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Selim Suner MD, MS, FACEP Director of Disaster Medicine

Selim Suner MD, MS, FACEP Director of Disaster Medicine Professor of Emergency Medicine, Surgery and Engineering Brown University. Eric Noji MD MPH: Cutler Lecture. Disaster Rate. Factors Effecting Disaster Impact. Urban dwellers: 1920: 100 million 1980: 1 billion

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Selim Suner MD, MS, FACEP Director of Disaster Medicine

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  1. Selim Suner MD, MS, FACEP Director of Disaster Medicine Professor of Emergency Medicine, Surgery and Engineering Brown University Eric Noji MD MPH: Cutler Lecture

  2. Disaster Rate

  3. Factors Effecting Disaster Impact Urban dwellers: 1920: 100 million 1980: 1 billion 2004: 2 billion 2004: 20 cities with >10 million people Sources: CDC & EK Noji, The Public Health Consequences of Disaster

  4. Federal Response Plan Activation Local First Responders County Executive Disaster Occurs Alert Governor Requests Aid From FEMA Regional Director Informs Field Operations THE FEDERAL RESPONSE PLAN Declares Disaster Advises FEMA Director Requests Assistance Contacts Emergency Support Functions (ESFs) President Declares Disaster Provides Sets Up Emergency Response Team Federal Coordinating Officer Disaster Field Office Appoints Joins State Coordinating Officer

  5. Coordination of all assets in a disaster may be like herding cats

  6. ESF Lead Agencies 12 1 Support Agencies USDA AID DOJ ARC DVA EPA DOD FEMA DOT GSA DOE NCS USPS DOE USDA DOT Energy 2 Food NCS EPA Transportation Hazardous Materials Communications Urban Search and Rescue 3 ESF 9 Public Works FEMA DOD 8 Firefighting Health & Medical Services USDA & FS Resource Support Information & Planning 4 MassCare DHHS GSA FEMA 8 ARC 7 6

  7. Coordination of Federal Response National Disaster Medical System (NDMS) Other Federal Agencies FEMA Response Branch DHHS Agencies, US PHS CCRF Military Resources

  8. History

  9. History

  10. History

  11. Disaster Medical Assistance Teams (DMATs) • Nationwide network of disaster medical response teams affiliated with NDMS • Medical care to disaster-impacted communities • External medical disaster assistance • Capable of processing 200-250 patients/24 hrs

  12. DMAT Roles • Triage • Medical care • Casualty clearing • Patient staging • Patient reception • Standby operations

  13. Types of DMAT Medical Care • Supplement staff in local facilities • Primary care • Inpatient care in free-standing field hospitals • Public health care

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