DMAT San Diego CA-4
APRIL 2003 Newsletter
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A deployable Disaster Medical Assistance Team. Affiliated with the National
Disaster Medical System. Founded 1991
DMAT San Diego CA-4 is a public benefit, non-profit 501(c)3 corporation.,
registered in the State of California and with the IRS.
Co-Sponsored by: UCSD Medical Center & International Relief Teams
Mailing Address: 200 West Arbor Drive, San Diego, CA 92103-8676
DMAT CA-4 Information Line: 619-543-6216
eMail address of Newsletter Editor, Jake Jacoby: firstname.lastname@example.org
DMAT CA-4 WEB site: http://www.dmatca4.org
Calendar Of Events.............................Page 1
Commander's Log................................Page 1
March team meeting Minutes.............................Page 2
New Director for Emerg Preparedness at UCSD....Page 3
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Next Team meeting --
Wed., APRIL 23, 2003 @ 1800 hrs.
Update on Patient Reception Point Planning
GUEST PRESENTERs: Michael Mulvaney
Naval Regional Medical Center San Diego
Mr.Mulvaney will be reviewing the updated plans for receiving civilian
disaster victims and military contingency patients into San Diego by the
local Federal Coordinating Center (FCC) and the Miramar Marine Corps Air
Station-Miramar, and the role of NDMS, DMATs and the Air Force ASF.
He will have 2 guests with him: Col Nelson, the CO of the Aeromedical Staging
Facility (ASF) currently set at Miramar and Captain Tony Wright, Global
Patient Movement Requirements Center (GPMRC) Liaison. He's also a USAF
Reserve (Captain) called to active duty in conjunction with the Miramar ICMOP/NCMS
Evacuation Hub. He works in Emergency Management for the Los Angeles Fire
Dept in his civilian job, and has lots of hands-on Air Force air evacuation
air crewman experience.Let's make them feel real welcome.
Where? DMAT San Diego CA-4 Operations Center
8540 Production Avenue, Suite B, San Diego
Location is in Miramar Area, 1.8 miles E of I-805 exit at Miramar Rd. Turn N
on Production Avenue, 1/2 block on the left. (Remember, we have no mail box at
the Ops Center, so never use this address for mailing purposes)
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* Order for 1,000 triplicate medical records has been placed. It sure saved
having to copy medical records while in Guam, but we breezed through the 500
copies we had with us in the first 5 days of the deployment. If this new
printer has a good product, we will likely have triplicate forms made up for
the Continuation Sheets as well.
* The leased building housing our Ops Center since 1999 has been sold by our
landlord.. We will have a new landlord shortly who wants us to pay higher
rental, and take over more of the unit. Your team leadership has been
exploring options and alternatives. A decision as to what to do will be made
soon. Currently sale is in escrow. Look for announcement soon about our
* Due to Operation Iraqi Freedom, the assessment of risk by the Dept
of Homeland Security for a Terrorist attack was increased to Orange last
month, and all teams were placed on Advisory. Be ready to place your
name on deployment roster when asked. We could get extended at the end
of the 10 day period. so keep checking with the Info Line and your emails.
* Two of the three certificates from NDMS for our team deployments have
arrived: One for the Winter Olympics deployment in Salt Lake City, and one
for the Guam deployment for Super Typhoon Pongsona.
* Planning is now under way for our participation in Operation Rough and
Ready, to be held in October 2002, at March Air Force Base. Sara
Ontiveros,CA-4 Training Officer, is the principle Exercise planner for the
* The Ukraine version of Rough and Ready has been scaled way back, due to
military activities. Only 1 participant from CA-4 , Therese Rymer, is on the
final list for the Table Top which will be held instead of a full field
* There are now 3 instead of 2 DMAT liaisons from NDMS. Gary Lindbergh,
former Team Commander of FL-2 DMAT is now the team liaison for our team, along
with the "DMATs West" and the Burn Specialty Teams. James Young will be
assisting the Central Region DMATs and the Pediatric Specialty Teams, and
Scott Cromwell will be program manager for the DMATs East.
* Team members (nurses and paramedics) should be thinking about signing up for
the next Fire season medical support of CA Dept of Forestry. We only had 6
team members last year who were available when needed for the Pines Fire. I
order for the program to work, each of the CA Teams needs to get greater
involvement for this worthwhile activity in support of our wildfire
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Minutes of March Team Meeting
Meeting commenced at approx. 1800 hours, called to order by Peter Diehl,
1.) Peter provided an overview of communications equipment with the initial
goal of demonstrating one communication device per team meeting. This
meeting's device was the satellite phone (a "laptop-sized" portable
i.) It has a "remote" antenna; i.e., an antenna that can be
placed/positioned at a location several feet away from the phone. This
prevents nearby foot traffic from interfering with the signal and reception.
ii.) Color-coded map of the continental U.S. provided with unit to
assist with signal adjustment for optimum reception.
iii.) Can also be used as a CB (Citizen's Band) radio for two-way
i.) Very, very expensive to operate; i.e., air time is quite pricey.
ii.) Due to expense for air time usage, difficult to occasionally test
the unit to make sure it's functioning between deployments.
