Transcript Emergency Medical Task Force-11

Large Incident Ambulance Staging
Rio Grande Valley Staging Plan
Daniel Ramirez EMTF-11 Coordinator
Jorge Jalomo
Why are we here?
Hurricane Dean (2007)
First Deployment of assets with Strike Team Leaders
200 Ambulances deployed for a Non-event
Hurricane Dolly (2008)
25 EMS Units deployed to the Valley via ARCC Staging
Hurricane Gustav and Ike (2009)
Largest deployment of Ambulances in U.S. History
Stressed the importance of FORWARD STAGING capabilities and coordination
Ambulance Staging Managers
 Deployable to Forward / Austere locations
 Closer to affected jurisdictions
 Utilizing the Ambulance Staging Matrix to plan staging operation
 Provide tools to train personnel assigned to ambulance staging
 Get a better understanding of the roles of ambulance staging during a
disaster
 Understanding how ambulance staging operations works alongside the
overall response
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Working with landowner / jurisdiction having authority over EMS units
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Working with EOC / MACC / DDC / M-IST to coordinate logistical needs
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Utilizing the ICS Chain of Command for reporting and resource requests
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Working with several different bosses
Staging Area Manager
Regional Medical Operations Center / Catastrophic Medical Operations
Center
State and Federal Oversight (USPHS, FEMA, DSHS)
DPS Leadership / Local Law Enforcement / Local Elected Officials and Chief
Officers
Reference the resource typing list for the specific
needs for the amount of units you will be staging.
Type 1
Type 2
Type 3
Type 4
500 units
250 units
125 units
25 units
Operational Area Requirements
• Area Guidelines
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Type IV: 22,600 square feet
Type III: 73,000 square feet
Type II: 136,000 square feet
Type I: 272,000 square feet
• Calculations
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12’ x 35’ / Vehicle
Six Vehicles per Strike Team
10,000 sq ft for Ops Space
20,000 sq ft for Ops in Type I
Step up meeting with local AMS’s to
determine the need in our area
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The Rio Grande Valley has had 19
Presidential Disaster Declarations
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Distance to other major metropolitan areas
300 miles south of San Antonio
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Number of potential patients that would
need evacuation – over 20,000
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Discuss the importance of planning and
preparation in the design and layout of the
Ambulance Staging Area.
Sergio Castro 9-1-1 IT Dept, Ralph Cantu TranStarr ESM, Ester Salinas Elite EMS
Tony Lopes Weslaco Fire Dept, Rudy Garza Weslaco Fire Dept, Jorge Jalomo DC
Chief Nim Kidd, Barbara Adams DSHS, Anselmo Trevino Med Care EMS
Find a location that will accommodate a
TYPE 1 Staging
DODGE ARENA
Should be able to accommodate some resources inside
Always plan for the worse case
Considerations
• Consider Locations of:
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Staff Parking
Check-In
Check-Out
Maintenance
Fueling
Supply and Logistics Tents
• Environmental Issues
– Water Runoff / slope
– Fuel Spill containment
– Protection from Sun/Wind
Good Choices
• College / University
• Industrial Park
• High School
• Military Facility
• Amusement Park
• Large Church
• Training Center
• Truck Stop
• Highway Comfort Station
Once you have selected a area and have the
facilities permission, then began to draw a plan
Parking Area Design
The design of the parking
area should maximize the
number of units that can be
parked in a designated area
Ensure adequate travel
lanes for one-way or
two-way traffic…
Develop a TRAFFIC PLAN
Meet regularly to work on plan and make
changes as needed
Finalize the plan, but remember its still a
working document
In Summary
Discuss the size and type of area required to
accommodate Ambulance Staging Operations.
Utilize the “Matrix” to identify resource needs.
Identify locations in several smaller
jurisdictions that could be utilized for Type IV,
Type III, Type II and Type I Ambulance Staging
Operations.
Discuss the importance of planning and
preparation in the design and layout of the
Ambulance Staging Area.