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:


October 2000 Newsletter

Volume 9, Number 10



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

Minutes, Sept. team meeting....................Page 1

Statewide CDR's Meeting........................Page 2

Welcome to new members........................Page 3

Rough 'n' Ready 2001 .............................Page 3

Book Review.............................................Page 3

Journal Article Review............................Page 4


Next CA-4 Team "Meeting." Wednesday, October 25, 2000, at 6:00 p.m.


Training Subject:

Psychiatric Issues following Bioterrorist Events,

by Dr. Eric Marcus

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., Nov. 15, 2000 @ 6:00 pm (3rd Wednesday)

*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.




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

October 2000

April 2001

August 2001

December 2001


Minutes, September team meeting

Meeting called to order at 1805 hours on Sept. 25th at the CA-4 Operations Center Briefing Room. Agendas were distributed.

A slide presentation was given jointly by Peter Diehl and Eric Marcus on the County-wide Bioterrorism Exercise at Qualcomm Stadium in September, conducted as the first field exercise for the new SD County Metropolitan Medical Strike Team and System . Additional attendeees who were involved also contributed their views of the exercise, including Chris Galindo, Del Mar paramedic, MMST member and a new applicant with our team.Training Session was Part 2 of the SEMS Training tape, which reviewed the evolution of a minor traffic stop into a hazardous materials environmental incident, and how ICS is used to expand the response in an orderly, standardized fashion.

Committee reports were presented. Status of the march towards 501(c)3 (Nonprofit status wre reviewed. We now are regististered in the State as a corporation, and the 501 c3 paperwork for the IR is almost completed, with finalization of the By-Laws being made. New items acquired by CA-4 were noted, including the new Overhead Projector for training use in the Briefing Room.

Congratulations were offered to Larry Griffin, in his new job with the Department of Defense here in San Diego. He will no longer be consulting 20 hours per week for CA-4, but has cut down his hours to 8 hours per month. He will continue on in his position on the team as Supply Management Officer.


Statewide DMAT CDR's MEeting

CA-4 was represented by your team CDR and Deputy CDR at this quarterly meeting, held in the VIP room at the San Francisco Airport on 9/14/00.

Congratulations were extended to Mr. Dave Lipin, the newly appointed Commander of DMAT CA-6, sponsored by Contra Costa County EMS. He succeeds Dr. Don Cheu, who has retired and is now Commander emeritus, and will continue on as an advisor for their team.

Notice was given that a meeting has been held between State of CA EMSA and NDMS, regarding the possible use of DMAT personnel to staff Forestry Fire First Aid Stations in the future, during the wildfire season. This would likely not take the form of team deploymemts, but more likely will consist of medical personnel staffing of first aid stations, to allow return of fire service personnel back to the firelines in an enhanced fashion. This is being explored as a potential subcontracted rather than NDMS-deployed opportunity.

Further planning and development of the Western MST has taken place, and events were reviewed. They have identified a warehouse, and are remodeling to get it functional.. Numerous personnel from EMSA worked at or observed at the MST during the Democratic National Convention, garnering additional experience in the operations of an MST. We had an oppportunity to personally meet with Anne Bybee, who is a new CA EMSA employee assigned to plan and coordinate with the DMATs. We welcome this further emphasis on DMATs by our state sponsors, and look forward to working with Anne on an ongoing basis. We will be collecting names of our team members who would be willing to participate in the MST, and undergo MST training. We will pass those names along to EMSA. If you are interested, make sure you advise us. A few names have already been passed along to Anne, of those who have worked at the MST in the past.

WELCOME to new members!

A hearty welcome to the following new members whose ID cards have arrived at our office in the past month:

Brian Anderson

James Lang

Elizabeth Martino

Chris Marquart

Leia Mehlman

Roberta Prepas

Other applicants whose applications have been submitted to NDMS and who are waiting for their ID cards are:

Christine Asciutto-Shaw

Chris F. Galindo

Elaine M. Sapiro

Robbin J. Soderbery

Guy S. Venuti

Julie L. Zimmerman, RN


Other personnel news: Promotion papers have been received for Peter Diehl, who was promoted to Communications Chief for our team. He is now a GS-12. If you have enhanced your status since you joined the team, as from an EMT to an EMT-P, or PA, and wish to have your payscale increased to your new rank, you MUST complete paperwork to get that promotion, BEFORE you deploy. For nurses who joined the team with fewer than 3 years experience, but who now have more than three years experience, you may now qualify to bump up to a GS-7 from a 5 or 6. Check with Therese Rymer, Rene Marcus or myself if you believe you should have a higher GS scale than you currently have. We can supply you with the proper forms to fill out to get that promotion.


