DMAT San Diego CA-4

A Level 1 Disaster Medical Assistance Team.

affiliated with the National Disaster Medical System


Co-Sponsored by:

UCSD Medical Center

200 West Arbor Drive

San Diego, CA 92103-8676

Tel. 619-543-6216 Fax 619-543-3115

& International Relief Teams

3547 Caminito del Rio South, Suite C, San Diego, CA


DMAT CA-4 Information Line: 619-543-6216

eMail address of Newsletter Editor, Jake Jacoby:

December 2000 Newsletter

Volume 9, Number 12



Calendar/Upcoming events......................Page 1

Coping with WMD................................... Page 1

Minutes, Nov. meeting.............................Page 2

On-Line Training Update........................Page 3

Sign Up for Rough and Ready 2001 ........Page 3

MEMBER of Year Nomination form......Page 4


Next CA-4 Team "Meeting" Wednesday, December 20, 2000, 6 PM will instead be a




Location: DMAT Operations Center

Address:8540-B Production Avenue, 1/2 block north of MIramar Rd.

Pot Luck Dinner

Contact Bev Fitzgerald to assist, or findout what is needed.

DMAT CA-4 wishes all its members and their families best wishes for a Happy Holiday Season and a Happy New Year.

Future CA-4 Team Meetings and Training topics: Meetings held 4th Wednesday of month, except Nov. and Dec., when they are held third Wed. of month. Always call the Info Line if there is any question of possible changes, or to confirm.

*Wed., January 24, 2001 at 1800 hrs

*Wed., February 28, 2001 at 1800 hrs

*Wed., March 28, 2001 at 1800 hrs.


h"Operation Rough and Ready 2001" March 23, 24, 25, 2001. March Air Force Base, California. See Sign up form in this issue.

hAnnual Meeting of the National Disaster Medical System, in Dallas, Texas, April 21-25, 2001 with one or two day pre-courses.

COPING WITH TERRORISM (Weapons of Mass Destruction- (WMD)

A brief synopsis of presentation to DMAT CA-4 by Eric Marcus, M.D


[Ed. note: Due to lack of space, a review of the training session held at the October Team meeting, by Dr. Eric Marcus, was delayed until this issue. He spoke on the psychological consequences of Terrorist attacks.]


Typical resistances to training were spelled out - a number of nerve and biological agents were discussed .

Incidents where the psychological casualties far exceeded the actual physical injuries were enumerated.

A wide variety of mental reactions to WMD were presented. Distinguishing between physical and emotional reactions will be crucial. Triage criteria were spelled out.

Short and long term anticipated effects were discussed and interventions mentioned.

A detailed outline of this presentation will be mailed to anyone requesting it. In the event we are deployed in a possible WMD event this outline would be handy to refer to.


E-mail requests to

Telephone: 858-792-1066

Address: POB 1401, Solana Beach, CA. 92075.

Minutes, November Team Meeting

Team meeting was held at DMAT CA-4 Operations center on November 15, 2000, called to order at 6:00 PM. Visitors were introduced. Old business was discussed. Progress towards separate 501(c)3 status was reviewed. All forms have been completed, signed, and returned to our attorney. Submission has occurred. and we are now in the waiting stage.

An Action of the Board of Directors was announced. which makes all our volunteers considered to be unpaid employees for purposes of receiving Worker's Compensation Insurance. The Worker's Compensation policy we now have is through the State Worker's Compensation Insurance Pool, for which the team must pay approximately $1600./year to cover individuals when they are assisting at the warehouse or Operations Center. This action was required by the State Insurance Pool, and has been filed with them. Members are all reminded that they MUST sign in to the members' and visitors' log book every time they arrive and depart the Site, and list the activity they were there for. This log will then be used to demonstrate how much actual volunteer time is spent at the site, and will be used to determine our payments for next year.

Committee Reports:

The position of Fund Raising Committee chairman has been opened, due poor attendance by the prior chair. Anyone interested in working with the Team Command Group, with ideas on fund rising, should contact the team CDR.

Also still open is the position of Safety Officer.

Logistics: From NDMS, the team has received two wheel sets for our generators. Also received are three 50 foot hoses (3/4 inch) for use with water supply, that are part of the basic load. From maintenance and training funding, we have purchased a document laminator, that will laminate items up to 12 inches in width.

Open discussion items:

It was decided that the next team meeting slot should also have a Holiday Party. Bev Fitzgerald volunteered to spearhead the party. Anyone interested in helping should contact her via eMail at: Members are invited to bring their significant others with them to help celebrate the Holiday season.

Nomination forms for Volunteer Member of the Year 2000 were distributed, and several were completed and returned. Time is running short on the nomination process, and the winner, as selected by our team members, must be submitted to NDMS by January 2nd, 2001. As a reminder, then, find the form elsewhere in this issue, complete it and send it in per instructions as soon as possible with your nominee. Now is the time to recall all the hard work that went into getting our Operations Center functional, and all the individuals responsible. Please submit your nominations NOW. Winner will be sent to the NDMS Annual meeting in Dallas, TX in April to receive their award certificate and be acknowledged by NDMS.


