resources from outside the hospital presented by bruce sawadsky, md medical director, emat, toronto,...

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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

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Page 1: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Resources from Outside the Hospital

Presented byBruce Sawadsky, MD

Medical Director, EMAT, Toronto, ON&

Dan McGuireCritical Care Flight Paramedic

Program Manager, EMAT, Toronto, ON

Page 2: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Ontario Air Ambulance

Page 3: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Emergency Medical Assistance Team

EMAT Ontario Air Ambulance

Page 4: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

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

Page 5: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Health Care Response System

EMAT

DISASTER

Page 6: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

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

Page 7: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

EMAT is able to:

• isolate patients in the case of an infectious

disease outbreak

Page 8: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

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

casualty situation

Page 9: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

EMAT is able to:• provide medical support in the case

of a chemical, biological or radiological incident

Page 10: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

EMAT Staff

Page 11: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Key Operational Elements

• Activation / Deployment Response

• Command/Control/Communication Centre

• Infrastructure Deployment & Support

• Medical Operations

Page 12: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

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

Page 13: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

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

Page 14: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

EMAT Deployment Response

Page 15: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Activation & Response OverviewRequesting Facility /

Hospital

Emergency Management Unit - MOHLTC

CEO, Ontario Air Ambulance

Medical Director & Incident Commander

EMAT Team Leaders

Recon Team

EMAT Main Body

Advanced / ERT Team

Page 16: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Command / Control /Communication Centre

Page 17: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Infrastructure Deployment - Support

Page 18: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Infrastructure Deployment - Support

Page 19: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Medical Operations – Acute Care Unit

Page 20: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Medical Operations – Acute Care Unit - Individual

Patient Care Tent

Page 21: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Medical Operations – Acute Care Unit

Patient Isolation Capability

Page 22: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Medical Operations – Acute Care Unit High Risk

Procedures Tent

Page 23: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Medical Operations – Intermediate Care Unit

Portable Isolation Containment System (PICS)

Page 24: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Medical Operation – Intermediate Care

Unit-PICS Air Filtration

Page 25: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Decontamination Capability

Page 26: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Sudbury Deployment

October 26th – November 4, 2005

Page 27: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Location

Page 28: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Adult & Ped Pods

Page 29: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

EMAT Team Configuration

• Site Commander (1)

• Medical Officer (1)

• Logistics Officer (2)

• Communications Officer (1)

• Physician (4)

• Medic/RN (13)

• OVERT (4)

• CSI (2)

Page 30: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Medical Assessments

• October 30, 2005 to November 3, 2005, 618 community members were assessed by EMAT

• average age was 21

Page 31: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Deployment Challenges

• Change in Scope

• Logistics

• Registration & Tracking

• Security

• Sustainability

Page 32: Resources from Outside the Hospital Presented by Bruce Sawadsky, MD Medical Director, EMAT, Toronto, ON & Dan McGuire Critical Care Flight Paramedic Program

Thank You

Questions ?