1. North Carolina’s Coordinated Medical Response to Hurricane Katrina Challenges and Lessons Learned September-October, 2005

3. Eye Wall of Katrina from 30,000 feet

4. Know what you face.

5. HANCOCK MEMORIAL HOSPITAL

8. The “Safe Zone” Border

10. Prepare for the Worst and be Self-sufficient …otherwise you become part of the problem rather than the solution

11. Preparations

12. The Bus Noble

13. Getting There

14. There is No Substitute for Adequate Planning

15. The Infrastructure Must Exist Regional Trauma System NC Trauma System mandated by State Legislature in 1992.  100 Counties in NC with EMS Systems.  Eight Regional Advisory Committees (RAC)  Designed to coordinate trauma care.

17. Collaborative Effort Office of Emergency Medical Services NORTH CAROLINA  To develop a tiered State Medical Response System (SMRS)

21. Logistics!!!!

22. Just do it.

23. Untested Waters 31 AUG 2005 E-mail from Randy Kearns, MidCarolina RAC Disaster Preparedness Coordinator, notifying us that our SMAT had been activated. Gathered supplies Chris Ogden, RN, BSN Randy Kearns, CEM, NREMT-P, DHA(c) Michele Rudisill, RN, BSN

24. The Plan ?

25. Trauma Resuscitation Algorithm

26. Be safe, establish security

27. Organization, Safety Vaccinations, ID’s

28. Charlotte-Mecklenburg SWAT

30. Expect hurdles but never give up.

32. The Importance of Boots on the Ground

33. If you build it, they will come

34. Waveland, MS

35. Tent City

36. Clearing the Staging Site by Hand

37. Securing the Perimeter

41. 2 am, Open for Business

42. MED-1

43. OR’s

44. ICU Capabilities

46. Digital X-ray

47. Trauma

48. PEDIATRIC BURN

51. Order from Chaos The Kmart Clinic is Up and Running

52. Christian Life Church Orange Beach, Alabama

53. Filling a Need Population changed with time 250-350 pts. per day Mostly during daytime Over 7,000 patients cared for

54. Establish communications and build infrastructure

55. A Helipad?

56. Rowan County Search and Rescue

57. Yes, A Helipad

59. Be creative.

60. Tree-age

61. Strategic National Stockpile

62. WALMART“PRESCRIPTIONS”

63. Breakfast, Lunch and Dinner at Mr. E’s

65. Inside the MidCarolina SMAT-2

68. Never underestimate the power of humanity.

74. The Remnants of City Hall

75. NC SMAT Team 1

77. Anything is possible…