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responsible for ensuring that ASPR has the systems, logistical support, and procedures necessary to coordinate the
Department's operational response to acts of terrorism and other public health and medical threats and emergencies. OEM maintains a regional planning and response coordination capability, and has operational responsibility for HHS functions related to the National Disaster Medical Systems (NDMS). This responsibility is carried out by the Division of National Disaster Medical System in OEM.
204:(IMT) - Provides the field management component of the Federal public health and medical response. The IRCT provides liaisons in the field to coordinate with jurisdictional, Tribal, or State incident management and provides the field management and coordination for deployed HHS and other ESF #8 assets to integrate those assets with the State and local response.
164:(DMORT) - provides forensic analysis of human remains in order to identify victims following a disaster or major transportation incident. Eleven of these teams, which consist of private citizens with specialized training and experience to help in the recovery, identification and processing of deceased victims, including one team with WMD capabilities.
196:(TCCT), known as International Medical Surgical Response Team (IMSuRT) prior to 2017 - widely recognized as a specialized team, trained and equipped to establish a fully capable field surgical facility anywhere in the world. TCCTs provide critical, surgical, and emergency care to help people in the wake of disaster or emergency.
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ASPR OEM is responsible for developing operational plans, analytical products, and training exercises to ensure the preparedness of the Office, the
Department, the Federal Government and the public to respond to domestic and international public health and medical threats and emergencies. OEM is also
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in a disaster area to decompress the overtaxed emergency department; providing veterinary services to federal working animals during
National Security Special Events, such as the Presidential Inauguration; and, supporting the National Transportation Safety Board and affected localities with fatality
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Over 1,800 civilian hospitals in the U.S. are voluntary members of NDMS. Their role is to provide approximately 100,000 hospital beds to support NDMS operations in an emergency. When a civilian or military crisis requires the activation of the NDMS system, participating hospitals communicate their
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Under the NDMS, movement (evacuation) of patients from a disaster area is coordinated by the FCCs in each of the 10 FEMA regions. The actual transport is conducted by the
Department of Defense. Patients arriving in a region are then dispersed to a local NDMS participating hospital.
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management services following major transportation disasters. Although NDMS is primarily a domestic disaster response capability, NDMS teams and personnel have also been deployed to disasters internationally, such as in Iran and Haiti following devastating earthquakes.
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Over 5,000 NDMS civilian medical personnel (IFEs) are organized into a number of types of teams, designed to provide medical services supporting the
Federal Public Health and Medical Services (Emergency Support Function - 8) mission.
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Emergency medical response by medical teams made up by
Federal Intermittent Employees (IFEs) (civilians who are federalized when activated), equipment, and supplies deployed to a disaster area when requested by State or local
156:(DMAT) - provides medical care during a disaster or other incident. Fifty-five Disaster Medical Assistance Teams (DMATs), which include specialized teams to handle burns, pediatrics, crush injuries, surgery and mental health.
188:(FCCs) - recruit hospitals and maintain local non-Federal hospital participation in the NDMS, conduct patient reception planning, and coordinate patient reception exercises with stakeholders in the patient reception area
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services, and fatality management support when requested by authorities from States, localities, Tribes and
Territories, or other federal departments. Some common missions for NDMS include: augmenting a
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180:(NVRT) - provides veterinary services in a disaster area, or assessment and consultation regarding the need for veterinary services following major disasters or emergencies
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available bed types and numbers to a central control point. Patients can be distributed to a number of hospitals without overwhelming any one facility with casualties.
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After
Hurricane Katrina, amidst allegations of mismanagement (etc.), NDMS was reorganized under HHS, as legislated by an Act of Congress entitled, "the
238:; helped evacuate hundreds of medical patients from the affected areas; and augmented medical staffing levels at hospitals impacted by the evacuations.
276:(ASPR) Office of Preparedness and Emergency Operations (OPEO). In 2012, OPEO was reorganized and renamed the Office of Emergency Management (OEM).
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172:(VIC) - conducts interviews with family members to gather ante mortem information, including DNA samples, to assist in identifying human remains.
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health care systems in caring for combat casualties, should requirements exceed their capacity. The NDMS was established in 1984.
