1. DSHS Deployable Teams

2. Deployable Teams 2011 Medical Incident Support Team - M-IST Ambulance Staging Manager - ASM Ambulance Strike Team Leader - ASTL

3. Medical - Incident Support Team M-IST

4. 5-7 man teams EMS Commanders Hosp ED and/or Preparedness staff Logistics/Comms personnel Incident Management Expertise Medical - Incident Support Team

5. The M-IST are deployed by DSHS to provide assistance and support to a community impacted by a disaster.The M-IST are deployed by DSHS to provide assistance and support to a community impacted by a disaster. When deployed, these teams integrate into the DDC and EOC medical support branch with primary emphasis on the acute care medical response.When deployed, these teams integrate into the DDC and EOC medical support branch with primary emphasis on the acute care medical response.

6. M-IST Mission Roles & Activities Support the DDC and their medical response efforts in an impacted region.Support the DDC and their medical response efforts in an impacted region. Communicate critical medical information to medical supporting response partners at the local, regional, state and federal levels.Communicate critical medical information to medical supporting response partners at the local, regional, state and federal levels. Coordinate the assimilation of state and federally deployed medical transportation assets with a communities EMS response system.Coordinate the assimilation of state and federally deployed medical transportation assets with a communities EMS response system. Coordinate acute care medical support and assist in communication of evacuation information to receiving jurisdictions.Coordinate acute care medical support and assist in communication of evacuation information to receiving jurisdictions.

7. M-IST missions may include: Provide on site support to designated evacuating: hospital, nursing home, embarkation point.Provide on site support to designated evacuating: hospital, nursing home, embarkation point. Personnel on M-IST can be divided into smaller teams for split operations, or for 24 hour operations with multiple shift support, as necessitated by the incident.Personnel on M-IST can be divided into smaller teams for split operations, or for 24 hour operations with multiple shift support, as necessitated by the incident. Independent operation in an austere environment for 72 hours (incident driven needs).Independent operation in an austere environment for 72 hours (incident driven needs).

8. M-IST Training and Team Requirements Successfully completed as a minimum ICS 100, 200, 300 and preferably ICS 700, 800.Successfully completed as a minimum ICS 100, 200, 300 and preferably ICS 700, 800. M-IST members must possess experience and expertise in EMS systems, hospital systems, and local and state communication processes and systems.M-IST members must possess experience and expertise in EMS systems, hospital systems, and local and state communication processes and systems. Prior experience in disaster or emergency response as fire, EMS, military, or law enforcement a plus.Prior experience in disaster or emergency response as fire, EMS, military, or law enforcement a plus. Experienced in working emergency responses in either an Emergency Operations Center (EOC), Regional Operations Center (ROC), or in field environments.Experienced in working emergency responses in either an Emergency Operations Center (EOC), Regional Operations Center (ROC), or in field environments. MUST have the ability to “Be nice” and “Be helpful”.MUST have the ability to “Be nice” and “Be helpful”. Be Deployable!Be Deployable!

9. Ambulance Staging Manager

10. Ambulance Staging Manager - ASM  The Ambulance Staging Manager is responsible for providing management and oversight of the Ambulance Staging Area, both in the pre-deployment / marshalling area, as well as in forward deployed locations during any incident.  The ASM is responsible for the care and maintenance of the facilities which are being utilized for staging, to include all contractual, environmental and legal considerations between the landowner and the operation.

11.  The ASM will maintain an operational base camp and provide for all logistical needs of EMS units and support personnel assigned. This includes, but is not limited to: fuel, medical supplies, medical gas, food, water, hygiene, communications and maintenance.  The ASM is also responsible for accountability of all units in staging, assigned personnel and logistical resources assigned to the area.  The ASM reports to the Staging Area Manager, the Medical Branch Director or the Operations Section Chief. Ambulance Staging Manager - ASM

12. ASM Duties:  Establish Staging Area layout.  Determine any support needs for equipment, feeding, sanitation and security.  Establish check-in function as appropriate  Post areas for identification and traffic control.  Request maintenance service for equipment at Staging as appropriate.  Respond to requests for resource assignment.  Obtain and issue receipts for radios, equipment and supplies distributed and received.

13. ASM Duties (cont.)  Determine required resource levels for personnel and equipment at staging.  Maintain and provide status to Resource Unit of all resources in Staging Area.  Maintain Staging Area in orderly condition (to include environmental condition).  Demobilize Staging Area in accordance with the Incident Demobilization Plan.  Maintain Unit/Activity Log (ICS Form 214).

14. ASM Training Requirements  Meet all Administrative and General Training Requirements for Emergency Operations.  Hold current certification as an Emergency Medical Technician or higher.  Complete NIMS/ICS trainings- ICS 100, 200, 700, and Intermediate ICS-300  Complete Ambulance Strike Team Leader Course  Be “Deployable” !

15. Ambulance Strike Teams

16.  The Ambulance Strike Team is an 11- person, 5 ambulance team designed to augment medical transportation capacity during evacuation and sheltering operations.  Five (5) Type III Ambulances with minimum two (2) person crew; EMT and EMT-P or two (2) EMT-P’s per Ambulance.

17.  5 Ambulances  Dedicated Strike Team Leader  Common Communications system  Can be from same agency or different agencies Ambulance Strike Teams

18. AST Support Missions  Supporting the evacuating region’s EMS system  Specific hospital evacuation missions  Specific nursing home evacuation missions  Embarkation support  Shelter support  POD support  Air Hub Ambulance Transportation Teams (AHATT)  Other missions as assigned.

19. Ambulance Strike Team Deployments Teams can be assembled and deployed by three methods: Local/Regional: Medical units brought into an event by activation of a regionally established response plan. (Example: EMTF) Local/Regional: Medical units brought into an event by activation of a regionally established response plan. (Example: EMTF) State: Medical units brought into a major response utilizing state contracted ambulance providers. (EMTF and Current EMS MOA) State: Medical units brought into a major response utilizing state contracted ambulance providers. (EMTF and Current EMS MOA) Federal: Medical Units pulled together by combining medical units provide by FEMA and organized into Ambulance Strike Teams when they arrive in Staging in San Antonio or Houston. Federal: Medical Units pulled together by combining medical units provide by FEMA and organized into Ambulance Strike Teams when they arrive in Staging in San Antonio or Houston.

20. Upcoming Training M-IST & ASM  ASM – Galveston – May 23 & 24  M-IST – El Paso – June 1 & 2  ASM – S. Padre Island – June 13 & 14  M-IST – San Antonio – June 29 & 30 (Refresher)  M-IST presentation scheduled for Friday, 0800-930, Room 206A

21. Questions?