ANNEX A

 Federal Response Teams

Annex A:  Federal Response Teams includes definitions for 11 Federal Response Teams defined by capability and capacity.  Definitions are divided into three subsections for each resource type, including description, human resources, and equipment.  Click on the below titles to view definitions.  The following Federal Response Teams are defined in Annex A:

§         Disaster Medical Assistance Team (DMAT):  Basic Team

§         Disaster Medical Assistance Team (DMAT):  Burn Specialty

§         Disaster Medical Assistance Team (DMAT):  Crush Injury Specialty

§         Disaster Medical Assistance Team (DMAT):  Mental Health Specialty

§         Disaster Medical Assistance Team (DMAT):  Pediatric Specialty

§         Disaster Mortuary Operational Response Team (DMORT)

§         International Medical Surgical Response Team (IMSuRT)

§         Management Support Team (MST)

§         Urban Search and Rescue (US&R) Task Forces

§         Urban Search and Rescue (US&R) Incident Support Teams

§         Veterinary Medical Assistance Team (VMAT)

Disaster Medical Assistance Team (DMAT)

Basic Team

Components and Capabilities

Type I

• Description.  A volunteer group of medical and nonmedical individuals, such as physicians, nurses, nurse practitioners, physician's assistants, pharmacists, emergency medical technicians (EMTs), other allied health professionals, and support staff.  These individuals are usually from the same State or region of a State, and have formed a response team under the guidance of the National Disaster Medical System (NDMS), or under similar State or local auspices.
• Human Resources.  Thirty-five deployable personnel who deploy to site within 24 hours of notification.  Staff can function for 72 hours in austere locations without resupply and treat up to 250 victims within
  24 hours.
• Equipment.  Equipment can function for 72 hours in austere locations without resupply.  Full complement of equipment.

Type II

• Description.  A volunteer group of medical and nonmedical individuals, such as physicians, nurses, nurse practitioners, physician's assistants, pharmacists, EMTs, other allied health pro­fessionals and support staff.  These individuals are usually from the same State or region of a State, and have formed a response team under the guidance of the NDMS, or under similar State or local auspices.
• Human Resources.  Thirty-five deployable personnel who deploy to site within 24 hours of notification.  Deploy to site within 24 hours of notification with all necessary staff.  Function in existing facility using facility's equipment and supplies.
• Equipment.  Limited to none.

Type III

• Description.  A volunteer group of medical and nonmedical individuals, such as physicians, nurses, nurse practitioners, physician's assistants, pharmacists, EMTs, other allied health professionals, and support staff.  These individuals are usually from the same State or region of a State, and have formed a response team under the guidance of the NDMS, or under similar State or local auspices.
• Human Resources.  Personnel roster only.  May be less than full complement.
• Equipment.  None.

Disaster Medical Assistance Team (DMAT)

Burn Specialty

Components and Capabilities

Type I

• Description.  A volunteer group of medical and nonmedical individuals such as physicians, nurses, nurse practitioners, physician's assistants, pharmacists, emergency medical technicians (EMTs), other allied health professionals, and support staff.  These individuals are usually from the same State or region of a State that have formed a response team under the guidance of the National Disaster Medical System (NDMS) (or State or local auspices), and whose personnel have specific training/skills in the management of burn trauma patients.
• Human Resources.  Deployment rosters are usually constituted on an ad-hoc basis, depending on situational need.  Variable number of personnel.  Can deploy to site within 24 hours of notifi­cation and function for 72 hours in austere locations without resupply.
• Equipment.  Equipment can function for 72 hours in austere locations without resupply.  Full complement of equipment.

Type II

• Description.  A volunteer group of medical and nonmedical individuals such as physicians, nurses, nurse practitioners, physician's assistants, pharmacists, EMTs, other allied health pro­fessionals, and support staff.  These individuals are usually from the same State or region of a State, that have formed a response team under the guidance of the NDMS (or State or local auspices), and whose personnel have specific training/skills in the management of burn trauma patients.  Current NDMS burn teams are Type II; they are not fully equipped teams, but rather they usually co-deploy, providing specialized equipment, supplies, and skills on those missions that involve burn casualties.
• Human Resources.  Deployment rosters are usually constituted on an ad-hoc basis, depending on situational need.  Variable number of personnel.  Can deploy to site within 24 hours of notifica­tion.  Function in existing fixed facility using facility's equipment and supplies.
• Equipment.  Limited to specialized items for burns.

