Minnesota-1 Disaster Medical Minnesota-1 Disaster Medical Assistance TeamAssistance Team

www.mndmat.comwww.mndmat.com

NDMS OverviewNDMS Overview

National Disaster Medical National Disaster Medical System (NDMS)System (NDMS)

… Providing Critical Care … Providing Critical Care for the Nation.for the Nation.

National Disaster Medical National Disaster Medical SystemSystem

Includes 105 teams which respond Includes 105 teams which respond during disasters when activated during disasters when activated by FEMA (Federal Emergency by FEMA (Federal Emergency Management Agency) now part of Management Agency) now part of the Department of Homeland the Department of Homeland Security.Security.

Teams include DMATs, VMATs, Teams include DMATs, VMATs, DMORTs, specialty teams (BSTs, DMORTs, specialty teams (BSTs, NBCs, IMSURTs and USARs).NBCs, IMSURTs and USARs).

AcronymsAcronyms DMATDMAT: Disaster Medical Assistance Team: Disaster Medical Assistance Team VMATVMAT: Veterinary Medical Assistance Team: Veterinary Medical Assistance Team DMORTDMORT: Disaster Mortuary Response Team: Disaster Mortuary Response Team

BSTBST: Burn Specialty Team: Burn Specialty Team NBCNBC: Nuclear, Biological, Chemical Team: Nuclear, Biological, Chemical Team IMSURTIMSURT: : International Medical Surgical International Medical Surgical

TeamTeam USARUSAR: Urban Search and Rescue Team: Urban Search and Rescue Team

DMATDMAT

After a natural disaster or terrorist After a natural disaster or terrorist event, NDMS, through its Disaster event, NDMS, through its Disaster Medical Assistance Teams Medical Assistance Teams (DMATs) provides medical care in (DMATs) provides medical care in austere conditions, including pre-austere conditions, including pre-hospital, ambulatory and in-patient hospital, ambulatory and in-patient care, medical transportation, care, medical transportation, patient evacuation, and other patient evacuation, and other medical duties as required. medical duties as required. 

VMATVMAT

VMAT has the capability of setting VMAT has the capability of setting up a full field hospital, and can up a full field hospital, and can provide medical care for pets, provide medical care for pets, search and rescue dogs, livestock, search and rescue dogs, livestock, wildlife and even zoo animals if the wildlife and even zoo animals if the need arises. need arises.

They may also be activated to assist They may also be activated to assist with food safety concerns, zoonotic with food safety concerns, zoonotic disease, terrorist events and disease, terrorist events and toxicological problems. toxicological problems.

DMORTDMORT Disaster Mortuary Operational Response Disaster Mortuary Operational Response

Teams (DMORTs) assist the National Teams (DMORTs) assist the National Transportation Safety Board (NTSB) in the Transportation Safety Board (NTSB) in the aftermath of airline and other transportation aftermath of airline and other transportation disasters.  disasters. 

Other assistance includes providing to work Other assistance includes providing to work with local medical examiners in the with local medical examiners in the identification of victims, provision of mortuary identification of victims, provision of mortuary services, and assistance to the families of the services, and assistance to the families of the victims. victims. 

10 DMORTs are located throughout the U.S 10 DMORTs are located throughout the U.S and an additional DMORT was created to be and an additional DMORT was created to be able to deal with contaminated victims of a able to deal with contaminated victims of a WMD event. WMD event.

IMSURTIMSURT

The International The International Medical/Surgical Response Team Medical/Surgical Response Team (IMSURT) can rapidly deploy to (IMSURT) can rapidly deploy to sites overseas to provide on sites overseas to provide on scene surgical as well as medical scene surgical as well as medical care in support of Department of care in support of Department of State missions. State missions.

USARUSAR Urban Search and Rescue response teams Urban Search and Rescue response teams

are designed to provide a coordinated are designed to provide a coordinated response to disasters in urban response to disasters in urban environments. environments.