That reminds me that if you have changed jobs and are now in the Federal system, you will need to let us now so we can file a form with NDMS to show you are already on the Federal payroll.


Operation Rough and Ready 2001

With "Operation Ruff 'n' Ready 2000" in the Ukraine over, it is time to move on to "R 'n' R 2001."

A Planning Committee has been formed, with representation by all California DMATs. Thanks to team members Capt.. Jim Wood (Training Officer) and Peggy Perkins, RN )Nursing Director) for stepping up and representing CA-4 on the Planning Committee. They are already hard at work participating in conference calls and preparing organizing documents to make this 3 day/2 nite exercise the best ever.

WRITE DOWN THE DATES NOW, so you can schedule off for that weekend. The dates are: March 23, 24 and 25th, 2001. And if you know you want to participate and can get off, then let us know and we will put you on a sign up list. Planning is in the early stages. Things to still be worked out are: Location-will be somewhere in southern California... Scenario-first drafts are being prepared. Can't tell you everything, but it is likely going to be a back to basics disaster response exercise, with some special attention to special needs populations during a disaster. Every member should try to participate in this event, as it is outstanding training for the real thing.





Isaac's Storm : A Man, a Time, and the Deadliest Hurricane in History, by Erik Larson. New York: Vintage Books, 1999, 323 pp. (paperback).

100 years ago, Isaac Cline, meteorologist for Galveston, TX, failed to pick up on the clues that a hurricane of disastrous consequences was about to srike the city of Galveston. 6,000 of its residents died on September 8, 1900 as the storm surge overwhelmed the entire island, killing more people than any other peacetime disaster in US history. This is a meticulous true re-creation from newspaper accounts, survivors, telegrams, letters, and offical government reports, of the folly that was the U.S. Weather Bureau at the turn of the last century, and how failure to keep an open mind in the face of official dogma contributed to the failure to predict the storm. It is also a literate, riveting account of the experiences of survivors, the irony of fate, and the overwhelming power of natural events. You will learn some pearls about tropical storms. You may not want to go to Galveston during the hurricane season. I couldn't put this down once I started, so make sure you begin reading on a day off. Any national bestseller about a disaster is a must read for all disaster responders.


Journal Article Review:

Asari, et al. Analysis of medical needs on day 7 after the Tsunami disaster in Papua New Guinea. Prehospital & Disaster Medicine 15(2)81-85, 2000.

The sudden onset, catastrophic tsunami that occurred immediately following the 7.1 Richter scale earthquake on July 17, 1998, caused extensive damage to the fishing villages of Sissano, Warapu, Arop and Malol, in West Sepik Province of Papua New Guinea. >2000 deaths were estimated , and >5000 persons had to get sheltered. The magnitude of the tsunami in terms of injuries and deaths was not fully known immediately. The Japan Medical Team for Disaster Relief (JMTDR) was dispatched at the request of the affected country, and arrived on the 5th day. The results of their assessment of medical needs on day #7 are reported in this paper. They give as their reason for reporting the information in this manner, that it is likely that it takes that long for disaster teams to arrive at international sites, and it is often the time when a transition occurs from immediate emergency care to specialty care. However they do mention that a field hospital of the Australian army had been established by the 4th day. The need went from emergency physicians during the immediate phase, to plastic surgeons and orthopedic surgeons, for performing skin grafting and ORIF on many of the fractures that resulted.

Assessments were made for signs of communicable diseases, of which there were none of significance, despite the real risk of increased cases of endemic malaria; medical products that were insufficient (antibiotics in particular were short only at the clinical site set up at a high school); and medical needs that were present at one week. Of the three hospitals and 2 outpt sites, only one had potable water, based on measurable chlorine and coliform counts. Skin grafting eqipment was in short supply, and the number of hospital admissions was twice the number of available beds. This is an interesting paper due to its actual data content that would assist further responding teams to know what to bring and what sorts of resources were still needed.


Update on DUES

As of press time, (10/19), we have had 63 members submit their dues so far. Thanks should go out to all who got their dues in on time, before the new late fees started to kick in. Thanks, too, to those members who, without being asked, included donations in addition to their dues. Funding will help us support our mission. That puts us ahead of last year at this time. But we still have a ways to go to beat the total from last year. There is a small committee of members who will be sending out postcard reminders to everyone who has NOT paid dues so far. Remember, each month that you delay, the amount due increases, so get your dues in NOW. If you have a question, give us a call at the Info Oine, 619-543-6216 or ask via eMail. If you submit dues in October, the amount due is $30. but it goes up to $35 in Nov.