Type III

• Description.  A volunteer group of medical and nonmedical individuals such as physicians, nurses, nurse practitioners, physician's assistants, pharmacists, EMTs, other allied health pro­fessionals, and support staff.  These individuals are usually from the same State or region of a State that have formed a response team under the guidance of the NDMS (or State or local auspices), and whose personnel have specific training/skills in the management of burn trauma patients.
• Human Resources.  Personnel roster only.  May be less than full complement.
• Equipment.  None.

Disaster Medical Assistance Team (DMAT)

Crush Injury Specialty

Components and Capabilities

Type I

• Description.  A volunteer group of medical and nonmedical individuals, such as physicians, nurses, nurse practitioners, physician's assistants, pharmacists, emergency medical technicians (EMTs), other allied health professionals, and support staff.  These individuals are usually from the same State or region of a State that have formed a response team under the guidance of the National Disaster Medical System (NDMS) (or State or local auspices), and whose personnel have specific training/skills in the management of crush injury patients.
• Human Resources.  Deployment rosters are usually constituted on an ad-hoc basis, depending on situational need.  Variable number of personnel.  Can deploy to site within 24 hours of notifi­cation.  Staff can function for 72 hours in austere locations without resupply.
• Equipment.  Equipment can function for 72 hours in austere locations without resupply.  Full complement of equipment.

Type II

• Description.  A volunteer group of medical and nonmedical individuals, such as physicians, nurses, nurse practitioners, physician's assistants, pharmacists, EMTs, other allied health pro­fessionals, and support staff.  These individuals are usually from the same State or region of a State that have formed a response team under the guidance of the NDMS (or State or local auspices), and whose personnel have specific training/skills in the management of crush injury patients.  Current NDMS crush injury teams are Type II.
• Human Resources.  Deployment rosters are usually constituted on an ad-hoc basis, depending on situational need.  Variable number of personnel.  Can deploy to site within 24 hours of notification.  Function in existing fixed facility using facility's equipment and supplies.
• Equipment.  Limited or none.

Type III

• Description. A volunteer group of medical and nonmedical individuals, such as physicians, nurses, nurse practitioners, physician's assistants, pharmacists, EMTs, other allied health pro­fessionals, and support staff.  These individuals are usually from the same State or region of a State that have formed a response team under the guidance of the NDMS (or State or local auspices), and whose personnel have specific training/skills in the management of crush injury patients.
• Human Resources.  Personnel roster only.  May be less than full complement.
• Equipment.  None.

Disaster Medical Assistance Team (DMAT)

Mental Health Specialty

Components and Capabilities

Type I

• Description.  A volunteer group of medical and nonmedical individuals, such as physicians, nurses, nurse practitioners, physician's assistants, pharmacists, emergency medical technicians (EMTs), other allied health professionals, and support staff.  These individuals are usually from the same State or region of a State, that have formed a response team under the guidance of the National Disaster Medical System (NDMS) (or State or local auspices), and whose personnel have specific training/skills in the management of psychiatric patients.
• Human Resources.  Deployment rosters are usually constituted on an ad-hoc basis, depending on situational need.  Variable number of personnel.  Can deploy to site within 24 hours of notifi­cation.  Staff can function for 72 hours in austere locations without resupply.
• Equipment.  Equipment can function for 72 hours in austere locations without resupply.  Full com­plement of equipment.

Type II

• Description.  A volunteer group of medical and nonmedical individuals, such as physicians, nurses, nurse practitioners, physician's assistants, pharmacists, EMTs, other allied health pro­fessionals, and support staff.  These individuals are usually from the same State or region of a State, that have formed a response team under the guidance of the NDMS (or State or local auspices), and whose personnel have specific training/skills in the management of psychiatric patients.  Current NDMS mental health teams are Type II.
• Human Resources.  Deployment rosters are usually constituted on an ad-hoc basis, depending on situational need.  Variable number of personnel.  Can deploy to site within 24 hours of notifi­cation.  Function in existing fixed facility using facility's equipment and supplies.
• Equipment.  Limited or none.

