Army Emergency Management Program - Federation of American ...

NIMS implementation.
Capabilities of civilian hospitals and other DOD MTFs in the geographic area.
Applicable support agreements and support contracts.
Facility evacuation, SIP, and mass care procedures, to include personnel accountability.
Syndromic Surveillance procedures.
Medical Surveillance procedures.
MTF EOC operations, including recall procedures.
Coordination with the supporting installation dispatch center(s).
Emergency Communications capabilities and procedures.
Mass warning and notification system integration.
EMS (in coordination with fire and emergency services).
ED operations, to include triage procedures.
Public health and preventive medicine operations, including the role and responsibilities of the installation PHEO.
Pharmaceutical management (in support of fire and emergency services and EMS).
Incidents resulting in mass casualties.
Casualty management and/or tracking.
Medical information operations.
Facility access control procedures (lockdowns), including law enforcement and security support requirements from
the installation.
Management and/or decontamination of self-referred casualties.
Decontamination bypass procedures for decontaminated patients arriving via EMS.
Inter-facility transfer of noncritical patients to increase bed availability.
Healthcare system evacuation procedure
NDMS and Federal Coordinating Center responsibilities, if assigned.
Select fatality management procedures for those casualties received/admitted into the MTF who then die under a
healthcare provider’s care.
c. Medical surveillance. The MTF commander has specific responsibilities regarding medical surveillance according
to DODI 6055.17, DODI 6200.03, MEDCOM OPLAN 01–10, and MEDCOM OPORD 08–08.
(1) Syndromic (health threat) surveillance. The installation PHEO, in coordination with the MTF commander, is
responsible to (a) identify all medical and public health information needs, (b) provide all-hazards force health
protection for the protected populace (Category 1–5 personnel), (c) ensure laboratory support to confirm and identify
hazardous substances in the affected environment, and (d) integrate and monitor syndromic surveillance systems
operations. The installation PHEO is responsible for assessing the health impacts of identified public health threats on
personnel and the environment.
(2) Medical surveillance. The installation PHEO, in coordination with the MTF commander, is responsible to (a)
monitor the health status of predesignated Category 1 and 5 personnel, to include medical surveillance pre- and postincident
and (b) monitor the health status post-incident of Category 2–4 personnel exposed to hazards during an
emergency.
(3) Medical intelligence. The installation PHEO and designated medical representatives, with the direction of the
MTF commander, receives, extracts, and/or collects information from available medical sources, provides medical
information to local organizations and private sector partners, where appropriate, and works to sustain informationgathering
activities necessary for assessing and/or reassessing emerging health threat information prior to, during, and
after an incident.
d. Hospital-based care. MTF shall coordinate, manage, and provide—
Health services, to include Category 5 First Receiver capabilities.
Emergency medical care, to include mass casualty care and triage.
Patient movement (intrafacility, interfacility, and, if providing EMS, transport from the incident site to the MTF).
Psychological support, to include support of Disaster Mental Health requirements detailed in chapter 19.
Pharmacy services, to include pharmaceutical management of chemical pharmaceutical countermeasures and related
stockpiles.
Dental services.
Veterinary services, if assigned.
e. Pharmaceutical management. The supporting MTF is responsible for pharmaceutical management in support of
the EM program.
(1) Chemical pharmaceutical countermeasures. The installation shall coordinate a Chemical Pharmaceutical Countermeasures
Program and associated concept of employment with the supporting MTF and integrate policy, planning,
and preparedness activities both pre- and post-exposure in order to ensure that Category 5 first responders are protected
DA PAM 525–27 20 September 2012
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