San Mateo County Emergency Medical Services Agency

transcript

San Mateo CountyEmergency Medical Services Agency

Coordinating Emergency Medical Services & Medical/Health Emergency Preparedness for San

Mateo County

Photos courtesy Don Cheu, MD unless otherwise cited

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

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)

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

San Mateo County

San Mateo County Health Department

San Mateo County EMS Agency

K a rl S po re r, M DM e d ica l D ire c to r

Ja n O ga r, RNC lin ica l C oo rd in a to r

G le n Y o un g b loo d , M ICPE M S C o o rd in a tor

K e v in R o seE m e rg e n cy P re p a red n ess C oo rd in a to r

C la u de tte C la rkeS e c re ta ry

P a trice C h ris t ia ns e n , P HNIn ju ry P rev e n tio n Co o rd in a tor

B a rb a ra P le tz , R NE M S A d m in is tra to r

Responsibilities

• EMT Certification• Approval of EMS courses and providers• Oversee 911 contract• Accredit paramedics• Develop policies & protocols• Coordinate disaster preparedness for

prehospital and hospitals

Guidance

• Emergency Medical Care Committee• Medical Advisory Committee• Quality Leadership Council• Operations Committee• Nurse Leadership Committee• MCI Working Group• Hospital Working Group

EMS System

Exclusive Operating Area (EOA)

South San Francisco(201)

Public – Private Partnership

Photo: courtesy AMR

Public

• Joint Powers Authority for Fire/EMS

• Public Safety Communications– Single Fire & EMS

Dispatching– Emergency Medical

Dispatch

Private

• American Medical Response

• Contractor for most Bay Area counties

• Largest Ambulance Company in US and World

Data-driven, evidence-based patient care

S M A R TSan Mateo County Mental Health Assessment & Referral Team

Emergency Preparedness

Medical/Health Operational Area Coordinator

Medical – Healthcare Delivery

Health – Public Health

PREPARATION

Evaluation, planning, training and exercises

RESPONSEPREPARATION

Providing rescue, medical care, shelter and other services during the incident, emergency or disaster

RESPONSEPREPARATION

RECOVERY

Restoring infra-structure, services, lives and the economy to pre-disaster conditions

RESPONSEPREPARATION

RECOVERYMITIGATION

Taking steps to reduce the effects of events that cannot be prevented

RESPONSEPREPARATION

RECOVERYMITIGATION

Emergency Preparedness is a continuing cycle of improved preparation, response, recovery and mitigation

Preparation

TRAINEXERCISE

EVALUATE

HSEEP: Homeland Security Exercise & Evaluation Program

Guidance for Emergency Preparedness Planningcomes from many sources

Hospitals and Healthcare SystemsAmbulance Services

Fire Departments and Districts

Clinics

Public HealthEnvironmental Health

Office of Emergency Services

San Mateo County EMS Agency

Regional Disaster Medical Health CoordinatorCalifornia EMS AuthorityCalifornia Department of Health Services

National Disaster Medical System

San Francisco International Airport

Preparedness Partners

Funding Sources

• General budget• Grants

HRSA Health Resources & Services AdministrationCDC Bioterrorism Preparedness in Public HealthDHS Department of Homeland Security through County

OESUASI Urban Area Security Initiative through County OES

and SF OES

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.

Daily Preparedness

Multi-Casualty Incidents

ICS / Medical GroupS ta g in g A rea

M a na g er

F ire S u p pre s sio n G ro upS u p erv is or

E x trica t io n /R e scu e G ro upS u p erv is or

T ria geL e ad er

Im m e d ia te A reaM a na g er

D e la yed A reaM a na g er

M in o r A reaM a na g er

T re a tm e ntL e ad er

M e d ica l C o m m u n ica tio nsC o o rd in a to r

G rou n d A m b u la n ceC o o rd in a to r

T ra ns p o rta tionL e ad er

M e d ica l G ro upS u p erv is or

In ic ide n t C o m m a nd e r /O p e ra t io n s C h ie f

Ambulance Greater Alarm PlanAlarm Ambulance Supervisors Cover-In/Notification

Initial Response

ALS Ambulance

Follow System Status Plan

Level 1 MCI

ALS AmbulanceALS Ambulance Air Ambulance *

AMR Supervisor

Follow System Status PlanNotify BCEPoll Hospitals via HARTPoll AMR’s BLS DivisionConsider Medical Mutual AidConsider notification of CISM Team through the IC

Level 2 MCI

ALS AmbulanceBLS Ambulance

Follow System Status PlanNotify EMS On-Call AdministratorNotify AMR On-Call ManagerConsider Medical Mutual AidPoll Bayshore AmbulanceConsider use of WOF Rescue 7,SOF R-61 and R-63 for transport purposes

Level 3 MCI**

BLS AmbulanceBLS Ambulance

Follow System Status PlanConsider Use of AMR MCI UnitConsider Medical Mutual Aid

Level 4 MCI

Follow System Status PlanConsider Medical Mutual AidConsider IDT Response

Level 5 MCI

Follow System Status PlanConsider Medical Mutual Aid

Level 6 MCI

Level 7 MCI

Level 8 MCI

Triage

• START– RPM– Respirations, Pulse, Mental Status

• JumpSTART– Children under 8 years old– One attempt to revive before declaring

Triage

Triage Tags

Six Mutual Aid Regions

Three Administrative RegionsCoastal: II

Inland: III, IV, VSouthern: I, VI

Mutual Aid

Coastal RegionMutual Aid Region II

Del Norte

Humbolt

Mendocino

LakeNapa

SolanoContra Costa

AlamedaSanta Clara

San Benito

SonomaMarin

San FranciscoSan Mateo

Santa CruzMonterey

Mutual Aid StructureStandardized Emergency Management System

Incident

Local EOC

Operational Area EOC

Regional EOC

State Operations Center

Partner Agencies

Adjacent City

Adjacent OA

Partner Agencies

Adjacent City

Adjacent OA

Federal Assets

Medical/Health Mutual Aid

Medical Health Operational Area Coordinator

Regional Disaster Medical Health CoordinatorRegional Disaster Medical Health Specialist

Medical Health BranchCDHS & EMSA

Emergency Support Function 8 (HHS)Federal Region IX

Other Resources

www.smhealth.org/bt

San Mateo County Public Health - Bioterrorism Website

www.co.sanmateo.ca.us/oes

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

www.emsa.ca.gov/dms2/dms2.asp

California EMS Authority – Disaster Medical Services

www.oes.ca.gov

California Governor’s Office of Emergency Services

http://dhs.ca.gov/epo/

California Department of Health ServicesEmergency Preparedness Office

www.redcross.org

American Red Cross

www.fema.gov

Federal Emergency Management Agency

Questions

www.smhealth.org/ems

San Mateo County Emergency Medical Services Agency

Documents