UNM Disaster Medicine
Elective
September, 2011
Orientation
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Objectives
People Involved
Format and Schedule
Other Options
Evaluations/Paperwork
Introductions
Objectives
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Develop the background
knowledge to proceed to
leadership roles in areas related to
disaster medicine.
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Learn to provide advanced life
saving care under austere
conditions.
Austere Conditions
May include
 Wilderness medicine
 International medicine
 Disaster medicine
 Sometimes prehospital medicine
Austere Conditions
Some of the tools we would like you to have
to approach medical care under austere
conditions:
 Ability to improvise
 Know what to bring with you
 Basic and Advanced life saving skills
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Airway management
Ability to stabilize limbs and evacuate pts.
Disaster Medicine
To provide you with a foundation in
disaster medicine, we will teach
you:
 The infrastructure for disaster
medicine in the United States
 Some of the theory behind DM
 Some practical applications
Plus some Fun Stuff
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Day of the Tread: bicycle riding in
costume
Playing with the canine search and
rescue team
Flying with the fixed wing flight
crews
Curriculum: Disaster
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The Basics: NDMS/NRP
AHLS, CDLS
Myths in DM, Lessons Learned
Confined Space Rescue
NM response to Katrina
Table Top Pandemic Flu exercise
HAZMAT/Decon
Canine Search and Rescue
Curriculum: Wilderness
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Patient splinting and extrication
Ropes and vertical rescue
Wilderness First Aid Kits
Helicopter safety/rescue
Curriculum: International
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Use of ultrasound in austere
conditions
International medicine opportunities
Doctors without Borders
(I can’t spell in French)
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International medicine table top
exercise
Curriculum: EMS
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Lifeguard flights
AFD ride alongs
SWAT team drill
Basic and Advanced airway
management
The Third Objective
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Enjoy yourselves
in Albuquerque
while you learn
something
worthwhile.
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Great fall weather
for your sport of
interest
Sightseeing
Disaster Medicine
Elective
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This is the course’s sixth year.
Every year, we try to improve the
course.
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Less EMS curriculum
More Wilderness and International
curriculum
More table tops and simulation
We try to provide different
experiences for students with
different priorities.
Who we are…
Center for Disaster
Medicine
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Since 1989, CDM has supported
community disaster preparedness
through applied disaster research,
healthcare disaster planning, emergency
preparedness training for responders,
and disaster field services.
The Players
Darryl Macias:
Wilderness, US,
International Medicine,
& member DMAT team
Mike Richards:
Department Chairman, DMAT
team Medical Director.
The Players
Me: Medical Director,
NM TF-1 and Associate
Residency Director
Katie Gnauk: Peds
Emergency Medicine,
Physicians Without
Borders, member DMAT
team
The Players
Jason Williams:
paramedic, ABQ mtn
rescue, instructor at
EMS Academy
Laura Banks: Director, CDM
The Players
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Danniel Stites:
EMS Fellow
Joy Crook: Medical
Director, DMAT + our
newest faculty member
The Players
Dave Wachter International
EM and climber
Robb McLean
The Players
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Plus:
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Byron Piatt (DMAT)
Susan Harris-Salt, RN (DMAT,
Lifeguard)
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Format
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Most mornings and lectures will be
held here at
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Except for Oct 5, which will be the
Emergency Medicine resident
conferences at the hospital 11a-4p
Format
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We will have maps for any activity
not held here.
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We will confirm the schedule the
day before to make sure everyone
knows where and when to be at
each activity.
Reading List
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Most days have reading
assignments associated with them
from Ciottone’s textbook: Disaster
Medicine
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Additional background material is
contained as PDFs on WebCT
Format
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In general, if you miss a day of the
course, you won’t be able to make it
up…there’s too much co-ordination
of faculty involved.
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I will provide the powerpoint
lectures at the end of the month to
add to the course CD.
The Schedule
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May be subject to change due to
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Natural disasters
Personal disasters
Scheduling snafoos
Student interest
The Options
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You are invited to do a shift in the
UNM ED. This is absolutely
optional and you should not feel
pressure to do them if you do not
want to.
Shifts in the ED
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In past years, students have done
regular sub-I type shifts in the ED.
This has ended up being very
difficult because they only worked
2-3 shifts and it was impossible to
learn the system that quickly.
Shifts in the ED
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This year, we will pair you with an
upper level EM resident and have
you do an observation shift with
them and spend your time as much
as possible in the trauma/resus
room.
The Options
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Those of you with staggered
schedules at your home institutions
are also welcome to stay to do more
shifts in the ED if you are interested
in taking a look at our program.
The Options
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Those of you who have been
paramedics don’t have to do ride
alongs with AFD, can do extra call
with Lifeguard
AFD Options
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Anyone can do multiple days with
AFD: they have offered spots at
several of the busiest stations and
can accommodate up to 3 students
at any time
Changes this year
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I’ve already talked about the shifts
in the ED
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We will offer ACLS for experienced
providers. For those of you without
ACLS previously, we will have you
study on your own to prepare.
Online courses
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All of the ICS courses are online. It is
more efficient and quicker to do them on
your own rather than as a full day of
lectures.
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Several other DM courses are online. For
those of you with ICS certification, we
will offer links to other online training
options (required by DMAT and USAR
teams).
Paperwork
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We need everyone to sign waivers.
(In your binder)
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We’re not going to be doing
anything particularly crazy, but
accidents happen.
Evaluations
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We would like you to evaluate each
lecture and activity. Your feedback
will directly impact future courses.
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We will collect the first half
evaluation forms at the end of the
second week.
Evaluations
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If there’s a problem with the
location or the general format, tell
me as soon as possible so I can fix
it.
We will also ask the people who
rotate through the ED to evaluate
their clinical experience.
Evaluations
Our evaluation of you…
 This is a pass/fail course
 To pass, one needs to
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Take the AHLS and CDLS course
Pass ACLS
Show up
Turn in your textbook at the end of the
month
Finish your evaluation of the course
The Rest of the Day
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Dr Macias will give his overview
lecture on Austere Medicine
Lunch
1pm: Meet in the 4th floor EM
Conference Room for Dr. Baty’s
lecture and US/FAST exam.
3pm: Come back here for the rest of
orientation.
Introductions…
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Who you are
Where you are from
What is your background
What you are interested in
What you want out of this course