Commander's Report (Dr. Jacoby)
1.) NDMS has created a standardized loading process which is now
mandatory. The basic load needs to fit within 96 shipping crates, and a new
numbering system has been provided.All teams across the country will pack
their gear in the same boxes, so that when teams rotate in to a previously set
up site, things will be findable.
2.) For NDMS conference attendees, All receipts are needed to accompany the
CA-4 TEAM reimbursement Request Form ( Form #2).
3.) Jake requested that team members who elect to receive smallpox
immunization try to first get them through their employer if possible. CA-4
has an "allotment" of smallpox immunizations for only about 50 team members.
4.) Question was raised by a member about the possibility of CA-4 assisting
with casualties from Operation Iraqi Freedom. Jake briefly described FCC
planning (FCC = Federal Coordinating Centers) for receiving war casualties.
Original mission (for DMATs) is to "triage & treat" civilian casualties of
natural (e.g., typhoon, earthquake) or manmade (e.g., terrorist attacks)
disasters. Presently 50,000 hospital beds are "dedicated" for use by disaster
victims (nationally) with contingencies available for military personnel.
***Due to current war status, this issue appears to be moot at the present
a.) Admin. (Zona Wahrenbrock): "Sign-ups of new people going well."
b.) Commo (Peter Diehl): See presentation notes by Peter above.
c.) Financial (Jake Jacoby): Team checking balance: $8,400 . Fundraising
opportunity of $20K up to possibly $50K via a grant through County of San
Diego to study "surge capacity" (i.e., %age of local hospital beds which could
be released within 24- or 72-hour timeframes in the event of a local disaster)
. This could be structured as a joint study; i.e., UCSD Dept. of Emergency
Medicine and DMAT CA-4 but DMAT "gets the money". Five-day deadline (from
meeting date) so details will likely be forthcoming at the April 23rd meeting.
d.) Fundraising (Sylvia Martinez, Susana Pregent): Sylvia indicated that
hardhat headlamps are available for purchase by team members. The cost is
$20/each which is the direct cost. In addition, presentations are being
created in draft from to disseminate info about DMAT, FEMA with the theme of
"Are You Ready/"
e.) Logistics (deferred to work party later)
f.) Nursing (Peggy Perkins): Skills assessment available at the July meeting.
Packets to be handed out at the May or June meetings. The stated goal is to
achieve a minimum level of competence. Sal Ruiz offered ACLS training - 15
members indicated interest in this.
g.) Pharmaceutical (Michael Sohmer): Recommended a "drill" to activate
pharmaceutical cache. ***This could occur due to April 21st EOM team ALERT
status.*** Michael also touched lightly on drug stability issues relative to
the Guam deployment.
h.) Safety - deferred
i.) Tactical Strike Team-no report
j.) Training (Sara Ontiveros) : Importance of team members logging onto the
online training system and attempting to complete as many modules as possible
k.) Web site - (deferred) except it was noted that the monthly newsletter has
been added to CA-4's web site by John Johnson.
l.) Supply management (Larry Griffin): Work crew to assist with warehouse
(receiving, separating and packing new resupply order) after the end of the
MEETING ADJOURNED @ 1935 HOURS ... (work party continued on-site until at
least 2100 hours)--------------------Submitted by Ken Rogers
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NEW DIRECTOR FOR EMERGENCY PREPAREDNESS & RESPONSE at
UCSD Medical Center
Thérèse E. Rymer, C.F.N.P., was appointed the new Director of Emergency
Response for UCSD Health care in a recent announcement by Dennis Goodrich,
Director of Facilities Planning & Safety Programs. Rymer has been with UCSD
Medical Center since 1976. "Therese brings a number of unique specialties
together for this newly created position which will enhance UCSD Health care's
commitment to emergency preparedness," said Goodrich.
Prior to this appointment, Rymer was Director of Clinical Services for the
UCSD Center for Occupational & Environmental Medicine. She is also Deputy
Commander for the Disaster Medical Assistance Team, (DMAT) CA-4, cosponsored
by UCSD Medical Center.
DMAT is a volunteer team of health care workers who deploy to disaster
sites to provide medical care to victims. Rymer will coordinate and integrate
hospital emergency/disaster plans, and serve as a community liaison on
activities for system wide, regional and State initiatives for UCSD Health
care. She is currently involved in the Smallpox initiative, evacuation
planning and employee education, integration of ambulatory and UCSD Medical
Center services in disaster, mitigation and business continuity.
[Reprinted from the CenterPoint, the weekly newsletter of UCSD Medical
Center, edited by Eileen Callahan.
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