1. Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program Manager, EMAT, Toronto, ON

2. Ontario Air Ambulance

3. Emergency Medical Assistance Team EMAT Ontario Air Ambulance

4. created to assist Ontario’s health care system respond swiftly and effectively to major health emergencies

5. Health Care Response System EMATEMAT DISASTER

6. What is EMAT? EMAT is a self-contained mobile field unit that has a 56 bed capacity –20 acute care beds –36 intermediate care beds

7. EMAT is able to: isolate patients in the case of an infectious disease outbreak

8. EMAT is able to: assist in managing patients in a mass casualty situation

9. EMAT is able to: provide medical support in the case of a chemical, biological or radiological incident

10. EMAT Staff

11. Key Operational Elements Activation / Deployment Response Command/Control/Communication Centre Infrastructure Deployment & Support Medical Operations

12. When Can I Activate? Code Orange invoked by hospital community disaster plan implemented efforts to transfer patients out of hospital/region have been, or will rapidly become, inadequate resolution of emergency is predicted to be greater than 6 hours + EMAT response and travel time

13. Who Do I Contact? local public health or hospital officials contact the Ministry of Health and Long- Term Care’s Emergency Management Unit (EMU) 24 hour hotline 1-866-212-2272

14. EMAT Deployment Response

15. Activation & Response Overview Requesting Facility / Hospital Emergency Management Unit - MOHLTC CEO, Ontario Air Ambulance Medical Director & Incident Commander EMAT Team Leaders EMAT Main Body Recon Team Advanced / ERT Team

16. Command / Control / Communication Centre

17. Infrastructure Deployment - Support

19. Medical Operations – Acute Care Unit

20. Medical Operations – Acute Care Unit - Individual Patient Care Tent

21. Medical Operations – Acute Care Unit Patient Isolation Capability

22. Medical Operations – Acute Care Unit High Risk Procedures Tent

23. Medical Operations – Intermediate Care Unit Portable Isolation Containment System (PICS)

24. Medical Operation – Intermediate Care Unit- PICS Air Filtration

25. Decontamination Capability

26. Sudbury Deployment October 26th – November 4, 2005

27. Location

28. Adult & Ped Pods

29. EMAT Team Configuration Site Commander (1) Medical Officer (1) Logistics Officer (2) Communications Officer (1) Physician (4) Medic/RN (13) OVERT (4) CSI (2)

30. Medical Assessments October 30, 2005 to November 3, 2005, 618 community members were assessed by EMAT average age was 21

31. Deployment Challenges Change in Scope Logistics Registration & Tracking Security Sustainability

32. Thank You Questions ?