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:


November 2000 Newsletter

Volume 9, Number 11



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

Nat'l VMAT Exercise, by Gene Adkins ..Page1

Recent team acquisitions..........................Page2

Needs List...................................................Page 3

Security Office moves .............................Page 3

New Pharmaceutical supplier.................Page 3

Writing & Thinking Dept........................Page 4

Other Items ..............................................Page 4


Next CA-4 Team "Meeting." Wednesday, November 15, 2000, at 6:00 p.m.


Training Subject: To Be Announced

Location: DMAT Operations Center

Address:8540-B Production Avenue, S D

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., Dec. 20, 2000 @ 6 pm. (3rd Wed.) Please mark these dates in your calendars now.


h"Operation Rough and Ready 2001" March 23, 24, 25, 2001. Somewhere in southern California.



The National VMAT Exercise,

by Gene Adkins, DVM

The first national Veterinary Medical Assistance Team (VMAT) training exercise was held Oct. 13-14-15, 2000, at Emmitsburg, Maryland. There are four VMATS in the U.S.: VMAT-1 is in Massachusetts, VMAT-2 is based in Maryland, VMAT-3 Is from N. Carolina, and VMAT-4 is based in Simi Valley, California. VMATs at present have 12-17 members per team. There were 45-50 attending. The exercise was held at a defunct Catholic seminary. The National Fire Academy and FEMA have permanent training facilities there. It is a beautiful campus.

We set up two large tents and two hex tents. We ate breakfast and dinner at the cafeteria, then had MREs for lunch. The group was divided into two platoons of three squads each. Squads consisted of five to six people. Twelve stations were set up. Each squad was graded, and a competition was set up. One half hour was allotted for each situation. The list of the topics covered were:

1. Predeployment Inspection

2. Identifying and Evaluation of the Situation

3. Field Hygiene and Sanitation

4. Radio Procedures

5. Nerve Gas Antidote Use

6. Evaluating Human Casualties

7. Crush Injuries

8. Evaluation of Blast/Explosion Scene

9. Assuming Protective Gear

10. Operation of Satellite Phone

11. Decontamination

12. Litter Carry. A copy of the training manual was sent out two weeks prior to the exercise which was very helpful. These were the most basic of "common tasks" that every deployed person should master in my opinion.

The first day we started at 0430 and ended at 2130, the second day from 0630 to 2030, then 0530 to 1100 on day 3. We had lectures during the day into the evening on field sanitation; medical management of animals exposed to ionizing radiation; the organizational setup of NDMS; the function of MST; and communications in a disaster. Admiral Robert Knouss, Director of NDMS, inspected our exercise and talked to us. I have the feeling the Admiral does not truly appreciate or understand what an invaluable resource veterinary medicine has to offer in a disaster. Our expertise and facilities are not listed at this time as a resource. I was impressed with the tremendous effort and planning of this exercise. Dr. John Anderson, commander of VMAT-4, and his team served as the training cadre and should be highly commended for an outstanding effort. There were really no negative aspects of this experience. Even the weather cooperated. There were NDMS officials observing the whole exercise. They were understandably skeptical of this whole adventure at first, but they were completely won over at the conclusion of the exercise. Being such a small group, the fellowship and camaraderie generated bodes well for



VMAT people are good folks just like DMAT members, and I am positive you

will enjoy working with them when the time comes.


Recent Acquisitions/Source


* Software updates for I-STAT bedside clinical lab machine- free upgrades from I-STAT Corp.

* 6-Panel table-top Velcro display board, for DMAT recruiting events, posters - purchased

* New cases for Western Shelter tents, doors - purchased/Federal

* Switchable Power Supply Unit for Bendix-King Base Station Radio - purchased/Federal

* 3M Overhead Projector- purchased

* Office supplies, miscellaneous/State

Includes- dust buster, office supplies, supplies requested by commo; bulletin boards for Ops Center; label maker (embossing tapes);

* 2 new 24v. lead/acid replacement batteries for Marquette AED Defibrillator/Federal

* Dell Computer, portable laptop, for administrative function/Federal


Thanks to all who helped out in preparing lists of needed items, and in locating correct products and ordering them. Particular thanks to: Peter Diehl, Rene Marcus, Thérese Rymer and to Stephanie Galbreath, for preparing and translating requests.

