Effective Incident Command System Public Health Response to Katrina Evacuees Cobb & Douglas Public Health, Marietta, GA Pam Blackwell, RN Director, Center for Emergency Preparedness and Response Alpha Bryan, MD District Health Director

Question Activation: Sept. 1, 2005, 0620 NDMS Atlanta Fed Coordinating Center Is there a good picture from later in the presentation that could go here?

Question Incident Command: 0645 Cobb County Public Health

Question Cobb & Douglas PH ICS Response ICS Response to Hurricane Katrina

Question Cobb & Douglas PH ICS Response (cont.) ICS Response to Hurricane Katrina

Question Dobbins ARB: 0700 “Getting ready to roll.” Organizing the Resources

Question The Partners DoD/VA-NDMS Dobbins ARB Cobb & Douglas Public Health Cobb County Fire & EMS Georgia State Defense Force Cobb County Public Safety GEMA Cobb County Community Services Board Cobb County EMA

Question Cobb County Sheriff Metro Atlanta EMS Providers 36 Metro Atlanta NDMS Hospitals Dekalb Board of Health Metro Atlanta Public Health Depts Region 3 EMS Cobb County Animal Control Georgia Highway Patrol Volunteer Doctors and Nurses FEMA Volunteer clergy The Partners (cont.)

Question Phase 1 Layout

Question Phase 2 Layout

Question Hangar 746Hangar 747 Deplane/Escort CC Triage Security Check Point Triage Flight Line Shelter Staging Medical Needs Med Supplies Green Team Yellow Team Red Team EMS Staging Transportation Flow Transpo Coord MACC Office Space Evacuee Doc Chairs/ Holding Food Mass Transpo Staging Mobile CMD Post Not to Scale Atlanta NDMS Patient Reception Area Transpo Coord Comfort Items

Question Atlanta FCC NDMS Org Chart Incident Commander Paul Brannigan VA

Question Atlanta FCC NDMS Org Chart (cont.) Incident Commander Paul Brannigan VA

Question Atlanta FCC NDMS Org Chart (cont.) Incident Commander Paul Brannigan VA

Question The four essential units of a typical incident command system are: Operations, Planning, Logistics, and Finance/Administration. A. True B. False

Question Provide care and caring to those who have lost everything The Mission

Question Briefings Public Health Georgia State Defense Force VA Staff

Question In your opinion, which of the following civilian public agencies is least experienced and competent in executing an effective incident command system? A. Police Department B. Fire Department C. Public Health Department D. Emergency Medical Services

Question Phase I Hangar

Question 10 EMS units next to the flight line at all times EMS Staging Area Cobb County Civic Center 20 units on stand-by

Question VA/NDMS Treatment Area

Question Hospital Bed Status Board

Question Cobb Co. Emergency Operations Center

Question Cobb County fire-med ops unit Transportation

Question Briefing by Paul Brannigan VA-NDMS Incident Commander Off-load Briefing

Question The leaders of the four essential units (operations, planning, logistics and finance/administration) must come from the same agency as the incident commander. A. True B. False

Question “Wheels Down”

Question The Belly of the Beast

Question Improvisation

Question Public Health Mobile Command

Question In your opinion, which of the following civilian public agencies is most experienced and competent in executing an effective incident command system? A. Police Department B. Fire Department C. Public Health Department D. Emergency Medical Services

Question Cobb Public Health Home Away From Home

Question MREs? Yuck! Meals

Question Rest and sleeping tents Chapel Home Away From Home (cont.)

Question Phase II Hangar: NDMS Treatment Area

Question Public Health Shelter Assessment Hangar

Question Security Screening En Route to Treatment Ambulatory evacuees

Question On board orientation and initial medical triage Delta 757 Evacuee Flight

Question Non-medical Evacuee Hanger

Question Then Along Came Hurricane Rita Reactivation at Dobbins ARB Sept 19 & 20

Question Which of the following are essential characteristics of an effective incident command system? A. Common communication protocols/text B. Clear, consistent chain of command C. Timely and appropriate delegation of authority and resources D. All of the above

Question Critical Care Assessment Team (CCAT)

Question Critical Transport Coordination

Question Temporary Nursery & Assisted Living