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NC RACs: An EM Partner in Disaster Response

Dale Hill, EMT-PCapRAC Coordinator

Manager, Emergency Services InstituteWakeMed Health & Hospitals

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What is a RAC?

• Regional Advisory Committee• Trauma center is the lead hospital

– Provides structure for regional trauma care improvement & injury prevention

– Now serves as mechanism for regional disaster preparedness• Disaster Preparedness Coordination• Regional ASPR grant• SMAT II program

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Regional Advisory Committees (RACs)

Mountain Area Trauma RAC (Mission)

Metrolina Trauma Adv. Com. (Carolinas Med. Ctr.)

Triad RAC (Cone/WFU Baptist)

Southeastern Trauma RAC (New Hanover)

Eastern RAC (Pitt)

Duke RAC (Duke)

MidCarolina Trauma RAC (UNC)

RAC Listing

Indicates a Level I or II Trauma Center

Capital RAC (WakeMed Raleigh Campus)

Watauga

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Capital RAC Area

WakeMed RaleighWakeMed CaryWakeMed NorthWakeMed ApexWake County ESHolly Hill HospitalNCSUNC Baptist Men MRCCapRAC MRCPHRSTs

Franklin Regional Medical CenterFranklin County ES

Betsy Johnson Regional HospitalHarnett County ES

Central Carolina HospitalCentral Carolina ALSLee County ES

Franklin

Johnston

Wake

LeeHarnett

Johnston Medical CenterJohnston Medical Center ClaytonJohnston County ES

Raleigh

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State Medical Response System

• Addresses federal Emergency Service Function (ESF)-8

• Coordinated by the NC Office of EMS, through Regional Advisory Committees (RACs)

• Includes State Medical Assistance Teams (SMATs) & Medical Reserve Corps

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The Role of the RAC

• Program administration– Data collection & reporting– Financial management– Healthcare response planning & education– Funding source identification & grant writing– Donation management

• Medical materials management– Preventive maintenance & repair of equipment– Equipment & supply recommendations

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The Role of the RAC

• Education & training• Mission support

– Security & safety– Fleet management– Epidemiological support– Regional ICS

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SMAT Program

• MissionTo provide access to medical care to all citizens before, during, or after natural or man-made disasters

• GoalTo provide medical surge capacity for the provision of medical personnel, medical product, pharmaceuticals, and physical plant for triage, treatment, tracking, and transport of patients

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SMAT Program Design

• Concept based on mobile medical care• Three-tiered system

– SMAT I– SMAT II– SMAT III

• Signed MOU with OEMS• Assets owned by Lead RAC hospital &

staffed from within the region• Responsibility of administrative team for

recruitment & training

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Deployed M8 System

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Deployed M8 System

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Deployed M8 System

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Medical Personnel

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Physical Plant

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CapRAC SMAT 800

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CapRAC SMAT 800

Triad RAC SMAT 500

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Other Assets

• Pharmacy Trailer– One of two in the state– Includes compounding, packaging & dispensing

areas• Medical Support Shelter trailer

– Bedding & medical supplies for 80 patients• Mission Support Truck• Additional trailers

– Decontamination– Medical supplies & equipment

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Mission Support Vehicle

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Pharmaceutical Trailer

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Partner Support

• Identification & support of regional assets– Medical surge assets

• Telemetry• Surge cases

– Inventory systems– Mass fatality management– Patient evacuation & movement

• Local mass-gathering support– Community celebrations– Local festivals

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Education & Training

• Local, regional & state training programs– Project –specific (radiation monitoring)– Regional (Rural trauma, SMAT & mass care)– State (mass fatality, ICS & HSEEP)

• Exercise development & support– Local, regional & state exercises

• Save Swoops• Mass casualty exercises (Campbell University)

– Project MoVES– Patient simulation

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• Team Notified through ServNC• Team prepares for deployment• ICS established

– Command staff identified– Chain-of-command followed

• Team members fill roles as identified by mission

Deployment

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Team Structure

• SMAT Coordinator / Team Commander– Team Leadership

• Assigned team Leaders– Approx 20-25 members per team

• Trained Command staff– ICS 200, 300, 400– Specific courses such as logistic chief, planning

chief etc

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Event Response

• Hurricane Katrina• EQ chemical fire• Hurricane Irene• Harnett County PH flooding• Mule Days

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– Can “speak the language”– Regional healthcare coordination– Mass gathering support

• Healthcare medical product• Temporary healthcare facilities

– Western Shelter systems– Specialty trailers

• Networking– Connections with regional, state & national

healthcare organizations

What Can the RACs do for You?

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Questions?