1. Minnesota-1 Disaster Medical Assistance Team www.mndmat.com

2. NDMS Overview

3. National Disaster Medical System (NDMS) … Providing Critical Care for the Nation.

4. National Disaster Medical System Includes 105 teams which respond during disasters when activated by FEMA (Federal Emergency Management Agency) now part of the Department of Homeland Security. Includes 105 teams which respond during disasters when activated by FEMA (Federal Emergency Management Agency) now part of the Department of Homeland Security. Teams include DMATs, VMATs, DMORTs, specialty teams (BSTs, NBCs, IMSURTs and USARs). Teams include DMATs, VMATs, DMORTs, specialty teams (BSTs, NBCs, IMSURTs and USARs).

5. Acronyms DMAT: Disaster Medical Assistance Team DMAT: Disaster Medical Assistance Team VMAT: Veterinary Medical Assistance Team VMAT: Veterinary Medical Assistance Team DMORT: Disaster Mortuary Response Team DMORT: Disaster Mortuary Response Team BST: Burn Specialty Team BST: Burn Specialty Team NBC: Nuclear, Biological, Chemical Team NBC: Nuclear, Biological, Chemical Team IMSURT: International Medical Surgical Team IMSURT: International Medical Surgical Team USAR: Urban Search and Rescue Team USAR: Urban Search and Rescue Team

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

9. VMAT VMAT has the capability of setting up a full field hospital, and can provide medical care for pets, search and rescue dogs, livestock, wildlife and even zoo animals if the need arises. VMAT has the capability of setting up a full field hospital, and can provide medical care for pets, search and rescue dogs, livestock, wildlife and even zoo animals if the need arises. They may also be activated to assist with food safety concerns, zoonotic disease, terrorist events and toxicological problems. They may also be activated to assist with food safety concerns, zoonotic disease, terrorist events and toxicological problems.

11. DMORT Disaster Mortuary Operational Response Teams (DMORTs) assist the National Transportation Safety Board (NTSB) in the aftermath of airline and other transportation disasters. Disaster Mortuary Operational Response Teams (DMORTs) assist the National Transportation Safety Board (NTSB) in the aftermath of airline and other transportation disasters. Other assistance includes providing to work with local medical examiners in the identification of victims, provision of mortuary services, and assistance to the families of the victims. Other assistance includes providing to work with local medical examiners in the identification of victims, provision of mortuary services, and assistance to the families of the victims. 10 DMORTs are located throughout the U.S and an additional DMORT was created to be able to deal with contaminated victims of a WMD event. 10 DMORTs are located throughout the U.S and an additional DMORT was created to be able to deal with contaminated victims of a WMD event.

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

15. USAR Urban Search and Rescue response teams are designed to provide a coordinated response to disasters in urban environments. Urban Search and Rescue response teams are designed to provide a coordinated response to disasters in urban environments. Emphasizing the location and extrication of victims trapped in collapsed structures, confined spaces, or trenches in largely populated areas, Emphasizing the location and extrication of victims trapped in collapsed structures, confined spaces, or trenches in largely populated areas, USAR is capable of responding to State and National disasters including earthquakes, hurricanes, widespread tornadoes, and man-made technological and terrorist events. USAR is capable of responding to State and National disasters including earthquakes, hurricanes, widespread tornadoes, and man-made technological and terrorist events.

16. Urban Search and Rescue

18. NDMS Major Components Medical Response Medical Response Patient Evacuation Patient Evacuation Definitive Medical Care Definitive Medical Care

19. Importance of NDMS Improves Federal Mission Readiness Improves Federal Mission Readiness Ability to Mobilize and Deploy Medical Teams, Supplies, and Equipment. Ability to Mobilize and Deploy Medical Teams, Supplies, and Equipment. Ability to Provide Patient Evacuation System. Ability to Provide Patient Evacuation System. Ability to Provide Definitive Medical Care Ability to Provide Definitive Medical Care

20. NDMS Supplement state and local medical resources during disasters and emergencies; Supplement state and local medical resources during disasters and emergencies; Evacuate patients to designated locations throughout the United States for casualties that cannot be managed locally; and Evacuate patients to designated locations throughout the United States for casualties that cannot be managed locally; and Support the military and VA health care systems during an overseas conventional conflict. Support the military and VA health care systems during an overseas conventional conflict.

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

22. NDMS is also a partner in the military contingency program, and can be activated directly by the Assistant Secretary of Defense for Health Affairs. NDMS is also a partner in the military contingency program, and can be activated directly by the Assistant Secretary of Defense for Health Affairs. In the event of a military conflict that overwhelms the DOD and VA health care systems, NDMS will be available to provide medical care and hospital beds in over 2,000 private (non-federal) hospitals across the U.S. In the event of a military conflict that overwhelms the DOD and VA health care systems, NDMS will be available to provide medical care and hospital beds in over 2,000 private (non-federal) hospitals across the U.S.

