Richard N. Bradley, MD Preparing for the Unexpected VI: Washington Ready! May 28, 2015 – Wenatchee, Washington Photo credit: Thomas Miner.

 Dr. Bradley is an employee of the University of Texas Health Science Center at Houston  He serves as a member of the FEMA Urban Search & Rescue System through a contract between his employer, FEMA and the Texas Engineering Extension Service.

 Recognize the functions and duties of the Medical Branch under the Incident Management System  Recognize some of the challenges presented by the SR 530 Slide to the Incident Management Team

Photo credit: Thomas Miner.

 Grants authority to carry out specific functions.  Is issued by chief elected official, chief executive officer, or agency administrator in writing or verbally.  Allows the Incident Commander to assume command.  Does NOT relieve the granting authority of ultimate responsibility for the incident. Agency Executive Incident Commander Reproduced slide from FEMA ICS 200, Unit 3, Delegation of Authority & Management by Objectives.

 When the incident is outside the Incident Commander’s jurisdiction.  When the incident scope is complex or beyond existing authorities.  When required by law or procedures. Reproduced slide from FEMA ICS 200, Unit 3, Delegation of Authority & Management by Objectives.

Images from

 Within 14 days,  Search the high probability areas for the highest POD possible (90% to 95%)  All high probability areas that can be accessed and that can be searched will be searched to the highest POD possible using secondary low-density and secondary high-density search methods where appropriate. (CISAR Definitions)  All accessible areas will be searched using K9 teams and primary search methods.

 All HR will be documented by GPS coordinates and turned over to the ME  All documentation of effort and mapping will be turned over to Snohomish County Authorities  When all missing persons are located all active search operations will end  When all high probability areas that can be accessed are searched to give the highest POD possible, active search operations will end.  Limited but focused search operations may resume as areas of high probability are dewatered and access becomes possible to search teams.

Photo credit: Thomas Miner.

 Responder Health & Wellness  Incident Scene EMS  Public Health  Veterinary Care  Mortuary Affairs  Critical Incident Stress Management

U.S. Dept. of Homeland Security. U.S. Coast Guard Incident Management Handbook. COMDTPUB P A. Aug 2006.

Photo: Richard N. Bradley

Photo credit: Thomas Miner.

Photo: Richard N. Bradley

 Health and medical objectives at the SR 530 slide were accomplished successfully by using an all-hazards incident management approach and through outstanding cooperation between a number of different agencies.