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North Carolina’s North Carolina’s Coordinated Medical Coordinated Medical
Response to Hurricane Response to Hurricane KatrinaKatrina
Challenges and Lessons LearnedChallenges and Lessons Learned
September-October, 2005September-October, 2005
Eye Wall of Katrina from 30,000 feet
Know what you face.
HANCOCK MEMORIAL HOSPITALHANCOCK MEMORIAL HOSPITAL
The “Safe Zone” Border
Prepare for the Worst and be Self-sufficient
…otherwise you become part of the problem
rather than the solution
Preparations
The Bus
Noble
Getting There
There is No Substitute for Adequate Planning
The Infrastructure Must ExistRegional Trauma System
• NC Trauma System mandated by State Legislature in 1992.100 Counties in NC with EMS Systems.Eight Regional Advisory Committees (RAC)Designed to coordinate trauma care.
Collaborative Effort
Office of Emergency Medical Services
NORTH CAROLINA
To develop a tiered State Medical Response System (SMRS)
Logistics!!!!
Just do it.
Untested Waters31 AUG 2005
• E-mail from Randy Kearns, MidCarolina RAC Disaster Preparedness Coordinator, notifying us that our SMAT had been activated.
• Gathered supplies
Chris Ogden, RN, BSN
Randy Kearns, CEM, NREMT-P, DHA(c)
Michele Rudisill, RN, BSN
The Plan ?
Trauma Resuscitation Algorithm
Be safe, establish security
Organization, SafetyVaccinations, ID’s
Charlotte-Mecklenburg SWAT
Expect hurdles but never give up.
The Importance of Boots on the Ground
If you build it, they will come
Waveland, MS
Tent City
Clearing the Staging Site by Hand
Securing the Perimeter
2 am, Open for Business
MED-1MED-1
OR’s
ICU CapabilitiesICU Capabilities
Digital X-rayDigital X-ray
Trauma
PEDIATRIC BURNPEDIATRIC BURN
Order from Chaos
The Kmart Clinic is Up and Running
Christian Life Church
Orange Beach, Alabama
Filling a NeedFilling a Need
• Population changed with time
• 250-350 pts. per day• Mostly during daytime• Over 7,000 patients
cared for
Establish communications and build infrastructure
A Helipad?
Rowan County Search and Rescue
Yes, A Helipad
Be creative.
Tree-age
Strategic National Stockpile
WALMARTWALMART““PRESCRIPTIONS”PRESCRIPTIONS”
Breakfast, Lunch and Dinner at
Mr. E’s
Inside the MidCarolina SMAT-2Inside the MidCarolina SMAT-2
Never underestimate the power of humanity.
The Remnants of City Hall
NC SMAT Team 1
Anything is possible…