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NDMS Patient Movement USNORTHCOM Command Surgeon Joint Regional Medical Plans & Operations Lt Col Tony Voirin USNORTHCOM JRMP – NW Branch.

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Presentation on theme: "NDMS Patient Movement USNORTHCOM Command Surgeon Joint Regional Medical Plans & Operations Lt Col Tony Voirin USNORTHCOM JRMP – NW Branch."— Presentation transcript:

1 NDMS Patient Movement USNORTHCOM Command Surgeon Joint Regional Medical Plans & Operations Lt Col Tony Voirin USNORTHCOM JRMP – NW Branch

2 Federal Patient Movement Capabilities National Ambulance Contract –300 Amb/3000 para-transit seats/life-flight Military Ground Ambulance – Humvee Military Helicopters – MEDEVAC/CASEVAC –National Guard and Active Duty Civilian Contract Airlines –Low acuity/Ambulatory/Chronic patients NDMS Fixed Wing Patient Evacuation

3 A public/private sector partnership DHS DHHS DOD DVA National Disaster Medical System

4 Major Components of the NDMS System DHHS DHS VA Definitive Care DoD Medical Response Patient Evacuation

5 NDMS Patient Evacuation DoD has primary responsibility –Movement from point of origin to receiving Federal Coordinating Center (FCC) Patient Reception Area (PRA) –Primarily relies on air AE = Aeromedical Evacuation System Components –Movement Requests –Staging –Regulating –Lift –Reception & Distribution –Tracking (HHS JPATs)

6 System Capability Patient Evacuation can begin 36 hrs from notice System can move 500 patients per day (up to 20% critical) –Up to four Airfields Limited capability for patients –Suggest the following patients be evacuated by other modes High-acuity burn NICU and PICU Psychiatric (if requires medical supervision)

7 Reception Sites (FCC)

8 What we need to know How many patients over what period (approx) What airfields (coordinated approval) Rate of delivery to the Airfield Acuity of Patients (higher Acuity, less patients) –Litter/Amb – Space, number of patients/plane –Critical – CCATT and Equipment –Vented – CCATT, Equipment and O2 How will Patient Movement Requests flow Will need to know but make best guess

9 Other factors Notice vs No Notice –Hurricane vs Earthquake/CBRNE Catastrophic or Not (Potential or Just Bad) –7.8 Earthquake/Nuke or Prestorm/Wildfire State Request Submitted or On Fence –Mission Assignment Driven Process Single or Multi-State Event

10 LOCAL HOSP AE System Overview LOCAL HOSP Regional Hospital Coordinator State EOC JPMT (GPMRC) GPMRC AMC (TACC) Mission Built Crews Alerted APOE/AMP State/Local IC MASF/AELT PMR NDMS HOSP PMRPMR Pts moved to APOE and loaded APOD/FCC Ambulance Control Ambulances dispatched to hospitals NDMS HOSP AE movement to APOD Mission Specifics (MSN #, Times, Etc.) NDMS HOSP PT MAN PMR PT MAN CRE/CRT JPRT/QRC Situational Awareness NDMS DMAT/CCT

11 Challenges Patient Movement Requests Number of patients; over period of time (approximately) FEMA Mission Assignment (MA) to DoD Identification and allocation of space on Airfields Rate of delivery to the Airfield(s) –right patient –right airhead –right order/time Acuity of patients (higher acuity = less patients) –Litter/Ambulatory – space, number of patients/plane –Critical – CCATT, Equipment, O2 (20% max) –Vented – CCATT, Equipment, O2 # Non-medical attendants (i.e. pediatric patients - 20% max)

12 Questions?


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