San Mateo County Emergency Medical Services Agency
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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. Emergency Medical Services. - PowerPoint PPT Presentation
Transcript of San Mateo County Emergency Medical Services Agency
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
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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
Emergency Preparedness
PREPARATION
Evaluation, planning, training and exercises
Emergency Preparedness
RESPONSEPREPARATION
Providing rescue, medical care, shelter and other services during the incident, emergency or disaster
Emergency Preparedness
RESPONSEPREPARATION
RECOVERY
Restoring infra-structure, services, lives and the economy to pre-disaster conditions
Emergency Preparedness
RESPONSEPREPARATION
RECOVERYMITIGATION
Taking steps to reduce the effects of events that cannot be prevented
Emergency Preparedness
RESPONSEPREPARATION
RECOVERYMITIGATION
Emergency Preparedness is a continuing cycle of improved preparation, response, recovery and mitigation
Preparation
PLAN
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
Blank
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
Ambulance Greater Alarm PlanAlarm Ambulance Supervisors Cover-In/Notification
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
Ambulance Greater Alarm PlanAlarm Ambulance Supervisors Cover-In/Notification
Level 4 MCI
BLS AmbulanceBLS Ambulance
Follow System Status PlanConsider Medical Mutual AidConsider IDT Response
Level 5 MCI
BLS AmbulanceBLS Ambulance
Follow System Status PlanConsider Medical Mutual Aid
Level 6 MCI
BLS AmbulanceBLS Ambulance
Follow System Status PlanConsider Medical Mutual Aid
Level 7 MCI
BLS AmbulanceBLS Ambulance
Follow System Status PlanConsider Medical Mutual Aid
Level 8 MCI
BLS AmbulanceBLS Ambulance
Follow System Status PlanConsider Medical Mutual Aid
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