Emphasizing the location and extrication Emphasizing the location and extrication of victims trapped in collapsed structures, of victims trapped in collapsed structures, confined spaces, or trenches in largely confined spaces, or trenches in largely populated areas, populated areas,

USAR is capable of responding to State and USAR is capable of responding to State and National disasters including earthquakes, National disasters including earthquakes, hurricanes, widespread tornadoes, and hurricanes, widespread tornadoes, and man-made technological and terrorist man-made technological and terrorist events.events.

Urban Search and Rescue

NDMS Major NDMS Major ComponentsComponents

Medical Medical ResponseResponse

Patient Patient EvacuationEvacuation

Definitive Definitive Medical CareMedical Care

Importance of NDMSImportance of NDMS

Improves Federal Improves Federal Mission ReadinessMission Readiness Ability to Mobilize Ability to Mobilize

and Deploy Medical and Deploy Medical Teams, Supplies, Teams, Supplies, and Equipment.and Equipment.

Ability to Provide Ability to Provide Patient Evacuation Patient Evacuation System.System.

Ability to Provide Ability to Provide Definitive Medical Definitive Medical CareCare

NDMSNDMS

Supplement state and local medical Supplement state and local medical resources during disasters and resources during disasters and emergencies; emergencies;

Evacuate patients to designated Evacuate patients to designated locations throughout the United locations throughout the United States for casualties that cannot be States for casualties that cannot be managed locally; and managed locally; and

Support the military and VA health Support the military and VA health care systems during an overseas care systems during an overseas conventional conflict. conventional conflict.

NDMS meets the national need NDMS meets the national need for the medical component of the for the medical component of the National Response Plan, National Response Plan, including medical care, in-including medical care, in-hospital care, patient evacuation, hospital care, patient evacuation, mental health assistance, victim mental health assistance, victim identification and mortuary identification and mortuary services. services.

NDMS is also a partner in the military NDMS is also a partner in the military contingency program, and can be contingency program, and can be activated directly by the Assistant activated directly by the Assistant Secretary of Defense for Health Affairs.  Secretary of Defense for Health Affairs. 

In the event of a military conflict that In the event of a military conflict that overwhelms the DOD and VA health overwhelms the DOD and VA health care systems, NDMS will be available to care systems, NDMS will be available to provide medical care and hospital beds provide medical care and hospital beds in over 2,000 private (non-federal) in over 2,000 private (non-federal) hospitals across the U.S. hospitals across the U.S. 

Disaster Medical Assistance Disaster Medical Assistance TeamTeam

Established in early 1980’s to assist Established in early 1980’s to assist communities where disaster results communities where disaster results in medical needs that are greater in medical needs that are greater than a community’s medical than a community’s medical resources.resources.

A mobile medical unit consisting of A mobile medical unit consisting of 35 medical and paraprofessionals 35 medical and paraprofessionals personnel and ~22,000 lbs of personnel and ~22,000 lbs of equipment & supplies.equipment & supplies.

Deploy for up to 2 weeks.Deploy for up to 2 weeks.

Teams Members of Teams Members of NDMSNDMS

DMAT’S are a part of the National DMAT’S are a part of the National Disaster Medical System (NDMS).Disaster Medical System (NDMS).

Cooperative asset-sharing partnership:Cooperative asset-sharing partnership: Department of Health and Human ServicesDepartment of Health and Human Services Department of DefenseDepartment of Defense Department of Veterans AffairsDepartment of Veterans Affairs Federal Emergency Management AgencyFederal Emergency Management Agency State and Local GovernmentsState and Local Governments Private BusinessesPrivate Businesses Civilian VolunteersCivilian Volunteers

DeploymentDeployment

35 member team – self sustaining up to 35 member team – self sustaining up to 72 hours72 hours

Each Position 3 Deep for 105 total unit Each Position 3 Deep for 105 total unit membersmembers

Purpose: to deal with medical and Purpose: to deal with medical and health effects of:health effects of: Natural DisastersNatural Disasters Technological DisastersTechnological Disasters Major Transportation AccidentsMajor Transportation Accidents Terrorist acts involving Weapons of Mass Terrorist acts involving Weapons of Mass

Destruction (WMD)Destruction (WMD)