Type III

• Description.  A volunteer group of medical and nonmedical individuals, such as physicians, nurses, nurse practitioners, physician's assistants, pharmacists, EMTs, other allied health pro­fessionals, and support staff.  These individuals are usually from the same State or region of a State, that have formed a response team under the guidance of the NDMS (or State or local auspices), and whose personnel have specific training/skills in the management of psychiatric patients.
• Human Resources.  Personnel roster only.  May be less than full complement.
• Equipment.  None.

Disaster Medical Assistance Team (DMAT)

Pediatric Specialty

Components and Capabilities

Type I

• Description. A volunteer group of medical and nonmedical individuals, usually from the same State or region of a State, that has formed a response team under the guidance of the National Disaster Medical System (NDMS) (or State or local auspices), and whose personnel have specific training/skills in the management of pediatric patients.
• Human Resources.  Deployment rosters are usually constituted on an ad-hoc basis, depending on situational need.  Variable number of personnel.  Can deploy to site within 24 hours of notifi­cation.  Staff can function for 72 hours in austere locations without resupply.
• Equipment.  Equipment can function for 72 hours in austere locations without resupply.  Full com­plement of equipment.

Type II

• Description.  A volunteer group of medical and nonmedical individuals, usually from the same State or region of a State, that has formed a response team under the guidance of the NDMS (or State or local auspices), and whose personnel have specific training/skills in the management of pediatric patients.  Current NDMS pediatric teams are Type II.  They do not deploy as a fully functioning team but generally co-deploy and augment another team.
• Human Resources.  Deployment rosters are usually constituted on an ad-hoc basis, depending on situational need.  Variable number of personnel.  Can deploy to site within 24 hours of notifi­cation.  Function in existing fixed facility using facility's equipment and supplies.
• Equipment.  Limited or none.

Type III

• Description.  A volunteer group of medical and nonmedical individuals, usually from the same State or region of a State, that have formed a response team under the guidance of the NDMS (or State or local auspices), and whose personnel have specific training/skills in the management of pediatric patients.
• Human Resources.  Personnel roster only.  May be less than full complement.
• Equipment.  None.

Disaster Mortuary Operational Response Team (DMORT)

Components and Capabilities

Type I

• Description.  A volunteer group of medical and forensic personnel, such as medical examiners, coroners, pathologists, forensic anthropologists, medical records technicians, fingerprint techni­cians, dental assistants, radiologists, funeral directors, mental health professionals, and support personnel.  These individuals are usually from the same geographic region, that have formed a response team under the guidance of the National Disaster Medical System (NDMS) (or State or local auspices), and whose personnel have specific training/skills in victim identification, mortuary services, and forensic pathology and anthropology methods.  DMORTs are mission-tailored on an ad-hoc basis, and usually deploy only with personnel and equipment specifically required for current mission.  The capability of the team can be expanded to include weapons of mass destruction (WMD) response.
• Human Resources.  Thirty-one personnel to deploy to site within 24 hours of notification.  Pro­vide on-site victim identification and morgue operations.  Provide family assistance services.
• Equipment.  Deployable Portable Morgue Unit (DPMU) add-on available when no local morgue facilities are available. 

International Medical Surgical Response Team (IMSuRT)

Components and Capabilities

Type I

• Description.  A volunteer group of medical and nonmedical individuals, usually from the same State or region of a State, that has formed a response team under the guidance of the National Disaster Medical System (NDMS) and the State Department, and whose personnel and equipment give it deployable medical and surgical treatment capability, worldwide.  This is the only NDMS team with surgical operating room capability.  Currently, a single IMSuRT exists as Type I, being a successor to the previous Incident Support Team (IST) specialty DMAT.  Two additional teams are being formed.
• Human Resources.  Full team consists of 26 personnel able to begin deployment to outside the continental United States (OCONUS) location within 3 hours of notification.  Staff two operating room suites providing emergency surgery, treatment, and stabilization.
• Equipment.  Usually deploys with all necessary equipment.  Fully equipped to provide freestand­ing surgical capability, etc., but does not usually function in an austere environment without additional support.
  

