dr. fales rmat powerpoint
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Need for Disaster Medical TeamsModular Emergency Medical System
Alternate Care SitesAcute Care Center
50-bed ModuleTransportable Emergency Surge
Assistance AKA: MI-TESAPotential for statewide or interstate responseMajor Incident or EventUp to 40-beds
Other special usesSupport Local Public Health
NIMS Resource Typing
5th District Disaster Medical Personnel ResourcesFirst Responders / First
ReceiversSurge capacity to staff
existing facilities / units
Specialized GroupsRegional Medical
Assistance Team (RMAT)Regional Medical
Reserve Corps (5DMRC)MI Volunteer Registry
(MVR)
Regional Medical Assistance TeamPurpose: Provide a multi-disciplinary,
multifunction medical task force capable of a wide range of disaster medicine missions.
Core Functional ComponentsRegional Ambulance Strike TeamMobile Field Medical TeamsIncident Management TeamAncillary Pharmacy Support Team
RMAT MRC MI Vol Reg
Organizational Affiliation Yes No No
Employment Status Employed Volunteer Volunteer
Response Team Member Core Augment Augment
Training +++ ++ +/-
---NIMS Training ICS 100 / 200
IS 700
ICS 100IS 700
Just in Time
---Specialty Courses (eg ACLS)
Required Encouraged
Optional
Exercising Required Encouraged
Optional
Mobile Field Medical Team Function: Acute and
Primary Care Services in an out-of-hospital setting.
Type I vs. Type 2Potential Roles
Staff TESAStaff ACCAugment HospitalsAugment PH UnitsStaff Special Events
Core Composition1 Medical Unit Team
Leader1 Physician1 Physician Assistant or
Advanced Practice Nurse6 Registered Nurses1 Respiratory Therapist4 Paramedics
Supplemental2 SW2 MH
Regional Ambulance Strike Team 5 fully staffed ALS ambulances working as single
resourceDedicated team leader
Personnel trained for multi-mission capabilitiesBasic / Advanced Disaster Life SupportAdvanced Burn Life Support (on-line)Critical Care (+/-)
Potential MissionsTESA SupportFacility EvacuationSupplement or replace local EMSSpecial operations (e.g., collapse rescue)
Resources pooled from regional EMS agencies
5th District RMAT AgenciesPrimary Agencies
HospitalsEMS AgenciesPublic Health
Primary ResponsibilitiesProvide personnel for training and exercising
Reimbursable under ASPRProvide personnel for major incidents and eventsCover wages, benefits, workers comp, personnel
liability
Agency Personnel Contributions
TertiaryHospitals
Commun.Hospitals
EMS Agencies
Other Agencies
Total
Physicians 1-2 1-2 5-10
Residents 10-15 10-15
Mid-Levels 1-2 1-2 6-12
RNs 10 2-3 4-8 72-75
RTs 1 0-1 6-12
EMT-P 0-1 2-6 2-6 30-40
Pharmacists
0-1 1-2 3-4
Pharm Techs
0-1 1-2 3-4
SW/MH 1 0-1 6-12
Case Manager
1 0-1 0-1 6-12
Others 0-1 0-1 0-2 0-2 6-12
TOTAL 15-21 2-7 2-8 153-208
Issues to be Worked OutCommitment in Disaster
Agencies may benefit from surge resourcesAgencies are driven to help
Need for MOAAgencies retain control on personnel commitment
Salary, fringe, workers comp, etc.Opportunity for use of ASPR funds for
training/exercisesOpportunity for response reimbursementPossible un-reimbursed response
Possibility of DMAT cross-membership
Next StepsIdentify Perspective Members (“Cherrie
Pick”)Submit roster electronically
Members Complete Applicationmivolunteerregistry.orgRMAT Supplemental ApplicationCopies of credentials
Members complete minimal on-line trainingTeam Orientation / Training SessionVigilant Guard Exercise (6/10)Tri-Annual Training / Exercises