San Mateo County Emergency Medical Services Agency

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San Mateo CountyEmergency Medical Services Agency

• Coordinating Emergency Medical Services
• Medical/Health Emergency Preparedness for San
  Mateo County

Photos courtesy Don Cheu, MD unless otherwise
cited
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Emergency Medical Services

• A system to provide care and transportation in
  response to a sudden and unexpected medical event
• Includes ambulances, first responders, hospitals,
  trauma centers, and associated stakeholder
  organizations
• Medical component of 911

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Government EMS

• U.S. Department of Transportation, National
  Highway Traffic Safety Administration, Traffic
  Safety, Office of EMS (NHTSA)
• California Health and Human Services Agency,
  California EMS Authority (EMSA)
• Local EMS Agency (LEMSA)

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Authority

• California Health Safety Code, Division 2.5,
  Sections 1797 1799, Emergency Medical Services
  System and the Prehospital Emergency Medical Care
  Personnel Act.
• California Code of Regulations, Title 22,
  Division 9, Prehospital Emergency Medical
  Services

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San Mateo County
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San Mateo County Health Department
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San Mateo County EMS Agency
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Responsibilities

• EMT Certification
• Approval of EMS courses and providers
• Oversee 911 contract
• Accredit paramedics
• Develop policies protocols
• Coordinate disaster preparedness for prehospital
  and hospitals

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Guidance

• Emergency Medical Care Committee
• Medical Advisory Committee
• Quality Leadership Council
• Operations Committee
• Nurse Leadership Committee
• MCI Working Group
• Hospital Working Group

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EMS System

• Exclusive Operating Area (EOA)
• South San Francisco
• (201)

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Public Private Partnership
Photo courtesy AMR
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Public

• Joint Powers Authority for Fire/EMS
• Public Safety Communications
• Single Fire EMS Dispatching
• Emergency Medical Dispatch

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Private

• American Medical Response
• Contractor for most Bay Area counties
• Largest Ambulance Company in US and World

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Data-driven, evidence-based patient care
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S M A R T
San Mateo County Mental Health Assessment
Referral Team
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Emergency Preparedness
Medical/Health Operational Area Coordinator
Medical Healthcare Delivery Health Public
Health
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Emergency Preparedness
PREPARATION
Evaluation, planning, training and exercises
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Emergency Preparedness
PREPARATION
RESPONSE
Providing rescue, medical care, shelter and other
services during the incident, emergency or
disaster
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Emergency Preparedness
PREPARATION
RESPONSE
RECOVERY
Restoring infra-structure, services, lives and
the economy to pre-disaster conditions
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Emergency Preparedness
PREPARATION
RESPONSE
RECOVERY
MITIGATION
Taking steps to reduce the effects of events that
cannot be prevented
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Emergency Preparedness
PREPARATION
RESPONSE
RECOVERY
MITIGATION
Emergency Preparedness is a continuing cycle of
improved preparation, response, recovery and
mitigation
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Preparation
PLAN
EVALUATE
TRAIN
EXERCISE
HSEEP Homeland Security Exercise Evaluation
Program
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Guidance for Emergency Preparedness
Planning comes from many sources
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Preparedness Partners
San Mateo County EMS Agency
San Francisco International Airport
Hospitals and Healthcare Systems
Ambulance Services
Fire Departments and Districts
Public Health
Environmental Health
Office of Emergency Services
Clinics
Regional Disaster Medical Health Coordinator
California EMS Authority
California Department of Health Services
National Disaster Medical System
Blank
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Funding Sources

• General budget
• Grants

HRSA Health Resources Services
Administration CDC Bioterrorism Preparedness in
Public Health DHS Department of Homeland Security
through County OES UASI Urban Area Security
Initiative through County OES and SF OES
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Daily Preparedness
EMS, Public Health and Public Safety
Communications monitor 911 responses for key
medical conditions, providing an early alerting
system for public health and bioterrorism
emergencies.
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Multi-Casualty Incidents
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ICS / Medical Group
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Ambulance Greater Alarm Plan
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Ambulance Greater Alarm Plan
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Ambulance Greater Alarm Plan
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Triage

• START
• RPM
• Respirations, Pulse, Mental Status
• JumpSTART
• Children under 8 years old
• One attempt to revive before declaring

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Triage
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Triage Tags
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Mutual Aid
Six Mutual Aid Regions
Three Administrative Regions
Coastal II Inland III, IV, V Southern I, VI
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Del Norte
Coastal Region Mutual Aid Region II
Humbolt
Mendocino
Lake
Napa
Sonoma
Solano
Marin
Contra Costa
Alameda
San Francisco
San Mateo
Santa Clara
Santa Cruz
San Benito
Monterey
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Mutual Aid StructureStandardized Emergency
Management System
State Operations Center
Federal Assets
Regional EOC
Operational Area EOC
Adjacent OA
Adjacent OA
Local EOC
Adjacent City
Adjacent City
Partner Agencies
Incident
Partner Agencies
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Medical/Health Mutual Aid
Emergency Support Function 8 (HHS) Federal Region
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Medical Health Branch CDHS EMSA
Regional Disaster Medical Health
Coordinator Regional Disaster Medical Health
Specialist
Medical Health Operational Area Coordinator
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Other Resources
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San Mateo County Public Health - Bioterrorism
Website
www.smhealth.org/bt
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San Mateo County Sheriffs Office of Emergency
Services Homeland Security
www.co.sanmateo.ca.us/oes
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California EMS Authority Disaster Medical
Services
www.emsa.ca.gov/dms2/dms2.asp
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California Governors Office of Emergency Services
www.oes.ca.gov
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California Department of Health
Services Emergency Preparedness Office
http//dhs.ca.gov/epo/
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American Red Cross
www.redcross.org
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Federal Emergency Management Agency
www.fema.gov
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Questions
www.smhealth.org/ems
Thank you!