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Acknowledgements
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v
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Introduction
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vi
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Guidelines
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Function 1: Development and Maintenance of
Medical and Health Disaster
Plans, Policies, and Procedures
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1
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Element 1.1 Disaster
medical system planning
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2
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Guideline 1.1.1
Medical/Health Operational Area Coordinator Responsibilities
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2
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Guideline 1.1.2
Disaster Medical/Health Plan - Table of Contents
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3
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Element 1.2 Emergency/Departmental
Operations Center Procedures
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6
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Guideline 1.2.1 Response Activation
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6
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Guideline 1.2.2 Response Start-up and Operation
Template/Sample:
Degree of System Involvement
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6
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Guideline 1.2.3 Department
Operations CenterDepartmental Operations Center (DOC) Activation
Criteria
Template/Sample: EOC/DOC
Medical/Health Positions, Draft
Template/Sample: EOC/DOC
Organization Chart
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7
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Guideline 1.2.4
Deactivation/De-escalation/Demobilization of Department
Operations CenterDepartmental Operations Center
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8
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Element 1.3 Training
and exercises
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9
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Guideline 1.3.1 Training and Exercises
Template/Sample:
Training and Exercises
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9
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Element 1.4 After Action reviews
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10
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Guideline 1.4.1 After Action Reviews
Template/Sample:
After Action Assessment
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10
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Function 2: Assessment of Immediate Medical and
Health Needs and Initiate
Response
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12
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Element 2.1 Notification of key positions and
activation of the disaster medical and health system.
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13
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Guideline 2.1.1 Notification
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13
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Guideline 2.1.2 Activation
Template/Sample:
Initial Activation Policy Template
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13
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Element 2.2: Gathering, evaluating,
reporting and disseminating assessment information.
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14
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Guideline 2.2.1 Information Sources
Template/Sample: Assessment of Need and Response Capacity
Template/Sample:
Casualty Tracking and Reporting
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14
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Guideline 2.2.2 Information Elements
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14
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Guideline 2.2.3 Information Reporting
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15
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Function
3: Management of Disaster
Medical Resources
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16
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Element 3.1
Resource planning and preparedness
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17
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Guideline 3.1.1
Resource Inventories
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17
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Guideline 3.1.2
Ambulance contracting language for out-of- county response
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18
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Element 3.2 Resource acquisition, allocation, and
mobilization
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19
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Guideline 3.2.1
Resource Acquisition
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19
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Guideline 3.2.2
Resource Allocation
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20
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Guideline 3.2.3
Resource Mobilization
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20
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Element 3.3 System
for distribution, utilization, and support of external resources
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21
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Guideline 3.3.1
Support for Out-of-Area Ambulances
Template/Sample:
Medical Resourse
Management and Support
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21
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Element 3.4 Resource tracking
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22
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Guideline 3.4.1
Resource Tracking
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22
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Element 3.5 Deactivation / Demobilization
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23
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Guideline 3.5.1
Resource Deactivation / Demobilization
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23
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Function 4: Manage
Patient Distribution and Evacuation
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24
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Element 4.1 Patient
dispersal system
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25
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Guideline 4.1.1 Support Movement of Casualties from
Scene to Facility
Template/Sample:
Patient Dispersal During A Disaster or Multi-Casualty Incident
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25
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Guideline 4.1.2 Assist Transfers Among Facilities
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26
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Guideline 4.1.3 Coordinate Transport from Medical
Facilities
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26
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Guideline 4.1.4 Evacuate and Receive Casualties
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27
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Function 5: Support
the Provision of Hospital Care
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28
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Element 5.1 Hospital status / damage assessment
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29
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Guideline 5.1.1
System for Communication of Hospital Status Information
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29
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Guideline 5.1.2
Hospital Status Information – Minimum Data Elements
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30
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Guideline 5.1.3
Sharing Hospital Status Information
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30
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Element 5.2 Support standardized hospital disaster plans.
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31
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Guideline 5.2.1
Support Standardized Hospital Disaster Plans
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31
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Element 5.3 Support hospital efforts to obtain resources
needed to sustain hospital operations, continued provision of care to
patients, and evacuation.
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32
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Guideline 5.3.1
Disaster Medical Support for Hospitals
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32
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Function 6: Support
Out of Hospital Emergency Services
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33
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Element 6.1 Support Out-of-Hospital Care
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34
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Guideline 6.1.1
Support Out-of-Hospital Care
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34
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Function 7: Coordinate
Pre-Hospital Emergency Services
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35
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Element 7.1 Pre-hospital system transformation to
disaster status
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36
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Guideline 7.1.1
Pre-hospital system transformation to disaster status
Template/Sample: DMS Coordination
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36
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Element 7.2
Triage systems and methods
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37
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Guideline 7.2.1
START Triage System
Template/Sample:
Triage System
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37
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Element 7.3 Austere medical care
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38
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Guideline 7.3.1
Austere Medical Care
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38
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Element 7.4 Field operations management
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39
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Guideline 7.4.1
Field Medical Response Position Definitions
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39
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Element 7.5
Command / tactical communications
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41
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Guideline 7.5.1
Tactical Communications
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41
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Function 8: Support for Temporary Field Treatment
Sites
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42
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Element 8.1 Designation / Activation
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43
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Guideline 8.1.1
Assessment of Need for Field Treatment Sites
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43
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Guideline 8.1.2
Designation of Field Treatment Sites
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43
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Guideline 8.1.3
Establishment of Field Treatment Sites
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44
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Element 8.2 Personnel, supplies, and other resources
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45
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Guideline
8.2.1 Resource Support for
Field Treatment Sites
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45
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Element 8.3 Integration into system
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46
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Guideline
8.3.1 Designation of Field
Treatment Sites
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46
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Appendices
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Appendix A:
Glossary
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A.1
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Appendix B:
Acronyms and Abbreviations
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B.1
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