NDMS Activation CriteriaNDMS Activation Criteria Military Contingency – Military Contingency –

Overseas ConventionalOverseas Conventional Armed Conflict Armed Conflict

Involving U.S. ForcesInvolving U.S. Forces Presidential Presidential

Declaration of Declaration of DisasterDisaster

Pre-position in Pre-position in Anticipation of an Anticipation of an EventEvent

Request for Major Request for Major Medical AssistanceMedical Assistance

DMAT’s have deployed with the DMAT’s have deployed with the FBI, DOD, Secret Service, U.S. FBI, DOD, Secret Service, U.S. Capitol Police and other law Capitol Police and other law enforcement groups to Presidential enforcement groups to Presidential State of the Union Addresses, State of the Union Addresses, Republican and Democratic Republican and Democratic national conventions, Presidential national conventions, Presidential inauguration events, world inauguration events, world summits, and other high profile summits, and other high profile events.events.

Team Make Up - 35Team Make Up - 35 Team leader – 1 & 1 Deputy Team leader – 1 & 1 Deputy

Team LeaderTeam Leader Medical Officer (physicians) – Medical Officer (physicians) –

44 Admin/Finance Chief – 1Admin/Finance Chief – 1 Logistics Chief – 1Logistics Chief – 1 Communications– 2Communications– 2 Pharmacists – 2Pharmacists – 2 Pharmacy Assist. – 2Pharmacy Assist. – 2 Supervisory Nurse – 2Supervisory Nurse – 2 Staff Nurse – 6Staff Nurse – 6 Physician Assistants – 2Physician Assistants – 2 Paramedics / EMT’s – 6Paramedics / EMT’s – 6 Administrative Assistant – 1Administrative Assistant – 1 Equipment Specialist – 1Equipment Specialist – 1 Safety & Security Officer – 2Safety & Security Officer – 2 Others as Determined by Others as Determined by

DMATDMAT

Full Team - TotalFull Team - Total

3 deep in each position3 deep in each position Total – approximately 105 people Total – approximately 105 people

per unitper unit Recruitment – 150 mile radius Recruitment – 150 mile radius

(approx.)(approx.) 18 years of age or older18 years of age or older Good physical conditionGood physical condition Medical and non-medical positionsMedical and non-medical positions

DMAT FunctionsDMAT Functions

TriageTriage Austere Medical Austere Medical

CareCare Casualty Clearing Casualty Clearing

/ Staging/ Staging Patient ReceptionPatient Reception

Minnesota-1 Minnesota-1 Disaster Medical Disaster Medical Assistance TeamAssistance Team

(MN-1 DMAT)(MN-1 DMAT)

MN-1 2004 Field Training MN-1 2004 Field Training ExerciseExercise

MN-1 DMATMN-1 DMAT

Sponsored by the Minnesota chapter of the Sponsored by the Minnesota chapter of the American College of Emergency Physicians.American College of Emergency Physicians.

Established in May 2002 as a developmental Established in May 2002 as a developmental team.team.

Upgraded to a level III local resource Upgraded to a level III local resource /augmentation team in January 2004./augmentation team in January 2004.

120 team members includes 15 MDs, 6 PA/NPs 120 team members includes 15 MDs, 6 PA/NPs 40 RNs, 25 paramedics/EMTs, 8 pharmacists 40 RNs, 25 paramedics/EMTs, 8 pharmacists and pharmacy techs, 8 Respiratory Techs, 3 and pharmacy techs, 8 Respiratory Techs, 3 Mental Health, 8 Communications, Safety, Mental Health, 8 Communications, Safety, Security and Logistics Officers.Security and Logistics Officers.

Nearby TeamsNearby Teams

IA-1 DMATIA-1 DMAT OK-1 DMATOK-1 DMAT MI-1 DMAT MI-1 DMAT

(Mentor Team)(Mentor Team) MO-1 DMATMO-1 DMAT MO-2 DMATMO-2 DMAT

MN-1 DMATMN-1 DMAT

Please visit the Please visit the Contact Us Contact Us section of our section of our website to get website to get more more information.information.