Medical Evacuation Jeffrey Hoogheem – DSHS Eric Epley - STRAC
Agenda • Medical Evacuation Basics • Facility Evacuation • Evacuation Triage Teams • Medical Incident Support Teams (MIST) • Medical Transportation Staging • Medical Transportation Resources • Medical Transportation Triage Process • Summary
Medical Evacuation • In the past (prior to 2010) medical evacuees were evacuated to multiple locations across the state of Texas. • We now plan to consolidate Medical Sheltering in San Antonio.
Population Definitions • General evacuees: Ability to function independently each day. Evacuee may or may not have disabilities, functional or access needs including minor medical care • Medical evacuees: Require skilled medical care and are people that may or may not have disabilities, functional or access needs.
Medical Evacuation Basics • Identification of medical evacuee is critical at embarkation hub • Reduce time on road • Medical evacuees arrive at the correct destination – San Antonio • Reduces evacuee being moved twice
Facility Evacuation • Evacuating hospitals requesting evacuation assistance will complete the Patient Movement Request form and forward to their respective EOC. • EOC Staff (Medical Branch or MOC) will review forms and determine if evacuation mission can be carried out utilizing local resources.
Facility Evacuation (cont) • If local resources are not adequate, the EOC must request additional resources through the normal resource request process through the DDC to the State Medical Operations Center (SMOC) • The SMOC will request appropriate resources (air or ground) and coordinate provision of resources back through the DDC
Mission Overview • To provide support to coastal jurisdictions with trained personnel support to properly triage evacuees for: • Transportation needs • Shelter Placement
Goal • To integrate with local jurisdiction triage personnel and assist with triage • To determine if an evacuee needs: • Medical Shelter • General Population Shelter • To determine if an evacuee needs: • Accessible Transportation • Medical Transportation
Team Configuration • One Task Force (TF) Leader • Coordination with DDC • Coordination with Local EMC • Coordination with BCFS in San Antonio • Multiple Strike Teams per TF • Strike Teams assigned to Evac Hubs • 3-6 Person Team • 1 Team Lead
School Bus – Medical • School bus • Medical supplies • Medical personnel
Para-Transit Vehicle • Medical support provided by the person’s caregiver • Capacity varies from 1 person up to several people
Coach Bus - Medical • Medical crew of 2-4 personnel • Basic medical supplies • AED • Oxygen carried by individual patients
AMBUS • Medical crew of 2-4 personnel • Medical supplies and equipment • Specialty ambulance
Ambulance • 2 Crewmembers • 2 Patients • Medical supplies and equipment • Oxygen on board
Transportation Triage MOBILITY IMPAIRED? (person using wheelchair) NEED MEDICAL CARE? PARA-TRANSIT VEHICLE Equipped to transport Wheelchairs. Yes No No Yes REGULAR BUS Typical “over the road” Bus used to transport people. • IS MEDICAL TRANSPORTATION • REQUIRED TO EVACUATE? • Daily dependence upon caregivers but traveling alone? • Require medical support or monitoring? • Have extensive needs other than a wheelchair? • Recent rapid onset of fever or illness? • Recent hospitalization or surgery? • Mental Health issues No to ALL MEDICAL BUS Equipped with medical staff, equipment and supplies to provide for basic needs. Yes CAN PERSON TRAVEL SEATED? Yes No Does person require medical oxygen at greater than 4 liters per minute? Does person require continuous cardiac monitoring? Does person require continuous IV medications requiring Monitoring? (“to keep open” IV’s, peg tubes or vitamin drips Do not fit this category) . Does person have orthopaedic injuries requiring appliances Or other acute medical condition(s) that prohibit patient from Traveling on alternative method of transport? LITTER BUS Equipped with medical staff and basic supplies to transport person needing litter. No to ALL Yes AMBULANCE
Transportation Triage • DSHS Website www.dshs.state.tx.us • FNSS Toolkit www.preparingtexas.org
Summary • Medical evacuees to San Antonio • Facility evacuation assistance starts at the EOC • Evacuation Triage Teams to assist with identifying Medical Evacuees • Transportation Triage Tool on DSHS Website or Preparingtexas.org.
Jeffrey HoogheemTexas department of State Health Servicesjeff.firstname.lastname@example.org(512)563-4455 Questions?