Virginia1 DMAT

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Virginia-1 DMAT
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Resource Allocation of DMATs Under ESF 8

• ASSE Meeting
• Hurricane Response and Recovery
• November 18, 2004
• Scott Kalis, NREMT-P
• EH S Manager - Raytheon Company
• (VA-1 FEMA Team Health Safety Officer)

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DHS/ FEMA/ Response Division/ Operations Branch/
NDMS

• National Disaster Medical System
• The National Disaster Medical System (NDMS) is a
  section within the U.S. Department of Homeland
  Security, Federal Emergency Management Agency,
  Response Division, Operations Branch, and has the
  responsibility for managing and coordinating the
  Federal medical response to major emergencies and
  Federally declared disasters including
• Natural Disasters
• Technological Disasters
• Major Transportation Accidents
• Acts of Terrorism including Weapons of Mass
  Destruction Events

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Components of NDMS

• 3 Components
• Medical response to a disaster area in the form
  of teams, supplies, and equipment.
• Patient movement from a disaster site to
  unaffected areas of the nation.
• Definitive medical care at participating
  hospitals in unaffected areas.

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NDMS Teams

• Disaster Medical Assistance Teams (DMAT)
• Disaster Mortuary Operational Response Teams
  (DMORT)
• Veterinary Medical Assistance Teams (VMAT)
• Urban Search and Rescue/Medical Teams (USR)
• Pediatric Teams
• Burn Teams
• Mental Health Teams
• National Medical Response Teams (NMRT)
• Crush Medical Team
• International Medical Surgical Response Teams
  (IMSuRT)

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DMAT

• Disaster Medical Assistance Teams
• DMATs are groups of professional and
  para-professional medical personnel (supported by
  a cadre of logistical and administrative staff)
  designed to provide medical care during a
  disaster or other event. Each team has a
  sponsoring organization, such as a major medical
  center, public health or public safety agency,
  non-profit, public or private organization that
  signs a Memorandum of Agreement (MOA) with the
  DHS. The DMAT sponsor organizes the team and
  recruits members, arranges training, and
  coordinates the dispatch of the team.

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DMAT

• Disaster Medical Assistance Teams
• DMATs deploy to disaster sites with sufficient
  supplies and equipment to sustain themselves for
  a period of 72 hours while providing medical care
  at a fixed or temporary medical care site. In
  mass casualty incidents, their responsibilities
  may include triaging patients, providing
  high-quality medical care despite the adverse and
  austere environment often found at a disaster
  site, and preparing patients for evacuation

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DMAT

• Disaster Medical Assistance Teams
• In other types of situations, DMATs may provide
  primary medical care and/or may serve to augment
  overloaded local health care staffs.
• Under the rare circumstance that disaster victims
  are evacuated to a different locale to receive
  definitive medical care, DMATs may be activated
  to support patient reception and disposition of
  patients to hospitals

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DMAT

• Disaster Medical Assistance 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.

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DMAT

• DMAT Members
• Are required to maintain appropriate
  certifications and licensure within their
  discipline.
• Are activated as Federal employees, licensure and
  certification is recognized by all States.
• Are paid while serving as part-time federal
  employees and have the protection of the Federal
  Tort Claims Act in which the Federal Government
  becomes the defendant in the to provide
  interstate aid. event of a malpractice claim.

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Typical DMAT CompositionField Response Assignment

• 35 Deploying members including
• 9 Non-Health care positions
• 2 DMAT Leaders
• 1 Health/Safety Officer
• 1 Administrative/Finance Chief
• 1 Administrative Assistant
• 1 Logistics Chief
• 1 Equipment Specialist
• 2 Communications Specialists

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DMAT CompositionField Response Assignment

• 35 Deploying members including
• 21 Health care positions
• 3 Medical Officers
• 1 Pharmacist
• 1 Pharmacy Assistant
• 2 Supervisory Nurse Specialists
• 6 Staff Nurses
• 4 Advanced Practice Nurses or Physician
  Assistants
• 4 Paramedics

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DMAT CompositionField Response Assignment

• 35 Deploying members including
• 5 positions determined by DMAT

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Disaster Response Authorities

• Robert T. Stafford Disaster and Emergency
  Assistance Act
• Homeland Security Act of 2002
• Defense Against Weapons of Mass Destruction Act
  of 1996
• Public Health Security and Bioterrorism
  Preparedness and Response Act of 2002
• Homeland Security Presidential Directive 5
• Executive Orders 12148, 12472, 12656

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Federal Response Plan

• 1. Transportation
• Dept of Transportation
• 2. Communication
• National Communications System
• 3. Public Works and Engineering
• DOD, Army Corps of Engineers
• 4. Firefighting
• Dept of Agriculture
• 5. Information and Planning
• FEMA
• 6. Mass Care
• American Red Cross

• 7. Resource Support
• General Services Administration
• 8. Health and Medical Services
• Department of Health and Human Services
• 9. Urban Search and Rescue
• FEMA
• 10. Hazardous Materials
• Environmental Protection Agency
• 11. Food
• Dept of Agriculture Food and Nutrition Service
• 12. Energy
• Department of Energy

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Resource Allocation of DMATs Under ESF-8

• Support of Public Health or Hospitals w/Degraded
  Infrastructure
• Support of Public Health or Hospitals w/ Intact
  Infrastructure
• Austere Medical Care/Support of Local Communities
• Lite Medical Response/Medical Staff Augmentation

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Virginia - 1 DMAT Tasking

• Federal Response Team for National Disasters, and
  International Disasters when requested by State
  Dept, World Health Organization or United
  Nations.
• Response Asset for the Commonwealth of Virginia
  when the Governor requests Federal Activation.
• Provide Austere Medical Care/Support of Local
  Communities when deployed via Federal Activation.
• Federal Response Team for the Pentagon, the
  Capital, the White House and Federal Operations
  in Virginia and Washington, D.C.

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DMAT Support of PH or Hospitals
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