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NDMS Patient Movement

USNORTHCOM Command Surgeon Joint Regional Medical Plans & Operations. NDMS Patient Movement. Lt Col Tony Voirin USNORTHCOM JRMP – NW Branch. Federal Patient Movement Capabilities. National Ambulance Contract 300 Amb/3000 para-transit seats/life-flight Military Ground Ambulance – Humvee

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NDMS Patient Movement

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  1. USNORTHCOM Command Surgeon Joint Regional Medical Plans & Operations NDMS Patient Movement Lt Col Tony Voirin USNORTHCOM JRMP – NW Branch

  2. Federal Patient Movement Capabilities • National Ambulance Contract • 300 Amb/3000 para-transit seats/life-flight • Military Ground Ambulance – Humvee • Military Helicopters – MEDEVAC/CASEVAC • National Guard and Active Duty • Civilian Contract Airlines • Low acuity/Ambulatory/Chronic patients • NDMS Fixed Wing Patient Evacuation

  3. National Disaster Medical System A public/private sector partnershipDHS DHHS DOD DVA

  4. Major Components of theNDMS System

  5. NDMS Patient Evacuation • DoD has primary responsibility • Movement from point of origin to receiving Federal Coordinating Center (FCC) Patient Reception Area (PRA) • Primarily relies on air • AE = Aeromedical Evacuation • System Components • Movement Requests • Staging • Regulating • Lift • Reception & Distribution • Tracking (HHS JPATs)

  6. System Capability • Patient Evacuation can begin 36 hrs from notice • System can move 500 patients per day (up to 20% critical) • Up to four Airfields • Limited capability for patients • Suggest the following patients be evacuated by other modes • High-acuity burn • NICU and PICU • Psychiatric (if requires medical supervision)

  7. Reception Sites(FCC)

  8. What we need to know • How many patients over what period (approx) • What airfields (coordinated approval) • Rate of delivery to the Airfield • Acuity of Patients (higher Acuity, less patients) • Litter/Amb – Space, number of patients/plane • Critical – CCATT and Equipment • Vented – CCATT, Equipment and O2 • How will Patient Movement Requests flow • Will need to know but make best guess

  9. Other factors • Notice vs No Notice • Hurricane vs Earthquake/CBRNE • Catastrophic or Not (Potential or Just Bad) • 7.8 Earthquake/Nuke or Prestorm/Wildfire • State Request Submitted or On Fence • Mission Assignment Driven Process • Single or Multi-State Event

  10. PT MAN PMR NDMS HOSP AMC (TACC) NDMS HOSP LOCAL HOSP PMR PMR PMR GPMRC Crews Alerted Mission Built PMR Regional Hospital Coordinator PT MAN Mission Specifics (MSN #, Times, Etc.) APOE/AMP Ambulances dispatched to hospitals MASF/AELT CRE/CRT Pts moved to APOE and loaded NDMS DMAT/CCT JPRT/QRC Ambulance Control AE movement to APOD APOD/FCC NDMS HOSP AE System Overview State EOC JPMT (GPMRC) LOCAL HOSP LOCAL HOSP Situational Awareness State/Local IC

  11. Challenges • Patient Movement Requests • Number of patients; over period of time (approximately) • FEMA Mission Assignment (MA) to DoD • Identification and allocation of space on Airfields • Rate of delivery to the Airfield(s) • right patient • right airhead • right order/time • Acuity of patients (higher acuity = less patients) • Litter/Ambulatory – space, number of patients/plane • Critical – CCATT, Equipment, O2 (20% max) • Vented – CCATT, Equipment, O2 • # Non-medical attendants (i.e. pediatric patients - 20% max)

  12. Questions?

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