Management Support Team (MST)

Components and Capabilities

Type I

• Description.  A command and control team that provides support and liaison and functions for other National Disaster Medical System (NDMS) teams in the field. A mix of Federal employees from NDMS headquarters, the PHS-2 team, or the CCRF usually staffs MSTs.  Although rostered, MSTs do not exist except when actually deployed in support of a mission.  An MST (perhaps as small as one or two individuals) always accompanies an NDMS unit on a deploy­ment.  MSTs are mission-tailored on an ad-hoc basis, and usually deploy only with personnel and equipment specifically required for current support mission.
• Human Resources.  Deploy to site within 24 hours of notification; provide Federal supervision, coordination, and support at site of any NDMS team deployment, including ambulatory care (sick call) for Federal personnel.
• Equipment.  Full complement.

Type II

• Description.  A command and control team that provides support and liaison functions for other NDMS teams in the field.  A mix of Federal employees from NDMS headquarters, the PHS-2 team, or the CCRF usually staffs MSTs.  Although rostered, MSTs do not exist except when actually deployed in support of a mission.  An MST (perhaps as small as one or two individuals) always accompanies an NDMS unit on a deploy­ment.  MSTs are mission-tailored on an ad-hoc basis, and usually deploy only with personnel and equipment specifically required for current support mission.
• Human Resources.  Deploy to site within 24 hours of notification with limited staff and communications equipment, but no tentage.
• Equipment.  Communication and administrative only.

Urban Search and Rescue (US&R) Task Forces

Components and Capabilities

Type I (WMD Level)

• Description.  Conducts safe and effective search and rescue operations at large or complex Urban Search and Rescue (US&R) operations, including structure collapse incidents involving the collapse or failure of heavy floor, precast concrete, and steel frame construction.  Perform or provide high-angle rope rescue (including highline systems); confined space rescue (permit required); advanced life support (ALS) intervention; communications; weapons of mass destruc­tion (WMD)/hazardous materials (HazMat) operations; and defensive water rescue.  Conduct safe and effective sustained 24-hour search and rescue operations.
• Human Resources.  A 70-person response.  Multidisciplinary organization of command, search, rescue, medical, HazMat, logistics, and planning functions.  Personnel comply with the National Fire Protection Association (NFPA) 1670 Technician Level requirements for the area of their area of specialty or operations level for support personnel.
• Equipment.  US&R teams come with a substantial amount of equipment.  Rescue equipment includes power tools, electrical equipment, technical rope, and safety equipment.  Medical equip­ment includes antibiotics, medication, canine treatment, intubation, eye care supplies, immobil­ization and extrication equipment, and personal protective equipment (PPE).  Technical equip­ment includes HazMat equipment, canine search and rescue equipment, and technical specialist equipment.  Communications equipment includes radios, charging units, power sources, and computers.  Logistical equipment includes water, food, shelter, safety, administrative support, and equipment maintenance.

Type II (Light Level)

• Description.  Conducts safe and effective search and rescue operations at structure collapse incidents involving the collapse or failure of light frame construction and basic rope rescue operations; ALS intervention; HazMat conditions; communications; and trench and excavation rescue.  Ability to conduct safe and effective 12-hour search and rescue operations.
• Human Resources.  A 28-person response.  Multidisciplinary organization of command, search, rescue, medical, HazMat, logistics, and planning functions.  Personnel comply with the NFPA 1670 Technician Level requirements for the area of their area of specialty or operations level for support personnel.
• Equipment.  Urban Search and Rescue (US&R) teams come with a substantial amount of equip­ment.  Rescue equipment includes power tools, electrical equipment, technical rope, and safety equipment.  Medical equipment includes antibiotics, medication, canine treatment, intubation, eye care supplies, immobilization and extrication equipment, and PPE.  Technical equipment includes HazMat equipment, canine search and rescue equipment, and technical specialist equipment.  Communications equipment includes radios, charging units, power sources, and computers.  Logistical equipment includes water, food, shelter, safety, admin­istrative support, and equipment maintenance.

