Resources from Outside the Hospital

Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program Manager, EMAT, Toronto, ON

Ontario Air Ambulance

E mergency M edical A ssistance T eam EMAT

Ontario Air Ambulance

• created to assist Ontario’s health care system respond swiftly and effectively to major health emergencies

Health Care Response System E M A T

What is EMAT?

• EMAT is a self-contained mobile field unit that has a 56 bed capacity – 20 acute care beds – 36 intermediate care beds

EMAT is able to: • isolate patients in the case of an infectious disease outbreak

EMAT is able to: • assist in managing patients in a mass casualty situation

EMAT is able to: • provide medical support in the case of a chemical, biological or radiological incident

EMAT Staff

Key Operational Elements

• Activation / Deployment Response • Command/Control/Communication Centre • Infrastructure Deployment & Support • Medical Operations

When Can I Activate?

• Code Orange invoked by hospital • community disaster plan implemented • efforts to transfer patients out of hospital/region have been, or will rapidly become, inadequate • resolution of emergency is predicted to be greater than 6 hours + EMAT response and travel time

Who Do I Contact?

• local public health or hospital officials contact the Ministry of Health and Long Term Care’s Emergency Management Unit (EMU)

24 hour hotline 1-866-212-2272

EMAT Deployment Response

Activation & Response Overview Requesting Facility / Hospital Emergency Management Unit MOHLTC CEO, Ontario Air Ambulance Medical Director & Incident Commander EMAT Team Leaders EMAT Main Body Recon Team Advanced / ERT Team

Command / Control / Communication Centre

Infrastructure Deployment Support

Infrastructure Deployment Support

Medical Operations – Acute Care Unit

Medical Operations – Acute Care Unit - Individual Patient Care Tent

Medical Operations –

Acute Care Unit Patient Isolation Capability

Medical Operations – Acute Care Unit High Risk Procedures Tent

Medical Operations – Intermediate Care Unit Portable Isolation Containment System (PICS)

Medical Operation – Intermediate Care Unit PICS Air Filtration

Decontamination Capability

Sudbury Deployment

October 26th – November 4, 2005

Location

Adult & Ped Pods

EMAT Team Configuration

• Site Commander (1) • Medical Officer (1) • Logistics Officer (2) • Communications Officer (1) • Physician (4) • Medic/RN (13) • OVERT (4) • CSI (2)

Medical Assessments

• October 30, 2005 to November 3, 2005, 618 community members were assessed by EMAT • average age was 21

Deployment Challenges

• Change in Scope • Logistics • Registration & Tracking • Security • Sustainability

Thank You

Questions ?