Army Emergency Management Program - Federation of American ...

Table 18–9
Ambulances (ground) resource typing definitions—Continued
Minimum transport capacity (Litter patients)
Supplies Per local jurisdiction
2 2 2 2 0
ALS ALS BLS BLS BLS
Legend for Table 18-9:
X–required minimum capability as fielded by JPM–IPP and AEFRP Tier 2 and Tier 1 material packages.
“-”–not required.
ALS–advanced life support.
BLS–basic life support.
EMT–emergency medical technician.
Notes:
1 Typing based upon FEMA 508–4.
2 Typing based upon FEMA 508–4 with variation.
18–13. Medical response
a. Requirements. In order to provide medical response functions to the Army community as required by DODI 6055.
17, DODI 6200.03, AR 525–27, and MEDCOM OPLAN 01–10, all EM programs shall coordinate with the MTF
commander, the Director of Health Services, the medical emergency manager, and the installation PHEO on the
capabilities and capacity of the supporting MTF or clinic. Due to local conditions, the nearest supporting provider may
be a civilian hospital, in which case the EM program shall coordinate with the supporting Hospital with the support and
guidance of a medical liaison provided by the nearest DOD MTF. Medical response will be integrated into all relevant
aspects of the installation EM plan and supporting annexes, appendices, and SOPs. Medical treatment will—
Be provided as a seamless continuum of care in accordance with established policies and guidance for standards of
triage as well as primary, secondary, and tertiary care.
Be administered in the closest safe area for the level of care required.
Be supported by additional health care resources, established by support agreements and support contracts.
Include plans for CS operations.
Be procedurally compliant and interoperable with NIMS.
Adopt hospital incident command system as the incident management system for all MTFs in order to ensure medical
interoperability.
Be procedurally compliant and interoperable with EM standards established by the Joint Commission and the CDC.
Coordinate planning, preparedness, and response operations with the advisement of the installation PHEO and the
Director of Health Services.
Have the capability, through preexisting policies and support agreements, to surge assets and capacity as needed
based upon the incident.
Designated MTF personnel shall be designated in writing by the installation EMWG as Category 5 First Receivers
during the community profile process (see chap 4). The MTF does not deploy teams or units to the incident scene
unless (a) providing EMS functions or (b) specifically requested by the incident commander (or the installation EOC in
coordination with the incident commander). Regardless of organic resources, it is the responsibility of all installations
to identify 2 or more public health and medical services resources outside of the installation and in the geographic area
and identify and document procedures to request these resources, to include an estimate of deployment/travel times.
MTFs are managed, organized, and resourced as directed in AR 40–4. Nothing in this publication requires the
development of new or additional capabilities in this functional area; just the coordination and integration of existing
organic capabilities with existing external capabilities resident in local civil jurisdictions, other DOD installations, and
other external response partners.
b. Medical planning. Per DODI 6055.17, DODI 6200.03, MEDCOM OPLAN 01–10, and MEDCOM OPORD
08–08, medical response providers will develop and maintain plans, procedures, programs, and systems necessary to
support EM program requirements. The medical emergency manager is responsible for developing a coordinated,
comprehensive, and integrated medical response plan as well as an associated medical treatment facility FAA to the
installation EM plan and supporting SOPs. The medical response plan and the associated FAA shall detail the
processes and procedures for coordinated response and recovery operations between the installation’s designated
Category 5 (First Responders and Emergency Responders) with the MTF’s designated Category 5 (First Receivers).
See chapter 6 for mass prophylaxis planning integration with the installation EM plan. At a minimum, these procedures
will address the following capabilities:
Roles and responsibilities of the medical emergency manager.
Ready Army Community Preparedness Campaign integration.
176 DA PAM 525–27 20 September 2012