Urban Search and Rescue (US&R) Incident Support Teams

Components and Capabilities

Type I US&R Incident Support Team (IST) Full

§         Description.  A fully staffed Urban Search and Rescue (US&R) multifunctional management team activated to provide technical assistance in the acquisition and use of Emergency Support Function
(ESF) #9 - Urban Search and Rescue emergency resources through advice, Incident Command assistance, incident response planning, management, and coordination of US&R task forces, and obtaining ESF #9 logistical support.  The team is organized according to basic Incident Command System (ICS) guidelines, with a command staff and operations, plan­ning, logistics, and finance/administration sections.  A Type 1 IST is a full management team pro­viding staffing to fill all necessary ICS functions for the assigned incident.  A Type 1 IST can provide 24-hour operations for a minimum of 14 days before requiring personnel rotations and can provide its own administrative and living support as necessary.

§         Human Resources.  The Federal Emergency Management Agency (FEMA) US&R section, based on experience and training qualifications, selects IST members.  The team is comprised of qualified National US&R response system personnel, with the ESF #9 assistants and the administration/finance section staffed by FEMA or other Federal agency personnel.

• Equipment.  ISTs come with all the equipment necessary to perform the assigned task, including administrative and computer supplies.  Communication equipment includes microphone, antenna, fax, satellite telephone, radio, and pager.  Tools include screwdriver, chisel, drill, hammer, and shovel.  Power supply equipment includes power adapter, generator, surge protector, and grounding wire.  Logistical equipment includes water, food, shelter, safety, administrative support, and equipment maintenance.

Type II US&R Incident Support Team (IST) Advance

§         Description.  Activated to provide technical assistance in the acquisition and use of ESF #9 - Urban Search and Rescue emergency resources through advice, Incident Command assistance, incident response planning, management, and coordination of US&R task forces, and obtaining ESF #9 logistical support.  The IST is organized according to basic ICS guidelines, with a com­mand and command staff and operations, planning, logistics, and finance/administration sections.  The Type 2 is an Advance Element of a Type 1 IST and will required supplemental IST staffing to maintain 24-hour oper­ations.  It can provide its own administrative and living support as necessary.

§         Human Resources.  A 22-person US&R multifunctional management team staffing 14 ICS func­tions, IST members are selected by the FEMA US&R section based on experience and training qualifications.  Twenty of the 22 members filling positions will be qualified National US&R Response System personnel, while the ESF #9 assistants will be FEMA staff.

§         Equipment.  ISTs come with all the equipment necessary to perform the assigned task, including administrative and computer supplies.  Communication equipment includes microphone, antenna, fax, satellite telephone, radio, and pager.  Tools include screwdriver, chisel, drill, hammer, and shovel.  Power supply equipment includes power adapter, generator, surge protector, and grounding wire.  Logistical equipment includes water, food, shelter, safety, administrative support, and equipment maintenance.

Veterinary Medical Assistance Team (VMAT)

Components and Capabilities

Type I

• Description.  Volunteer teams of veterinarians, technicians, and support personnel, such as veterinarians, veterinary technicians, support personnel, microbiologists, epidemiologists, and veterinary pathologists.  These individuals are usually from the same region, that have organized a response team under the guidance of the American Veterinary Medical Association and the National Disaster Medical System (NDMS), and whose personnel have specific training in responding to animal casualties and/or animal disease outbreaks during a disaster.  VMATs are usually mission-tailored on an ad-hoc basis, and usually deploy only with personnel and equipment specifically required for the current mission.  All VMATs within the NDMS are considered Type 1.  Epidemiologic capabilities are limited.
• Human Resources.  Sixty personnel plus equipment.  Deploy to site within 24 hours of notifica­tion.  Provide animal care, treatment, and shelter; food and water testing; basic epidemiologic capabilities.
• Equipment.  Full complement.

Type II

• Description.  Volunteer teams of veterinarians, technicians, and support personnel, such as veterinarians, veterinary technicians, support personnel, microbiologists, epidemiologists, and veterinary pathologists.  These individuals are usually from the same region, that have organized a response team under the guidance of the American Veterinary Medical Association and the NDMS, and whose personnel have specific training in responding to animal casualties and/or animal disease outbreaks during a disaster. VMATs are usually mission-tailored on an ad-hoc basis, and usually deploy only with personnel and equipment specifically required for the current mission.  Epidemiologic capabilities are limited.
• Human Resources.  Sixty personnel plus equipment.  Some mix of capabilities less than Type I.
• Equipment.  Limited or none.