Need for Disaster Medical TeamsModular Emergency Medical System

Alternate Care SitesAcute Care Center

50-bed ModuleTransportable Emergency Surge

Assistance AKA: MI-TESAPotential for statewide or interstate responseMajor Incident or EventUp to 40-beds

Other special usesSupport Local Public Health

NIMS Resource Typing

5th District Disaster Medical Personnel ResourcesFirst Responders / First

ReceiversSurge capacity to staff

existing facilities / units

Specialized GroupsRegional Medical

Assistance Team (RMAT)Regional Medical

Reserve Corps (5DMRC)MI Volunteer Registry

(MVR)

Regional Medical Assistance TeamPurpose: Provide a multi-disciplinary,

multifunction medical task force capable of a wide range of disaster medicine missions.

Core Functional ComponentsRegional Ambulance Strike TeamMobile Field Medical TeamsIncident Management TeamAncillary Pharmacy Support Team

RMAT MRC MI Vol Reg

Organizational Affiliation Yes No No

Employment Status Employed Volunteer Volunteer

Response Team Member Core Augment Augment

Training +++ ++ +/-

---NIMS Training ICS 100 / 200

IS 700

ICS 100IS 700

Just in Time

---Specialty Courses (eg ACLS)

Required Encouraged

Optional

Exercising Required Encouraged

Optional

Mobile Field Medical Team Function: Acute and

Primary Care Services in an out-of-hospital setting.

Type I vs. Type 2Potential Roles

Staff TESAStaff ACCAugment HospitalsAugment PH UnitsStaff Special Events

Core Composition1 Medical Unit Team

Leader1 Physician1 Physician Assistant or

Advanced Practice Nurse6 Registered Nurses1 Respiratory Therapist4 Paramedics

Supplemental2 SW2 MH

Regional Ambulance Strike Team 5 fully staffed ALS ambulances working as single

resourceDedicated team leader

Personnel trained for multi-mission capabilitiesBasic / Advanced Disaster Life SupportAdvanced Burn Life Support (on-line)Critical Care (+/-)

Potential MissionsTESA SupportFacility EvacuationSupplement or replace local EMSSpecial operations (e.g., collapse rescue)

Resources pooled from regional EMS agencies

5th District RMAT AgenciesPrimary Agencies

HospitalsEMS AgenciesPublic Health

Primary ResponsibilitiesProvide personnel for training and exercising

Reimbursable under ASPRProvide personnel for major incidents and eventsCover wages, benefits, workers comp, personnel

liability

Agency Personnel Contributions

TertiaryHospitals

Commun.Hospitals

EMS Agencies

Other Agencies

Total

Physicians 1-2 1-2 5-10

Residents 10-15 10-15

Mid-Levels 1-2 1-2 6-12

RNs 10 2-3 4-8 72-75

RTs 1 0-1 6-12

EMT-P 0-1 2-6 2-6 30-40

Pharmacists

0-1 1-2 3-4

Pharm Techs

0-1 1-2 3-4

SW/MH 1 0-1 6-12

Case Manager

1 0-1 0-1 6-12

Others 0-1 0-1 0-2 0-2 6-12

TOTAL 15-21 2-7 2-8 153-208

Issues to be Worked OutCommitment in Disaster

Agencies may benefit from surge resourcesAgencies are driven to help

Need for MOAAgencies retain control on personnel commitment

Salary, fringe, workers comp, etc.Opportunity for use of ASPR funds for

training/exercisesOpportunity for response reimbursementPossible un-reimbursed response

Possibility of DMAT cross-membership

Next StepsIdentify Perspective Members (“Cherrie

Pick”)Submit roster electronically

Members Complete Applicationmivolunteerregistry.orgRMAT Supplemental ApplicationCopies of credentials

Members complete minimal on-line trainingTeam Orientation / Training SessionVigilant Guard Exercise (6/10)Tri-Annual Training / Exercises