Effective%20Incident%20Command%20System%20Public%20Health%20Response%20to%20Katrina%20Evacuees

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Effective Incident Command SystemPublic Health
Response to Katrina Evacuees
Pam Blackwell, RN Director, Center for Emergency
Preparedness and Response
Alpha Bryan, MD District Health Director
Cobb Douglas Public Health, Marietta, GA
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Activation Sept. 1, 2005, 0620
NDMS Atlanta Fed Coordinating Center
Is there a good picture from later in the
presentation that could go here?
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Incident Command 0645
Cobb County Public Health
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Cobb Douglas PH ICS Response
ICS Response to Hurricane Katrina
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Cobb Douglas PH ICS Response (cont.)
ICS Response to Hurricane Katrina
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Organizing the Resources
Dobbins ARB 0700 Getting ready to roll.
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The Partners

• DoD/VA-NDMS
• Dobbins ARB
• Cobb Douglas Public Health
• Cobb County Fire EMS
• Georgia State Defense Force
• Cobb County Public Safety
• GEMA
• Cobb County Community Services Board
• Cobb County EMA

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The Partners (cont.)

• Cobb County Sheriff
• Metro Atlanta EMS Providers
• 36 Metro Atlanta NDMS Hospitals
• Dekalb Board of Health
• Metro Atlanta Public Health Depts
• Region 3 EMS
• Cobb County Animal Control
• Georgia Highway Patrol
• Volunteer Doctors and Nurses
• FEMA
• Volunteer clergy

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Phase 1 Layout
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Phase 2 Layout
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Atlanta NDMS Patient Reception Area
CC Triage
Deplane/Escort
Flight Line
Security Check Point
Mobile CMD Post
Triage
Shelter Staging
Medical Needs
Med Supplies
Evacuee Doc
Green Team
MACC
Chairs/ Holding
Mass Transpo Staging
Comfort Items
Red Team
Office Space
Yellow Team
Transpo Coord
Transpo Coord
Hangar 746
Hangar 747
Food
EMS Staging
Not to Scale
Transportation Flow
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Atlanta FCC NDMS Org Chart
Incident Commander Paul Brannigan VA
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Atlanta FCC NDMS Org Chart (cont.)
Incident Commander Paul Brannigan VA
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Atlanta FCC NDMS Org Chart (cont.)
Incident Commander Paul Brannigan VA
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Question

• The four essential units of a typical incident
  command system are
• Operations,
• Planning,
• Logistics, and
• Finance/Administration.
• A. True
• B. False

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Provide care and caring to those who have lost
everything
The Mission
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Briefings
Public Health
Georgia State Defense Force
VA Staff
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Question

• In your opinion, which of the following civilian
  public agencies is least experienced and
  competent in executing an effective incident
  command system?
• A. Police Department
• B. Fire Department
• C. Public Health Department
• D. Emergency Medical Services

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Phase I Hangar
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EMS Staging Area
10 EMS units next to the flight line at all times
Cobb County Civic Center 20 units on stand-by
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VA/NDMS Treatment Area
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Hospital Bed Status Board
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Cobb Co. Emergency Operations Center
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Transportation
Cobb County fire-med ops unit
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Off-load Briefing
Briefing by Paul BranniganVA-NDMS Incident
Commander
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Question

• The leaders of the four essential units
  (operations, planning, logistics and
  finance/administration) must come from the same
  agency as the incident commander.
• A. True
• B. False

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Wheels Down
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The Belly of the Beast
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Improvisation
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Public Health Mobile Command
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Question

• In your opinion, which of the following civilian
  public agencies is most experienced and competent
  in executing an effective incident command
  system?
• A. Police Department
• B. Fire Department
• C. Public Health Department
• D. Emergency Medical Services

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Home Away From Home
Cobb Public Health
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Meals
MREs? Yuck!
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Home Away From Home (cont.)
Chapel
Rest and sleeping tents
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Phase II Hangar NDMS Treatment Area
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Public Health Shelter Assessment Hangar
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Security Screening En Route to Treatment
Ambulatory evacuees
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Delta 757 Evacuee Flight
On board orientation and initial medical triage
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Non-medical Evacuee Hanger
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Then Along Came Hurricane Rita
Reactivation at Dobbins ARB Sept 19 20
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Question

• Which of the following are essential
  characteristics of an effective incident command
  system?
• A. Common communication protocols/text
• B. Clear, consistent chain of command
• C. Timely and appropriate delegation of
  authority and resources
• D. All of the above

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Critical Care Assessment Team (CCAT)
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Critical Transport Coordination
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Temporary Nursery Assisted Living