic anthropology methods processing preparation disposition of remains A-3
DMORT Teams REGION I (ME, NH, VT, MA, CT, RI) REGION II (NY, NJ, PR, VI) REGION III (PA, MD, DC, DE, VA, WV) REGION IV (AL, KY, TN, NC, SC, GA, MS, FL) REGION V (MN, WI, IL, IN, MI, OH) REGION VI (NM, TX, OK, AR, LA) REGION VII (NE, IA, KS, MO) REGION VIII (MT, ND, SD, WY, UT, CO) REGION IX (AZ, NV, CA, HI) REGION X (WA, AK, OR, ID) International Medical Surgical Response Team (IMSURT) The International Medical Surgical Response Team (IMSURT) is a National Disaster Medical System (NDMS) team of medical specialists who provide surgical and critical care during a disaster or public health emergency. Originally conceived to address the needs of U.S. citizens injured overseas, the IMSURT role has expanded over the years to include both domestic deployments, including the World Trade Center Bombings and Hurricane Katrina, and international deployments, including the earthquakes in Bam, Iran, and Port au Prince, Haiti. IMSURT personnel are Federal employees used on an intermittent basis to deploy to the site of a disaster or public health emergency and provide high quality, life saving surgical and critical care. National Veterinary Response Team (NVRT) IMSURT The National Veterinary Response Team (NVRT) is a cadre of individuals within the NDMS systemwho have professional expertise in areas of veterinary medicine, public health and research. Assessing the Veterinary Medical Needs of the Community Medical Treatment and Stabilization of Animals Animal Disease Surveillance Zoonotic Disease Surveillance and Public Health Assessments Technical Assistance to Assure Food Safety and Water Quality Hazard Mitigation Care and Support of Animals Certified as Official Responders to a Disaster or Emergency National Veterinary Response Team (NVRT) Strategic National Stockpile (SNS) CDC's Strategic National Stockpile (SNS) has large quantities of medicine and medical supplies to protect the American public if there is a public health emergency (terrorist attack, flu outbreak, earthquake) severe enough to cause local supplies to run out. Once Federal and local authorities agree that the SNS is needed, medicines will be delivered to any state in the U.S. in time for them to be effective. Each state has plans to receive and distribute SNS medicine and medical supplies to local communities as quickly as possible. A-4
American Osteopathic College of Occupational and Preventive Medicine Join NDMS! Recruitment Information Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) The Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) is a federal program created to support states and territories in establishing standardized volunteer registration programs for disasters and public health and medical emergencies. The program, administered on the state level, verifies health professionals' identification and credentials so that they can respond more quickly when disaster strikes. By registering through ESAR-VHP, volunteers' identities, licenses, credentials, accreditations, and hospital privileges are all verified in advance, saving valuable time in emergency situations. http://www.phe.gov/preparedness/responder s/ndms/teams/pages/recruitment.aspx References Department of Health and Human Services, Centers for Disease Control, Emergency Preparedness and Response: http://emergency.cdc.gov/ Department of Health and Human Services, National Disaster Medical System: http://www.phe.gov/preparedness/respond ers/ndms/pages/default.aspx A-5