MISSION: On order, responds to a chemical, biological ...

MISSION: On order, responds to a chemical, biological ...

FEMA Region 1 Homeland Response Force Capabilities Brief MAJ JAMES BROWN Regional Medical Plans and Operations Officer 30 Sept 2015 PURPOSE Informational brief on the capabilities, structure, and nature of response for the Region 1 Homeland Response Force (HRF) based upon the following topics: Mission Outline Chemical, Biological, Radiological, and Nuclear (CBRN) Response Enterprise (CRE) HRF Unit Locations Responding Unit Composition Response Timeline Sheltering 2 MISSION OUTLINE To provide a CBRNE response capability in each FEMA region that is able to provide timely life-saving capabilities within the first 48 hours of a CBRNE event, and to establish, when necessary, a regional Command and Control (C2) structure in order to synchronize all State Active Duty (SAD) / Title 32 CBRNE response forces, including Civil Support Teams (CST), CBRNE Enhanced Response Force Packages (CERFP) and prepare for follow-on forces. Key Tasks Include: Brigade and Battalion level Command and Control Security Search and Extraction Decontamination Medical Triage

End State: HRF effectively mitigates human suffering and loss of life and further coordinates the response efforts of several additional CSTs and/or CERFPs in order to provide the most efficient response and Common Operating Picture 3 CBRN RESPONSE ENTERPRISE- NG ONLY Civil Support Team (CST) 22 Active Guard Reserve (AGR) Personnel specializing in presumptive analysis and identification. 57 Teams Nationwide, 1254 Personnel comprised of Air and Army National Guards CBRN Enhanced Response Force Package (CERFP)/TF-CBRN 197 Personnel specializing in Search and Extraction, Decontamination, Medical Triage and Care, Fatality Search Recovery Team (FSRT) 17 Units, 3349 Total, AGR/ADOS/M-DAY Homeland Response Force (HRF) 577 Personnel specializing in C2, CBRN ASSESSMENT, Search and Extraction, Decontamination, Medical Triage and Care, Fatality Search Recovery Team (FSRT) 10 HRFs, 5770 Personnel, AGR/ADOS/M-Day 4 LOCATIONS ME I AK VT WA

X NH ND MT OR II WI MI ID WY VIII IA NE UT IX PR OH IN III

MO KS VI NJ IL VII CT NY V SD NV CA MA RI MN WV CO PA MD

DE VA KY GU NC AZ NM OK VI MS TX IV TN AR AL SC GA LA

HI FL HRF CERFP CST 5 CBRNE RESPONSE ENTERPRISE CAPABILITIES State Response Federal Response CST 22 PERSONNEL CERFP 197 PERSONNEL HRF 577 PERSONNEL DEFENSE CBRNE RESPONSE FORCE (DCRF) 5200 PERSONNEL ELEMENT 1 2100 PERSONNEL ELEMENT 2 3100 PERSONNEL C2CRE A 1500 PERSONNEL 3 HOURS C2CRE B

1500 PERSONNEL 6 HOURS 12 HOURS 96 HOURS 96+ HOURS CBRN TASK FORCE Total Personnel = 197 CBRN TF C2 16 Soldiers/Airmen DECON 75 Soldiers MEDICAL 45 Airmen Search and Extraction 50 Soldiers FSRT 11 Airmen CBRN TASK FORCE C2 Primary Capabilities

16 Soldiers and Airmen Conduct planning and coordination Conduct Incident Operations Conduct Sustainment Operations Conduct Deployment Operations Conduct Redeployment Operations Reports to the JTF-State and incident commander All C2 members trained and certified to the HAZMAT Awareness Level (CFR 1910-120) 8 SEARCH & EXTRACTION Collective Capabilities (NFPA 1670) S&E element trained and equipped to provide the following operational capabilities Rope Rescue at the Operations Level Structural Collapse Search and Rescue at the Operations Level Confined Space Search and Rescue at the Operations Level Individual Qualifications (NFPA 1006 (2013)) All Members Level I Rope Rescuer Level I Confined Space Rescuer

Level I Structural Collapse Rescuer Team Leaders and above (a minimum of 5 members per S&E element) Level II Rope Rescuer Level II Confined Space Rescuer Level II Structural Collapse Rescuer Primary Capabilities 50 Soldiers drawn from 101 EN BN Conduct search Conduct rope rescue operations Conduct lifting/loading operations Conduct confined space operations Conduct S&E tasks below IDLH levels in Level B/C PPE with PAPR All S&E members trained and certified to the HAZMAT Operations level (CFR 1910-120) All equipment meets NIOSH/ ANSI/OSHA Safety/Protection Standards 9

DECONTAMINATION Primary Capabilities 75 Soldiers drawn from the 272 CM CO Establish CBRN response DECON site Conduct ambulatory & non-ambulatory clothing removal, decontamination, monitoring, and redress operations Establish equipment and personnel property decontamination stations Establish and maintain a hazardous waste site Establish technical DECON Line All DECON members trained and certified to the HAZMAT Operations Level (CFR 1910-120) 10 MEDICAL EMEDS-CM Staffing 47 Medical personnel 4 - Physicians 4 - Physician Assistants 6 - Nurses 21- EMTs 12- Support Personnel Triage, life saving stabilization, preparation for transport (no holding)