23. Disaster Medical Assistance Team Established in early 1980’s to assist communities where disaster results in medical needs that are greater than a community’s medical resources. Established in early 1980’s to assist communities where disaster results in medical needs that are greater than a community’s medical resources. A mobile medical unit consisting of 35 medical and paraprofessionals personnel and ~22,000 lbs of equipment & supplies. A mobile medical unit consisting of 35 medical and paraprofessionals personnel and ~22,000 lbs of equipment & supplies. Deploy for up to 2 weeks. Deploy for up to 2 weeks.

24. Teams Members of NDMS DMAT’S are a part of the National Disaster Medical System (NDMS). DMAT’S are a part of the National Disaster Medical System (NDMS). Cooperative asset-sharing partnership: Cooperative asset-sharing partnership: Department of Health and Human Services Department of Health and Human Services Department of Defense Department of Defense Department of Veterans Affairs Department of Veterans Affairs Federal Emergency Management Agency Federal Emergency Management Agency State and Local Governments State and Local Governments Private Businesses Private Businesses Civilian Volunteers Civilian Volunteers

25. Deployment 35 member team – self sustaining up to 72 hours 35 member team – self sustaining up to 72 hours Each Position 3 Deep for 105 total unit members Each Position 3 Deep for 105 total unit members Purpose: to deal with medical and health effects of: Purpose: to deal with medical and health effects of: Natural Disasters Natural Disasters Technological Disasters Technological Disasters Major Transportation Accidents Major Transportation Accidents Terrorist acts involving Weapons of Mass Destruction (WMD) Terrorist acts involving Weapons of Mass Destruction (WMD)

26. NDMS Activation Criteria Military Contingency – Overseas Conventional Armed Conflict Involving U.S. Forces Presidential Declaration of Disaster Pre-position in Anticipation of an Event Request for Major Medical Assistance

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

28. Team Make Up - 35 Team leader – 1 & 1 Deputy Team Leader Team leader – 1 & 1 Deputy Team Leader Medical Officer (physicians) – 4 Medical Officer (physicians) – 4 Admin/Finance Chief – 1 Admin/Finance Chief – 1 Logistics Chief – 1 Logistics Chief – 1 Communications– 2 Communications– 2 Pharmacists – 2 Pharmacists – 2 Pharmacy Assist. – 2 Pharmacy Assist. – 2 Supervisory Nurse – 2 Supervisory Nurse – 2 Staff Nurse – 6 Staff Nurse – 6 Physician Assistants – 2 Physician Assistants – 2 Paramedics / EMT’s – 6 Paramedics / EMT’s – 6 Administrative Assistant – 1 Administrative Assistant – 1 Equipment Specialist – 1 Equipment Specialist – 1 Safety & Security Officer – 2 Safety & Security Officer – 2 Others as Determined by DMAT Others as Determined by DMAT

29. Full Team - Total 3 deep in each position 3 deep in each position Total – approximately 105 people per unit Total – approximately 105 people per unit Recruitment – 150 mile radius (approx.) Recruitment – 150 mile radius (approx.) 18 years of age or older 18 years of age or older Good physical condition Good physical condition Medical and non-medical positions Medical and non-medical positions

30. DMAT Functions Triage Triage Austere Medical Care Austere Medical Care Casualty Clearing / Staging Casualty Clearing / Staging Patient Reception Patient Reception

31. Minnesota-1 Disaster Medical Assistance Team (MN-1 DMAT)

32. MN-1 2004 Field Training Exercise

33. MN-1 DMAT Sponsored by the Minnesota chapter of the American College of Emergency Physicians. Sponsored by the Minnesota chapter of the American College of Emergency Physicians. Established in May 2002 as a developmental team. Established in May 2002 as a developmental team. Upgraded to a level III local resource /augmentation team in January 2004. Upgraded to a level III local resource /augmentation team in January 2004. 120 team members includes 15 MDs, 6 PA/NPs 40 RNs, 25 paramedics/EMTs, 8 pharmacists and pharmacy techs, 8 Respiratory Techs, 3 Mental Health, 8 Communications, Safety, Security and Logistics Officers. 120 team members includes 15 MDs, 6 PA/NPs 40 RNs, 25 paramedics/EMTs, 8 pharmacists and pharmacy techs, 8 Respiratory Techs, 3 Mental Health, 8 Communications, Safety, Security and Logistics Officers.

34. Nearby Teams IA-1 DMAT IA-1 DMAT OK-1 DMAT OK-1 DMAT MI-1 DMAT (Mentor Team) MI-1 DMAT (Mentor Team) MO-1 DMAT MO-1 DMAT MO-2 DMAT MO-2 DMAT

35. MN-1 DMAT Please visit the Contact Us section of our website to get more information. Please visit the Contact Us section of our website to get more information.