Capital RAC
NC RACs: An EM Partner in
Disaster Response
Dale Hill, EMT-P
CapRAC Coordinator
Manager, Emergency Services Institute
WakeMed Health & Hospitals
Capital RAC
What is a RAC?
• Regional Advisory Committee
• Trauma center is the lead hospital
– Provides structure for regional trauma care
improvement & injury prevention
– Now serves as mechanism for regional disaster
preparedness
• Disaster Preparedness Coordination
• Regional ASPR grant
• SMAT II program
Regional Advisory Committees (RACs)
Capital RAC
Watauga
RAC Listing
Mountain Area Trauma RAC (Mission)
Metrolina Trauma Adv. Com. (Carolinas Med. Ctr.)
Triad RAC (Cone/WFU Baptist)
Southeastern Trauma RAC (New Hanover)
Eastern RAC (Pitt)
Duke RAC (Duke)
MidCarolina Trauma RAC (UNC)
Capital RAC (WakeMed Raleigh Campus)
Indicates a Level I or II Trauma Center
Capital RAC Area
Capital RAC
Franklin Regional Medical Center
Franklin County ES
WakeMed Raleigh
WakeMed Cary
WakeMed North
WakeMed Apex
Wake County ES
Holly Hill Hospital
NCSU
NC Baptist Men MRC
CapRAC MRC
PHRSTs
Franklin
Johnston Medical Center
Johnston Medical Center Clayton
Johnston County ES
Raleigh
Wake
Central Carolina Hospital
Central Carolina ALS
Lee County ES
Johnston
Lee
Harnett
Betsy Johnson Regional Hospital
Harnett County ES
Capital RAC
State Medical Response System
• Addresses federal Emergency
Service Function (ESF)-8
• Coordinated by the NC Office of
EMS, through Regional Advisory
Committees (RACs)
• Includes State Medical
Assistance Teams (SMATs) &
Medical Reserve Corps
Capital RAC
The Role of the RAC
• Program administration
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Data collection & reporting
Financial management
Healthcare response planning & education
Funding source identification & grant writing
Donation management
• Medical materials management
– Preventive maintenance & repair of equipment
– Equipment & supply recommendations
Capital RAC
The Role of the RAC
• Education & training
• Mission support
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Security & safety
Fleet management
Epidemiological support
Regional ICS
Capital RAC
SMAT Program
• Mission
To provide access to medical care to all citizens
before, during, or after natural or man-made
disasters
• Goal
To provide medical surge capacity for the
provision of medical personnel, medical product,
pharmaceuticals, and physical plant for triage,
treatment, tracking, and transport of patients
Capital RAC
SMAT Program Design
• Concept based on mobile medical care
• Three-tiered system
– SMAT I
– SMAT II
– SMAT III
• Signed MOU with OEMS
• Assets owned by Lead RAC hospital &
staffed from within the region
• Responsibility of administrative team for
recruitment & training
Capital RAC
Deployed M8 System
Capital RAC
Deployed M8 System
Capital RAC
Deployed M8 System
Capital RAC
Medical Personnel
Capital RAC
Physical Plant
Capital RAC
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CapRAC
SMAT 800
Capital RAC
Triad RAC
SMAT 500
CapRAC
SMAT 800
Capital RAC
Other Assets
• Pharmacy Trailer
– One of two in the state
– Includes compounding, packaging & dispensing
areas
• Medical Support Shelter trailer
– Bedding & medical supplies for 80 patients
• Mission Support Truck
• Additional trailers
– Decontamination
– Medical supplies & equipment
Capital RAC
Mission Support Vehicle
Capital RAC
Pharmaceutical Trailer
Capital RAC
Partner Support
• Identification & support of regional assets
– Medical surge assets
• Telemetry
• Surge cases
– Inventory systems
– Mass fatality management
– Patient evacuation & movement
• Local mass-gathering support
– Community celebrations
– Local festivals
Capital RAC
Education & Training
• Local, regional & state training programs
– Project –specific (radiation monitoring)
– Regional (Rural trauma, SMAT & mass care)
– State (mass fatality, ICS & HSEEP)
• Exercise development & support
– Local, regional & state exercises
• Save Swoops
• Mass casualty exercises (Campbell University)
– Project MoVES
– Patient simulation
Capital RAC
Deployment
• HPC notified
• Team Notified through ServNC
• Team prepares for deployment
• ICS established
– Command staff identified
– Chain-of-command followed
• Team members fill roles as identified by
mission
Capital RAC
Team Structure
• SMAT Coordinator / Team Commander
– Team Leadership
• Assigned team Leaders
– Approx 20-25 members per team
• Trained Command staff
– ICS 200, 300, 400
– Specific courses such as logistic chief, planning
chief etc
Capital RAC
Capital RAC
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Event Response
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Hurricane Katrina
EQ chemical fire
Hurricane Irene
Harnett County PH flooding
Mule Days
Capital RAC
What Can the RACs do for You?
• Healthcare preparedness & response
– Can “speak the language”
– Regional healthcare coordination
– Mass gathering support
• Healthcare medical product
• Temporary healthcare facilities
– Western Shelter systems
– Specialty trailers
• Networking
– Connections with regional, state & national
healthcare organizations
Capital RAC
Questions?