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and emergencies by supplementing health and medical systems and response capabilities. NDMS would also support the
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258:(DHS), requested, and was granted convening authority over NDMS which was then placed under the direction of the
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in the fall of 2005, the NDMS system activated almost all of their civilian medical teams to assist victims in
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42:) is a federally coordinated disaster medical system and partnership of the United States Departments of
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250:(USPHS) within The Department of Health and Human Services (HHS). In 2003, as a direct result of the
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101:(NRF), employs the NDMS to provide patient care, patient movement, and definitive care, as well as
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OEM also acts as the primary operational liaison to emergency response entities outside HHS:
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Movement of ill and injured patients from a disaster area to areas unaffected by the disaster
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OEM acts as the primary operational liaison to emergency response entities within HHS:
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CA-6 Disaster
Medical Assistance Team - San Francisco Bay Area, California
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The NDMS is made up of several teams that have specific capabilities.
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United States
District Court for the Northern District of Mississippi
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CA-11 Disaster Medical Assistance Team - Sacramento, California
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269:(PAHPA)", (Public Law 109-417), effective January 1, 2007.
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Substance Abuse and Mental Health Services Administration
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Administration for Strategic Preparedness and Response
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Administration for Strategic Preparedness and Response
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RI-1 Disaster Medical Assistance Team - Rhode Island
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OH-1 Disaster Medical Assistance Team - Toledo, Ohio
97:(ESF-8), Public Health and Medical Services, of the
272:This positioned NDMS, organizationally, within the
494:. National Disaster Medical System. Archived from
468:. National Disaster Medical System. Archived from
442:. National Disaster Medical System. Archived from
399:. National Disaster Medical System. Archived from
274:Assistant Secretary for Preparedness and Response
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602:Knouss RF, "National Disaster Medical System",
89:The Department of Health and Human Services,
336:United States Department of Veterans Affairs
295:Health Resources and Services Administration
58:(VA). The purpose of the NDMS is to support
161:Disaster Mortuary Operational Response Team
673:Disaster preparedness in the United States
313:Centers for Medicare and Medicaid Services
307:Centers for Disease Control and Prevention
19:"NDMS" redirects here. For the court, see
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267:Pandemic and All-Hazards Preparedness Act
564:"HHS Concept of Operations for ESF #8 E"
319:Administration for Children and Families
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330:United States Department of Agriculture
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93:(ASPR), in its role as Coordinator of
30:National Disaster Medical System logo.
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134:in areas unaffected by the disaster.
678:Federal Emergency Management Agency
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348:Federal Emergency Management Agency
342:United States Department of Defense
260:Federal Emergency Management Agency
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629:"National Disaster Medical System"
580:. National Disaster Medical System
426:"National Disaster Medical System"
375:"National Disaster Medical System"
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177:National Veterinary Response Team
119:NDMS has three major components:
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518:"Trauma and Critical Care Teams"
153:Disaster Medical Assistance Team
36:National Disaster Medical System
256:Department of Homeland Security
130:Definitive care of patients at
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246:NDMS was originally under the
84:Department of Veterans Affairs
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193:Trauma and Critical Care Team
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289:Food and Drug Administration
185:Federal Coordinating Centers
169:Victim Identification Center
95:Emergency Support Function#8
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99:National Response Framework
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608:, 2001;116(suppl 2):49–52.
248:U.S. Public Health Service
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254:in 2001 the newly formed
44:Health and Human Services
201:Incident Management Team
544:. Mass General Hospital
72:Territorial authorities
31:
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16:American organization
446:on February 25, 2004
403:on November 29, 2014
252:September 11 attacks
222:In the aftermath of
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605:Public Health Rep
498:on March 28, 2004
472:on March 29, 2004
428:. April 21, 2004.
224:Hurricane Katrina
48:Homeland Security
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502:September 7,
500:. Retrieved
496:the original
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476:September 7,
474:. Retrieved
470:the original
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115:Organization
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578:"DMAT/NDMS"
548:January 12,
381:October 21,
236:Mississippi
124:authorities
54:(DOD), and
667:Categories
566:. phe.gov.
527:2019-10-02
358:References
315:(CMS), and
214:Operations
143:NDMS Teams
103:veterinary
74:following
303:(SAMHSA),
287:the U.S.
232:Louisiana
132:hospitals
76:disasters
542:"IMSuRT"
344:(USDOD),
338:(USDVA),
262:(FEMA).
108:hospital
82:and the
80:military
584:July 3,
522:phe.gov
440:"DMORT"
350:(FEMA),
332:(USDA),
297:(HRSA),
52:Defense
50:(DHS),
46:(HHS),
466:"VMAT"
397:"DMAT"
309:(CDC),
291:(FDA),
234:, and
68:Tribal
492:"FCC"
377:. HHS
321:(ACF)
228:Texas
64:local
60:State
636:2012
586:2008
550:2009
504:2006
478:2006
452:2006
409:2012
383:2016
70:and
40:NDMS
34:The
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38:(
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