(A33) Application of the Modular Emergency Medical System (MEMS) for Community Response to All-Hazards Public Health Emergencies

Abstract

The Modular Emergency Medical System (MEMS) is a flexible and scalable model for community-based response to all catastrophic emergencies. This paper highlights the development of MEMS at the local and regional levels, including training exercises to demonstrate MEMS capabilities, implementation strategies, and its role in the H1N1 response and vaccination clinics. The MEMS was introduced in 2002 as a bioterrorism response by the US Army Edgewood Biological and Chemical Command (ECBC). All-hazards MEMS, as part of a Regional Response System (RRS), was developed by the New England Center for Emergency Preparedness (NECEP) working with state and federal partners. The MEMS presents a modular response framework to mobilize communities and local resources to meet the medical surge demands during a catastrophic event. The modular components of MEMS empower a community-based response to catastrophic emergencies. The Neighborhood Emergency Help Center (NEHC) provides triage and initial treatment, or can function as a point for dispensing prophylaxis medications or vaccinations. During a medical surge, the Acute Care Center (ACC) moves non-critical patients outside of the hospital setting, creating more space for critical care patients. The Community Outreach (CO) module supports casualties recovering in their own homes, under quarantine, and other home-care support. The Casualty Transportation System (CTS) operates between MEMS components, patients' homes and outside of the affected area, meeting all transfer needs. The Medical Control Center (MCC) and Multi-Agency Coordinating Entity (MACE) provide command, control, and coordination of community emergency medical services (EMS), hospital, and public health response assets. Local, regional, and statewide exercises have demonstrated the capabilities of MEMS in Northern New England. The MEMS system, specifically with the MACE concept, was used in New Hampshire during the 2009 H1N1 event. These proven implementation strategies will assist local communities in developing and refining all-hazards response plans.