5/15/19 Disaster Management/Emergency Preparedness in Maine Matthew Sholl, MD, MPH Brian S. Dougher, M.S. Marc Minkler, NREMTP Expectations/Objectives • What are the types of disasters most likely in the state of Maine? • What emergency preparedness activities that are on going in the state? What is a Disaster? • What is the “All Hazards” approach to disaster preparedness? • What are the various roles – between local, state, and federal responders? • What is the Emergency Medical Services for Children’s grant Maine recently received and how does it play a role in emergency preparedness? Massachusetts-1 Disaster Medical Assistance Team, Response to New York City, September US Army Base Ft. Devens, Massachusetts, 1918 2001 1
5/15/19 Timeframe – Within 5 years Known Risk? Future Scientific Projections Human Impact Property Impact Business Impact (including impact of Historical Data climate change) Risk = Probability (Likelihood) x Severity (Magnitude – Mitigation) Preparedness Internal External Response Response 2
5/15/19 SMRRC 2018 Regional HVA SMRRC 2018 HVA - Events > 30% Risk Electrical Industrial Large Scale Large Scale Cable Existing Failure of Chemical Chemical Network Tornado (Regional Mass Casualty Tidal Ice Storm Emergent Plant Blizzard Windstorm/Microb several landings) Inhalations Incident (trauma) Exposure Wave/Tsunami Failure Communicab Blizzard Regional urst (Multiple sites (Regional), Disease, explosion/f (Regional), Large Scale Mold (Regional) Existing across Region) le Disease Food Supply Earthquake Catastrophic Infrastructu… Contamination Pharmaceutic Communicable (Building) al + or (3-5 causing systems Opioid Epidemic, 41% 41% ire, 41% 39% Hurricane Contaminati Disease Outbreak some Failure Outbreak, Medical (Cat 3-4 Snow Fall structural … (EMP/Suns… 89% Supply regional) Blister Agent Ricin 61% on, 56% Opioid Epidemic (Regional) shortage Tornado Wild Fire (>100 Intentional Mass acres and smoke Severe Severe (Regional Dam Food Casualty Snow Fall Water Supply across Region) Thunderstorm Groundwater Inundation Contaminati Incident Large Scale Large Scale Cyber Mass Contaminatio River or (single Dam) on Nerve Agent (medical/in… Thunderstor Explosion, several (Regional) Temperature Disruption, Attack (power Evacuations n Extremes Mold River or Street (whole systems or Street m, 39% landing… Heatwave Large 48% 37% , 33% Flooding (Regional) business systems) Facility) Contaminati Regional Vectorbor Scale Flooding Temperature Bomb ne Urban VIP on Temperat Mass Ice Storm Terrorism, Disease Fires Chronic ED Windstorm/M Temperatur Water Extremes Threat Tularemia Situation (Regional), Nuclear (Regional) Coldwave (Building), … Electrical Failure of Nuclear e Extremes ure supply Casualty Populati Telecomu Transporta Overcrowding, 89% icroburst Regional Power Plant Aerosoliz 56% Radiologic on Chronic ED Overcrowding Pandemic Flu nications tion Infrastructure Leak (NH) al ed Coldwave, Extremes contamina Hazmat Displace Failure … Fuels/Ga… (Multiple sites including plants Dispersal Anthrax ment-… and or delivery Heatwav… Legionella Device Large Scale across … 39% tion, 33% Incide… Cellular Network Coastal Flooding failure (grayout) Food Climate Failure (partial or Intention Agroterrori Shortage/ Change Cyber sm Emergent Disease full) Water supply al Water Perishab… and … Cellular Large Mass contamination Drought Pneumoni Contami Attack Wild Fire nation Civil Chronic Shortage Coastal Sewer Failure c Plague Medical Network Scale Casualty Disturba Botulism Gas … (power (>100 acres Heating Airports nce Mental Health Beds, Flooding, Failure Pandemic Chemical Incident (blocking Mass Casualty Fuels/Oil/Pro Mass Highways systems … and smoke … service, Radio Marine (partial … Inhalatio… (traum… Chronic Shortage Mental Food Supply Water Supply Industrial Plant Hazmat Incident pane/Natural Shooting and roads 89% 56% Flu, 33% syste… Health Beds Contamination Disruption explosion/fire ( > 20 victims) Gas Event or … (blockin… Ports/… Explosion Smallpox SMRRC 2018 Regional HVA SMRRC 2018 HVA with > 30% Risk 100% 100% 90% 90% 80% 80% 70% 70% 60% 60% 50% 50% 40% 40% 30% 20% 30% 10% 20% 0% … c g s g n ) r n ) ) ) e e l ) m