Needs List for DMAT CA-4

The following items and services are things that the team needs. If you know of anyone that is willing to donate goods or time, please have them contact Jake or Larry Griffin.

* Carpet installer, to install used carpet * Acoustical ceiling tiles, for celiing of the Ops Center Briefing Room

* 2nd defibrillator (Zoll) for cache

* 2nd smaller, lighter ventilator


UCSD Security Office Moves


Many thanks need to be extended to the UCSD Medical Center Security Office, as they have been taking ID photos of our members, and laminating the ID cards, ever since we became a team in 1991. They have just moved to a new location. So, for those new members who need photos for their NDMS ID cards and need to get them laminated, here is the new address and hours they are open to service ID cards:

The new address is:



The new location Iis next to Human Resources, at the end of Arbor Drive, in the 4 story tan building, on the first floor.


THE TELEPHONE, 619-543-3762 and FAX 619-297-6702, REMAIN THE SAME:



New Pharmaceutical Supplier


We have recently been informed that UCSD Medical Center has decided to change its sole pharmaceutical supplier, effective November 1, 2000, from McKesson to Cardinal Health Inc, which has its home office in Dublin, Ohio. Part of the new agreement with Cardinal is that they are expected to supply the DMAT Basic Pharmaceutical Load, under the same conditions as McKesson.. I will be meeting with our own pharmacy personnel to assure this is so, and that we are immediately supplied with 24/7 emergency telephone numbers and contacts to assure an uninterrupted service agreement, Further information on this recent change when it is available. Their closest supply house is in the same area as the one for McKesson is.

We should also thank McKesson for the years of ongoing support to our DMAT, which they have lived up to each time we have needed to take along our pharmacy cache.




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

April 2001 * August 2001 * December 2001


"More proof that writing well and thinking clearly are important" Department

The following is an excerpt from a military operations manual:


"It is necessary for technical reasons that these warheads must be stored upside down, that is, with the top at the bottom and the bottom at the top. To prevent anyone from making a mistake, and in order that there will be no doubt as to which is the bottom and which is the top, for storage purposes, it will be noted that the bottom of each warhead has been labeled with the word 'TOP.' "




And here's another quote from the man who redefined "clarity " for the last century, the inimitable Yogi Berra:

"In theory, there is no difference between theory and practice. In practice, there is."


NDMS Chief Medical Officer visits the CA-4 Operations Center


Dr. Bill Piggott, Chief Medical Officer of NDMS, was the first ever Federal visitor to the DMAT CA-4 Operations Center, on Friday, October 20th, while in town. As the former commander of DMAT CA-8, which merged into CA-4 two years ago, he remarked that he was impressed with the progress we have made since he left San Diego.

He also met with Dr. David Guss, Director of the Dept. of Emergency Medicine at UCSD Medical Center, and discussed the need for involving Emergency Medicine Residents, and Pre-hospital and Disaster fellows in the NDMS responders group ( Would be great if we had funds for such a fellowship). Dr. Piggott is also an alumnus of UCSD School of Medicine's 1st Graduating Class.

DMAT Member Training Program


As this newsletter goes to press, the first lessons in the first 2 modules for training DMAT members should be going on line, and ready to be taken. The extensive program has been under active development since a year ago, with participation by many DMAT team members throughout the country. The standardized training modules will enable every DMAT member across the country to get the same training, and have their training hours tracked. We hope to have more information at the next meeting.

DMAT CA-4 Accounting Relationship


Please extend a welcome to Robert A. Hinzman, CPA, of Schilling and Hinzman, Certifed Public Accountants, the new accountant for our team. His firm is located at 6339 Nancy Ridge Drive, Suite 200, San Diego, CA , tel. 858-535-1600. They are named in our corporate papers, and will be preparing any audits and IRS paperwork needed in the future for us as a 501 (c)3 corporation. They also handle individual accounts, so if you need a new accountant, check Bob out, as he came hightly recommended to us.