1 / 21

Concept of Forward Movement of Patients

Concept of Forward Movement of Patients. CAPT Alvin Lee, USPHS National Disaster Medical System. Cascadia Subduction Zone. Every 500 years, 200-1000 9.0 plus after shocks Brooks Penninsula to Cape Mendocino 800 mi Tsunami 30 ft. high within minutes 10-12 hr sequence

jana
Download Presentation

Concept of Forward Movement of Patients

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Concept of Forward Movement of Patients CAPT Alvin Lee, USPHS National Disaster Medical System CAPT Alvin Lee

  2. Cascadia Subduction Zone • Every 500 years, 200-1000 • 9.0 plus after shocks • Brooks Penninsula to Cape Mendocino • 800 mi • Tsunami 30 ft. high within minutes • 10-12 hr sequence • 101 impassible-roads, railways, runways • Tall bldgs, bridges susceptible to long waves • Landslides isolate coastal communities for weeks CAPT Alvin Lee

  3. Major Components of NDMS • Medical Response-Teams • Definitive Medical Care • Patient Evacuation-FCC’s CAPT Alvin Lee

  4. Cascadia TTX forecast needs • Priorities for the first 72 hours • Lifesaving, communication, utilities • Roads, bridges • Debris removal for responders • Priorities for the first 30 days • Temp shelter, food, water, medical care • Repair transportation routes • Priorities for 30 days to 6 months • Continue support and infrastructure recovery CAPT Alvin Lee

  5. “If you don’t have a plan, that’s one less thing to go wrong”. -S. Benson NYC OEM CAPT Alvin Lee

  6. New Orleans Catastrophic Response Plan Lilly Pad Shelter Lilly Pad Temporary Medical Staging and Operations Area (TMOSA) Search and Rescue Base of Operations (SARBOO) Lilly Pad Lilly Pad New Orleans Hospital Lilly Pad CAPT Alvin Lee

  7. Self Referrals Lilly Pad Spontaneous TMOSA (Causeway) Shelter FULL Lilly Pad Temporary Medical Staging and Operations Area (TMOSA) Search and Rescue Base of Operations (SARBOO) Lilly Pad Lilly Pad Spontaneous TMOSA (Superdome) New Orleans Hospitals Lilly Pad Self Referrals CAPT Alvin Lee

  8. Initial Response is Local? • 911 • Hospital Control • National Guard assets • EMAC • Private sector • Who ya gonna call?? CAPT Alvin Lee

  9. Mission-evac ill or injured to reception facilities Assumptions: limited evac within 96 hours State/local transport to pt collection pt Various pt tracking systems need coord. GPMRC single pt movement mgr No preferred mode CatastrophicIncident Supplementto the National Response Plan CAPT Alvin Lee

  10. Catastrophic Incident Supplementto the National Response Plan • FEMA establishes Fed mob ctr • State and local collect and transport to hubs • NDMS Med. Inter-agency coord gp • TRANSCOM coord movement from collection points to airfields, etc CAPT Alvin Lee

  11. Catastrophic Incident Supplementto the National Response PlanResponse limitations • Federal capability limited with non-amb pt • Contaminated/contagious pts CAPT Alvin Lee

  12. DoD Responsibilities • Alert GPMRC • Activate FCC’s • Manage and evacuate to NDMS pt reception areas • In coord with DOT transport support agencies, personnel, equipment/supplies • Logistical support • Provide active duty medical and other missions including aeromedical evac. CAPT Alvin Lee

  13. Common thoughts • Command and Control • Communication • Special needs • Security CAPT Alvin Lee

  14. Who needs to go? CAPT Alvin Lee

  15. CAPT Alvin Lee

  16. What do you have to work with? CAPT Alvin Lee

  17. CAPT Alvin Lee

  18. CAPT Alvin Lee

  19. Questions ? CAPT Alvin Lee

  20. From the Audience • Tribal issues? • Colville, Warm Springs • Rural Wyoming? • East Coast • KY, SC • Public Health CAPT Alvin Lee

  21. CAPT Alvin Lee, USPHS Emergency Coordinator, Region X National Disaster Medical System 130 228th St SW Bothell, WA 98021 Alvin.lee@dhs.gov (425) 482-3708 CAPT Alvin Lee

More Related