Through The Eye Of The Storm: Lessons from the 2017 ... · Through The Eye Of The Storm: Lessons...
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Through The Eye Of The Storm: Lessons from the 2017 Atlantic Hurricane Season Brandon Bond, MS, NHDP-BC, CBCP Stanford Health Care USHHS DMAT CA-6
Transcript of Through The Eye Of The Storm: Lessons from the 2017 ... · Through The Eye Of The Storm: Lessons...
Through The Eye Of The Storm: Lessons from the 2017 Atlantic Hurricane Season
Brandon Bond, MS, NHDP-BC, CBCPStanford Health CareUSHHS DMAT CA-6
Disclosure
This presentation is based on my experiences and do not represent the views or policy of the U.S. Department of Health and Human Services and the Federal Government.
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A moment of silence in honor of the victims of the tragic events of 2017
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The Day After Tomorrow
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What is NDMS
National Disaster Medical System (NDMS)
A Nationwide Medical Response System to:
• Supplement state and local medical resources during disasters or majoremergencies
• Provide backup medical support to the military/ VA medical care systems duringan overseas conventional conflict
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A public / private sector partnershipHHS DHS DOD VA
Partner Hospitals
Major Components of NDMS
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Response Teams Patient
Movement Definitive Care
Incident Response Coordination TeamDisaster Medical Assistance TeamTrauma & Critical Care TeamLogistic Response Assistance TeamDisaster Mortuary Operational Response TeamsVictim Information Center TeamSocial Access TeamNational Veterinary Response Team
DoD Aeromedical Evacuation
Primarily Fixed WingPrimary Reception Area
(PRA)DoD/VA
Federal CoordinatingCenters
NDMS Partner Hospitals
Context
• Hurricane Harvey makes landfall Aug. 25
• Over 1,000 HHS personnel deployed
• CA-6 backfilled to CA-4
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August 29th, 2017
• DMAT CA-6 is placed on Alert Status• Deployment possible within 8-12 hours• Continuous monitoring• Inform your employer• Ensure personal gear is ready to go• Prepare family and home matter
• At this point more than half of the deployable response teams are in committed to TX and other impacted areas
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Alert Status: Aug. 29-Sept. 3
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Sunday September 3, 2017
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Monday September 4, 2017
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Shelter In Place – Hurricane Irma
San Juan Puerto Rico
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United States Virgin Islands
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Impacts of Hurricane Irma
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Critical Infrastructure
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Hospital Incident Command System
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Remember That You Have A Plan
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Priorities
• Augment Emergency Care• Evacuate Critical Patients• Identify, Locate and Evacuate Medically Fragile• Build a DMAT Base of Operations
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Emergency Care
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Emergency Care (cont.)
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Patient Evacuation
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Patient Evacuation (cont.)
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Medically Fragile
• Dialysis• Chemo• Other (e.g. specialty
medication needs)
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Medically Fragile (cont.)
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Newborn Screening Labs
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Chain of Custody• Lab Draw• DMAT• Ground Ambulance to Airport• Air Ambulance• Lab Courier• Arrived at Lab
Base of Operations
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Base of Operations
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Base of Operations (cont.)
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602nd Area Support Medical Company
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Base of Operations
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Hurricane Maria
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Dialysis Evacuations
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Shelter In Place – Hurricane Maria
Rapid Hospital Assessment
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Centro Medico Base of Operations
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Challenges
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Transportation
Force Protection
Food
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Food Rationing
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Food Services
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Water
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Coffee
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Billeting
Paperwork
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Human Resources
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Hearts and Souls
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Recap of Events
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Backfill Hurricane HarveyAug 25
Hurricane Harvey AlertAug 29
Puerto Rico – IrmaSept 4
Hospital Assessment STTSept 7
HMTF to STTSept 8
SJ Airport ReceptionSept 8
Full DMAT Operations STTSept 10
Demob/StagingSept 19
Dialysis Shelter Operations Dialysis Pt Evacuation PR –Miami
Shelter In Place – MariaSept 20
Hospital AssessmentsSept 21
Centro Medico BoO SetupSept 23
HMTF STT Mission CompletionSept 30
On-Going Backfill
In Closing