Training session: This was a lecture by Jake Jacoby on BLAST INJURIES. Both air and underwater blast injuries and mechanisms of injury were discussed. SPALLING and IMPLOSION as related to the interactions of adjacent surfaces of solid and air densities were defined and related to the organ systems most likely to be affected. The most common injuries were reviewed. Signs and symptoms for otic barotrauma, pulmonary contusions, pneumothorax, and arterial gas emboli from air blasts, and GI lesions, esp perforated hollow organs, from underwater blasts, were discussed. The management of air emboli was reviewed, in the context of hyperbaric chamber types and the kinds of chambers and treatment protocols used. Incident reports from various published accounts of explosions were reviewed.

DMAT Member On-Line Training Program UPDATE

Since last month, additional modules have come on line, and every DMAT CA-4 member should start signing on to the training site, register, review the materials and take the tests. Your progress will be tracked. You will one year to complete all the modules based on your job title. ULTIMATELY, YOU MAY EITHER NEED TO HAVE TAKEN THE MODULES, OR BE WELL ON YOUR WAY TOWARDS COMPLETING THEM, IF YOU WANT TO DEPLOY. Since there will be dozens of lessons, you should start now and it will be easier to keep up in the long run.The program is apparently being well received. As of Dec.4th, there have been 130,000 hits to the site, from 15 different countries ( although DMAT members in the system are the only ones so far who can register, get the materia;ls, and take the exams.) Over 7,000 member sessions have been recorded. This is the training program FOR DMAT members, BY DMAT members. Please send me your feedback.Several of your team mates have either written and recorded modules for the program, or edited them. As a member of the Training Working Group, I can get your comments back to the Group at our weekly conference calls.


To get to the site, go on line and get to (There is no www. at the beginning of the address.)

Guest column: To celebrate winter, whatever that is, here is southern CA, we have a guest column from a real person who actually sees snow, and has to survive winter every year, in the far eastern/central US. this is how his team deals with winter, and the prospect for a cold weather mission ( our most likely scenario will be to deploy to Alaska for an earthquake). Please review and we will discuss what we should do at our January meeting.




Winter clothing

DMAT KY-1, sponsored by The St. Luke Hospitals, completely equipped team members for cold weather deployments with the following: Arctic survival parka sold by Wear Guard Co., Thinsulate gloves, army arctic mittens, and 2 pairs of boots: black vapor barrier boots for moderate cold temperatures and white vapor barrier boots for extreme cold weather.

It is a team requirement that each member must own a minimum of two (2) sets of polypropelene long underwear and the recommended supplier is Sportsman Guide in Minn, as they have the best price on the heavyweight polypro military long underwear (as opposed to the more common very thin polypro long underwear) Poly pro was selected as it will "breathe" and wick moisture away from the body and still keep the wearer warm. Cotton long underwear is not permitted as it will hold moisture and then lose its insulating properites, whereas polypro will not hold moisture.

KY-1 has also conducted winter survival training classes and issued members a copy of the army manual on living in cold weather.

KY-1 also issues one intermediate cold and one extreme cold military sleeping bags to each team member on a deployment. We obtained these from surplus property at the DRMO or some were purchased for a minimal cost at the State Agency for Surplus Property.

The team also has army watch caps for each person deploying in cold weather as well as a winter baseball insulated team cap. Remember, you can lose significant body heat thru your uninsulated head.

On a cold weather activation we also buy boxes of Hershey chocolate bars to take for distribution to team members. If you would ever try to sleep in cold weather it can keep you awake if you are not warm. Eating half a chocolate bar will provide calories and fat that will enable you to go back to sleep within 20 minutes. Its a trick we learned from a Canadian govt. publication, "Living and Working in the North" and it really works!

Most NDMS members have never done winter camping so it is difficult to

understand the possibility of being IMMERSED in cold for days as could

be possile on a deployment. It is not like going from home to car to work! When we were told to take our tents with us on the New York Ice Storm deployment we knew that we could camp outside and be safe.

Fortunately, we were sent to a school that had its heat back on and so were quite comfortable.

I would urge ALL NDMS members to consider the fact that they could be

needed for a cold weather deployment and to prepare accordingly. COLD CAN BE A MISSION STOPPER!


John Hoyle




SIGN UP For "Rough 'n' Ready 2000"


Dates: March 23, 24, and 25, 2001

Location: March Air Force Base, CA

Event: Field disaster exercise plus didactic training

CEUs will be available for participation.Please fill out the following form if you are planning on participating. and return to DMAT Office, c/o Jake Jacoby, 200 West Arbor Drive, San Diego CA 92103-8676


I am signing up to participate in this 3 day, 2 night away exercise. If an emergency comes up and I am unable to participate, I understand I must notify the team CDR as soon as possible.



SSN: _____-_____-_____



City, State, ZIP_____________________

Tel Number: (_____) ____-__________

Cell phone: (_____) ____-___________


Current employer:_________________

Current employer address:__________








Date of submission:_______________________.


My name is ________________________________.


I nominate ________________________ as DMAT Team Member of the Tear for 2000. My reason(s) for the selection are: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Either drop off, return by eMail, or mail, by December 28, 2000 to:

DMAT San Diego CA-4

c/o Dr. Jake Jacoby

Dept. of Emergency Medicine, UCSD Medical Center,

200 West Arbor Dr.,

San Diego 92103-8676.



DMAT San Diego CA-4: One of three teams Up 1st for the Western USA-

April 2001 * August 2001 * December 2001