2. San Mateo County Emergency Medical Services Agency
Coordinating Emergency Medical Services &
Medical/Health Emergency Preparedness for San Mateo County
Photos courtesy Don Cheu, MD unless otherwise cited

3. Emergency Medical Services
A system to provide care and transportation in response to a sudden and unexpected medical event
Includes ambulances, first responders, hospitals, trauma centers, and associated stakeholder organizations
Medical component of 911

4. Government & EMS
U.S. Department of Transportation, National Highway Traffic Safety Administration, Traffic Safety, Office of EMS (NHTSA)
California Health and Human Services Agency, California EMS Authority (EMSA)
Local EMS Agency (LEMSA)

5. Authority
California Health & Safety Code, Division 2.5, Sections 1797 – 1799, Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act.
California Code of Regulations, Title 22, Division 9, Prehospital Emergency Medical Services

6. San Mateo County

7. San Mateo County Health Department

8. San Mateo County EMS Agency

9. Responsibilities EMT Certification
Approval of EMS courses and providers
Oversee 911 contract
Accredit paramedics
Develop policies & protocols
Coordinate disaster preparedness for prehospital and hospitals

10. Guidance Emergency Medical Care Committee Medical Advisory Committee
Quality Leadership Council
Operations Committee
Nurse Leadership Committee
MCI Working Group
Hospital Working Group

11. Exclusive Operating Area (EOA)
EMS System
Exclusive Operating Area (EOA)
South San Francisco
(201)

12. Public – Private Partnership
Photo: courtesy AMR

13. Public Joint Powers Authority for Fire/EMS
Public Safety Communications
Single Fire & EMS Dispatching
Emergency Medical Dispatch

14. Private American Medical Response
Contractor for most Bay Area counties
Largest Ambulance Company in US and World

15. Data-driven, evidence-based patient care

16. San Mateo County Mental Health Assessment & Referral Team
S M A R T
San Mateo County Mental Health Assessment & Referral Team

17. Emergency Preparedness
Medical/Health Operational Area Coordinator
Medical – Healthcare Delivery
Health – Public Health

18. Emergency Preparedness
PREPARATION
Evaluation, planning, training and exercises

19. Emergency Preparedness
PREPARATION
RESPONSE
Providing rescue, medical care, shelter and other services during the incident, emergency or disaster

20. Emergency Preparedness
PREPARATION
RESPONSE
RECOVERY
Restoring infra-structure, services, lives and the economy to pre-disaster conditions

21. Emergency Preparedness
PREPARATION
RESPONSE
MITIGATION
RECOVERY
Taking steps to reduce the effects of events that cannot be prevented

22. Emergency Preparedness
PREPARATION
RESPONSE
MITIGATION
RECOVERY
Emergency Preparedness is a continuing cycle of improved preparation, response, recovery and mitigation

23. HSEEP: Homeland Security Exercise & Evaluation Program
Preparation
EVALUATE
PLAN
EXERCISE
TRAIN
HSEEP: Homeland Security Exercise & Evaluation Program

24. Guidance for Emergency Preparedness Planning
comes from many sources

25. Preparedness Partners
San Mateo County EMS Agency
San Francisco International Airport
Hospitals and Healthcare Systems
Ambulance Services
Fire Departments and Districts
Public Health
Environmental Health
Office of Emergency Services
Clinics
Regional Disaster Medical Health Coordinator
California EMS Authority
California Department of Health Services
National Disaster Medical System
Blank

26. Funding Sources General budget Grants
HRSA Health Resources & Services Administration
CDC Bioterrorism Preparedness in Public Health
DHS Department of Homeland Security through County OES
UASI Urban Area Security Initiative through County OES and SF OES

27. Daily Preparedness
EMS, Public Health and Public Safety Communications monitor 911 responses for key medical conditions, providing an early alerting system for public health and bioterrorism emergencies.

28. Multi-Casualty Incidents

29. ICS / Medical Group

30. Ambulance Greater Alarm Plan
Supervisors
Cover-In/Notification
Initial Response
ALS Ambulance
Follow System Status Plan
Level 1 MCI
Air Ambulance *
AMR Supervisor
Notify BCE
Poll Hospitals via HART
Poll AMR’s BLS Division
Consider Medical Mutual Aid
Consider notification of CISM Team through the IC

31. Ambulance Greater Alarm Plan
Supervisors
Cover-In/Notification
Level 2 MCI
ALS Ambulance
BLS Ambulance
Follow System Status Plan
Notify EMS On-Call Administrator
Notify AMR On-Call Manager
Consider Medical Mutual Aid
Poll Bayshore Ambulance
Consider use of WOF Rescue 7,SOF R-61 and R-63 for transport purposes
Level 3 MCI**
Consider Use of AMR MCI Unit

32. Ambulance Greater Alarm Plan
Supervisors
Cover-In/Notification
Level 4 MCI
BLS Ambulance
Follow System Status Plan
Consider Medical Mutual Aid
Consider IDT Response
Level 5 MCI
Level 6 MCI
Level 7 MCI
Level 8 MCI

33. Triage START JumpSTART RPM Respirations, Pulse, Mental Status
Children under 8 years old
One attempt to revive before declaring

34. Triage

35. Triage Tags

37. Mutual Aid Six Mutual Aid Regions Three Administrative Regions
Coastal: II
Inland: III, IV, V
Southern: I, VI

38. Coastal Region Mutual Aid Region II Del Norte Humbolt Mendocino Lake
Napa
Sonoma
Solano
Marin
Contra Costa
San Francisco
Alameda
San Mateo
Santa Clara
Santa Cruz
San Benito
Monterey

39. Mutual Aid Structure Standardized Emergency Management System
State Operations Center
Federal Assets
Regional EOC
Adjacent OA
Operational Area EOC
Adjacent OA
Adjacent City
Local EOC
Adjacent City
Partner Agencies
Incident
Partner Agencies

40. Medical/Health Mutual Aid
Emergency Support Function 8 (HHS)
Federal Region IX
Medical Health Branch
CDHS & EMSA
Regional Disaster Medical Health Coordinator
Regional Disaster Medical Health Specialist
Medical Health Operational Area Coordinator

41. Other Resources

42. San Mateo County Public Health - Bioterrorism Website

43. San Mateo County Sheriff’s Office of Emergency Services
& Homeland Security

44. California EMS Authority – Disaster Medical Services

45. California Governor’s Office of Emergency Services

46. http://dhs.ca.gov/epo/ California Department of Health Services
Emergency Preparedness Office

47. American Red Cross

48. Federal Emergency Management Agency

49. Questions
Thank you!