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San Mateo County Emergency Medical Services Agency

San Mateo County Emergency Medical Services Agency. Coordinating Emergency Medical Services & Medical/Health Emergency Preparedness for San Mateo County. Photos courtesy Don Cheu, MD unless otherwise cited. Emergency Medical Services.

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San Mateo County Emergency Medical Services Agency

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  1. San Mateo CountyEmergency Medical Services Agency Coordinating Emergency Medical Services & Medical/Health Emergency Preparedness for San Mateo County Photos courtesy Don Cheu, MD unless otherwise cited

  2. Emergency Medical Services • A system to provide care and transportation in response to a sudden and unexpected medical event • Includes ambulances, first responders, hospitals, trauma centers, and associated stakeholder organizations • Medical component of 911

  3. Government & EMS • U.S. Department of Transportation, National Highway Traffic Safety Administration, Traffic Safety, Office of EMS (NHTSA) • California Health and Human Services Agency, California EMS Authority (EMSA) • Local EMS Agency (LEMSA)

  4. Authority • California Health & Safety Code, Division 2.5, Sections 1797 – 1799, Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act. • California Code of Regulations, Title 22, Division 9, Prehospital Emergency Medical Services

  5. San Mateo County

  6. San Mateo County Health Department

  7. San Mateo County EMS Agency

  8. Responsibilities • EMT Certification • Approval of EMS courses and providers • Oversee 911 contract • Accredit paramedics • Develop policies & protocols • Coordinate disaster preparedness for prehospital and hospitals

  9. Guidance • Emergency Medical Care Committee • Medical Advisory Committee • Quality Leadership Council • Operations Committee • Nurse Leadership Committee • MCI Working Group • Hospital Working Group

  10. EMS System Exclusive Operating Area (EOA) South San Francisco (201)

  11. Public – Private Partnership Photo: courtesy AMR

  12. Public • Joint Powers Authority for Fire/EMS • Public Safety Communications • Single Fire & EMS Dispatching • Emergency Medical Dispatch

  13. American Medical Response Contractor for most Bay Area counties Largest Ambulance Company in US and World Private

  14. Data-driven, evidence-based patient care

  15. S M A R T San Mateo County Mental Health Assessment & Referral Team

  16. Emergency Preparedness Medical/Health Operational Area Coordinator Medical – Healthcare Delivery Health – Public Health

  17. Emergency Preparedness PREPARATION Evaluation, planning, training and exercises

  18. Emergency Preparedness PREPARATION RESPONSE Providing rescue, medical care, shelter and other services during the incident, emergency or disaster

  19. Emergency Preparedness PREPARATION RESPONSE RECOVERY Restoring infra-structure, services, lives and the economy to pre-disaster conditions

  20. Emergency Preparedness PREPARATION RESPONSE MITIGATION RECOVERY Taking steps to reduce the effects of events that cannot be prevented

  21. Emergency Preparedness PREPARATION RESPONSE MITIGATION RECOVERY Emergency Preparedness is a continuing cycle of improved preparation, response, recovery and mitigation

  22. Preparation EVALUATE PLAN EXERCISE TRAIN HSEEP: Homeland Security Exercise & Evaluation Program

  23. Guidance for Emergency Preparedness Planning comes from many sources

  24. Preparedness Partners San Mateo County EMS Agency San Francisco International Airport Hospitals and Healthcare Systems Ambulance Services Fire Departments and Districts Public Health Environmental Health Office of Emergency Services Clinics Regional Disaster Medical Health Coordinator California EMS Authority California Department of Health Services National Disaster Medical System Blank

  25. Funding Sources • General budget • Grants HRSA Health Resources & Services Administration CDC Bioterrorism Preparedness in Public Health DHS Department of Homeland Security through County OES UASI Urban Area Security Initiative through County OES and SF OES

  26. Daily Preparedness EMS, Public Health and Public Safety Communications monitor 911 responses for key medical conditions, providing an early alerting system for public health and bioterrorism emergencies.

  27. Multi-Casualty Incidents

  28. ICS / Medical Group

  29. Alarm Ambulance Supervisors Cover-In/Notification Initial Response ALS Ambulance Follow System Status Plan Level 1 MCI ALS Ambulance ALS Ambulance Air Ambulance * AMR Supervisor Follow System Status Plan Notify BCE Poll Hospitals via HART Poll AMR’s BLS Division Consider Medical Mutual Aid Consider notification of CISM Team through the IC Ambulance Greater Alarm Plan

  30. Alarm Ambulance Supervisors Cover-In/Notification Level 2 MCI ALS Ambulance BLS Ambulance Follow System Status Plan Notify EMS On-Call Administrator Notify AMR On-Call Manager Consider Medical Mutual Aid Poll Bayshore Ambulance Consider use of WOF Rescue 7,SOF R-61 and R-63 for transport purposes Level 3 MCI** BLS Ambulance BLS Ambulance Follow System Status Plan Consider Use of AMR MCI Unit Consider Medical Mutual Aid Ambulance Greater Alarm Plan

  31. Alarm Ambulance Supervisors Cover-In/Notification Level 4 MCI BLS Ambulance BLS Ambulance Follow System Status Plan Consider Medical Mutual Aid Consider IDT Response Level 5 MCI BLS Ambulance BLS Ambulance Follow System Status Plan Consider Medical Mutual Aid Level 6 MCI BLS Ambulance BLS Ambulance Follow System Status Plan Consider Medical Mutual Aid Level 7 MCI BLS Ambulance BLS Ambulance Follow System Status Plan Consider Medical Mutual Aid Level 8 MCI BLS Ambulance BLS Ambulance Follow System Status Plan Consider Medical Mutual Aid Ambulance Greater Alarm Plan

  32. Triage • START • RPM • Respirations, Pulse, Mental Status • JumpSTART • Children under 8 years old • One attempt to revive before declaring

  33. Triage

  34. Triage Tags

  35. Mutual Aid Six Mutual Aid Regions Three Administrative Regions Coastal: II Inland: III, IV, V Southern: I, VI

  36. Del Norte Coastal Region Mutual Aid Region II Humbolt Mendocino Lake Napa Sonoma Solano Marin Contra Costa San Francisco Alameda San Mateo Santa Clara Santa Cruz San Benito Monterey

  37. Mutual Aid StructureStandardized Emergency Management System State Operations Center Federal Assets Regional EOC Adjacent OA Operational Area EOC Adjacent OA Local EOC Adjacent City Adjacent City Partner Agencies Incident Partner Agencies

  38. Medical/Health Mutual Aid Emergency Support Function 8 (HHS) Federal Region IX Medical Health Branch CDHS & EMSA Regional Disaster Medical Health Coordinator Regional Disaster Medical Health Specialist Medical Health Operational Area Coordinator

  39. Other Resources

  40. San Mateo County Public Health - Bioterrorism Website www.smhealth.org/bt

  41. San Mateo County Sheriff’s Office of Emergency Services & Homeland Security www.co.sanmateo.ca.us/oes

  42. California EMS Authority – Disaster Medical Services www.emsa.ca.gov/dms2/dms2.asp

  43. California Governor’s Office of Emergency Services www.oes.ca.gov

  44. California Department of Health Services Emergency Preparedness Office http://dhs.ca.gov/epo/

  45. American Red Cross www.redcross.org

  46. Federal Emergency Management Agency www.fema.gov

  47. Questions www.smhealth.org/ems Thank you!

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