HRF C2 Staffing 5 Medical Personnel Regional Medical Planner Regional Logistician Public Health Officer Bioenvironmental Officer Flight Surgeon Provide medical situational assessment 11 MEDICAL Individual Qualifications BLS, ACLS and PALS

ATLS, PHTLS, and TNCC Trauma Training Medical/Field Management of Chemical and Biological Casualties Course (MMCBC)/(FMCBC) Incident Command, Capabilities, Planning and Response Actions for All Hazards (IC) Healthcare Leadership for Mass Casualty Incidents (HCL) Emergency Medical Operations for CBRN Incidents (EMO) Intermediate Hands-On Training for CBRN Incidents (HOT-I) Medical Effects of Ionizing Radiation (MEIR) Radiological Emergency Response Radiological Emergency Management Radiological Emergency Response Operations (RERO) Possess civilian licensure as physicians, PAs, registered nurses, pharmacists or NREMTs Primary Capabilities 52 Airmen drawn from the 102 and 104 MDGs Provide health and medical monitoring for assigned

CERFP/HRF personnel during operations Provide medical support to S&E teams Perform triage operations in the hot zone Team lead casualty collection Perform cold zone triage Treat CBRN casualties Stabilize patients for movement to definitive care All Medical members trained and certified to the either the *HAZMAT Awareness or HAZMAT Operations Level (CFR 1910-120) 12 MEDICAL WARM ZONE COLD ZONE HOT ZONE INCIDENT CP CST CERFP FSRT DECON LANE 1 MEDICAL DECON LANE 2 MEDICAL

TRI AG E SEARCH EXTRACTION DECON LANE 3 CST Medical Stabilization Cold Zone Staffing 3 Physicians, 3 Physician Assistants 5 RNs, 10 EMTs, 1 Respiratory Therapist, 1 Pharmacist 7 Admin support Medical Warm/Cold Zone Triage Staffing 1 PA, 3 EMTs Medical Hot Zone Staffing 1 RN Search & Extraction 10 EMTs 13 MEDICAL 14 FATALITY, SEARCH, AND EXTRACTION

Individual Qualifications Mortuary Skills Enhancement In-Residence Mortuary Officers Course Home Station Readiness Course All FSRT members trained and certified to the HAZMAT Operations Level (CFR 1910120) Primary Capabilities 11 Airmen drawn from 104 MDG Takes possession of fatalities from other CERFP elements Double bag contaminated remains Search and recover fatalities Turn remains over to the IC 15 HOMELAND RESPONSE FORCE Total Personnel = 577 HRF C2 180 Soldiers/5 Airmen CASE CBRN TF C2 200 Soldiers

DECON 75 Soldiers 16 Soldiers/Airmen MEDICAL 45 Airmen Search and Extraction 50 Soldiers FSRT 11 Airmen HRF C2 Primary Capabilities 180 Soldiers drawn from the 26th MEB Command and Control Logistical Support Network/Communications Medical Risk Assessment Team (104th MDG) Capable of controlling and supporting up to 3 CERFPs and 6 CSTs over a 96 hour period Able to be on site and fully operational anywhere in FEMA Region 1 (New England area) within 12 hours Early Entry Command Post capabilities All C2 members trained in ICS structure

17 CBRN ASSISTANCE AND SUPPORT (CASE) Individual Qualifications ICS 800 Introduction to National Response Framework Primary Capabilities 200 Soldiers from VT and CT NG Provides force protection Assist in casualty movement Secure area of operations Provide control at cordon and entry points Assist with crowd control All CASE members trained and certified to the HAZMAT Operations Level (CFR 1910120) 18 HRF C2 CASE CST CST CST CST

CST CST TF-CBRN C2 CERFP C2 CERFP C2 Medical Medical Medical DECON DECON DECON S&E S&E S&E FSRT FSRT

FSRT 19 HRF CONOPS HRF C2 COLD ZONE Critical Care physician CASE provides CBRN TF oversight of triage REMOTE SITE CERFP FSRT Medical Stabilization DECON 3 Physicians LANE 1 TR 3 DECON PAs MEDICAL IA GE

LANE 2 5 Registered Nurses DECON (RN) LANE 3 10 EMTs Critical Care SEARCH1 Physician EXTRACT 1 ION Critical Care Nurse 1 Resp Therapy Tech FSRT CERFP MEDICAL CST CST HOT ZONE CST Search & Extraction 8 Aerospace Medical CST Technicians (EMTs)

STAGING AREA WARM ZONE INCIDENT CP DECON LANE 1 DECON LANE 2 DECON LANE 3 TR IA GE SEARCH EXTRACT ION CST Commander/Superintendent DECON 2 Public Health & Bioenvironmental LANE 1 TR SEARCH MEDICAL

IA DECON Engr EXTRACT LANE 2 ION 2 Logistics &GEBiomedical Equip DECON Repair LANE 3 3 Administrative FSRT CERFP BN C2 AGR - MSC AGR Med logistics INTEGRATION WITH SHELTERING Will absolutely be needed No organic transportation Many displaced may have some form of an injury Clothes Communication is imperative 21 QUESTIONS / ISSUES

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