e ) ) s ) u n ) s ) e 10% m i n d a k a ) l n o n g m s ) o o n n a l s r a v u l l o n g l a v e l o s n m a u r d i e B r e n d i t i i e d i t o i g i o o n a / i f n o r a f s i n o n w a F i t i m i o u s e w b o o a d t n p e g s e n g i o t w r o d i m c a c t a t o Mass Casualty Hazmat Incident p i d o h t i g o i n u l i s a r u R R e i g D i o r s l d o p l n i g a t i n i i l a r x p E c r a t l O u R e F l m B s y t s s s s R e s i e e o l x a R e e e m 0 v a h t d r e ( l a ( s n D i s s ( n t o ( R n d C t i a E l l ( H d a 2 n ( t E 0% v e H e g t a n t n e s a o o m e p l d u s e r a l l s n a t n I e n a l o i i O l a s n i s o i o n p l p y l c r c r r r g x a r T h m p a e r a e P o > a l d c i p D a e d o a C a t i g a a o e t e z ( v F m c ( i c i m Opioid Epidemic Coastal Flooding Food Supply Contamination Ice Storm (Regional) Industrial Plant explosion/fire Severe Thunderstorm Temperature Extremes Coldwave … Explosion Tornado (Regional several landings) Snow Fall (Regional) Temperature Extremes Heatwave Drought … Blister Agent Ricin Groundwater Contamination Legionella Sewer Failure Mass Shooting Event Intentional Food Contamination Nerve Agent Regional Bomb Threat Pneumonic Plague Smallpox Tularemia VIP Situation … Aerosolized Anthrax Botulism Medical Gas Shortage Radio systems failure Civil Disturbance O n t D i s o C y n u s i n u p e s e S t m n i z e e r e e s w e y l m n c e Chronic ED Overcrowding … … River or Street Flooding (Regional) … … Water Supply Disruption … … Emergent Disease Blizzard (Regional) Cellular Network Failure (partial or Pandemic Flu Water supply contamination Large Scale Chemical Inhalations Mass Casualty Incident (trauma) Large Scale Chemical Exposure Tidal Wave/Tsunami Cable Network Failure Mass Evacuations (whole Facility) Nuclear Power Plant Leak (NH) Heating Fuels/Oil/Propane/Natural Hurricane (Cat 3-4 regional) Terrorism, Nuclear Dam Inundation (single Dam) Radiological Dispersal Device Vectorborne Disease Large Scale Urban Fires Intentional Water Contamination Airports (blocking service, or injury Agroterrorism … Marine Ports/Ferry Services failure E e o l l i b d S t k e E a B l e r t x u r l o x t r p e I C h Chronic Shortage Mental Health Existing Communicable Disease Large Scale Mold Contamination Large Scale Cyber Attack (power Windstorm/Microburst (Multiple Wild Fire (>100 acres and smoke … … … … Food Shortage/Perishable issues … c M e F p p m r u e r s i o c P l v E l i n a n p h y … … Earthquake (3-5 causing some … Population Displacement-Mass Highways and roads (blocking Climate Change and disruption n i b l t u a o c l t e m I l S e e F a o S e E u C a t l e Electrical Failure of Regional Pharmaceutical + or Medical Catastrophic systems Failure … o g e a e e S n t s n a l p d s a r u r i r r s e u a l … Telecomunications Failure h r a t n c i r t d C o m e i W t i n t i t k g e u e l a s c Mass Casualty Incident C o r S o o e u r l a s u a r o R a t a t t c a e S m u F d l y s t t M u s d r e w ( r W n S s C g h o r o s c ( e n p e t o p e d e g e s a r Transportation … c S m e r M u r c I m a d m c i r a L i o v e e r t r r t s a e N n e n a L M o n C i w s a u 0 0 T r a r T t I r g R l a o f r b l o T C h n S c ( p n o 1 u l m a t s i e I c r > ( l e z i g c k a l M i e C a x E a r a n o F r i H L t t i m / y A g r d a t l e r R e o W i l b f s t s u y C o d a e n C e u r W i s s a l a c a i l M e S F g a l r c L a r t i c e E l Themes and Characteristics of Disaster Response/Emergency Preparedness Common Themes “Unique” Themes • Incident Command System/HICS • Decontamination/PPE and Levels of Personal Protection • Principles of Triage • Toxidrome Recognition and • Management of Surge on the Management Health Care System • Management of Radiation • Phases of Disaster Response Emergencies • The Federal Response to Disasters • Management Priorities to Victims – the National Response of Active Shooting and Blast Framework Events/Pre-Hospital Control of United State Border Patrol, Search Trauma and Rescue Team Response to Hurricane Harvey, • Resiliency in Disaster Response Massive Hemorrhage Houston, TX, Fall 2017 3
Recommend
More recommend
