Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-18T17:36:06.091Z Has data issue: false hasContentIssue false

Task Force St. Bernard: Operational Issues and Medical Management of a National Guard Disaster Response Operation

Published online by Cambridge University Press:  28 June 2012

Carl J. Bonnett*
Affiliation:
Department of Emergency Medicine, Denver Health Medical Center, Denver, Colorado, USA Colorado Army National Guard, Centennial, Colorado, USA
Tony R. Schock
Affiliation:
Colorado Army National Guard, Centennial, Colorado, USA
Kevin E. McVaney
Affiliation:
Department of Emergency Medicine, Denver Health Medical Center, Denver, Colorado, USA Division of Emergency Medicine, Department of Surgery, University of Colorado Health Sciences Center, Denver, Colorado, USA
Christopher B. Colwell
Affiliation:
Department of Emergency Medicine, Denver Health Medical Center, Denver, Colorado, USA Division of Emergency Medicine, Department of Surgery, University of Colorado Health Sciences Center, Denver, Colorado, USA
Christopher Depass
Affiliation:
Colorado Army National Guard, Centennial, Colorado, USA
*
Carl J. Bonnett Department of Emergency Medicine, Denver Health Medical Center, 777 Bannock St. Mailcode 0108 Denver, CO 80204, USA Email: [email protected]

Abstract

After Hurricane Katrina struck the Gulf Coast of the United States on 29 August 2005, it became obvious that the country was facing an enormous national emergency. With local resources overwhelmed, governors across the US responded by deploying thousands of National Guard soldiers and airmen. The National Guard has responded to domestic disasters due to natural hazards since its inception, but an event with the magnitude of Hurricane Katrina was unprecedented. The deployment of >900 Army National Guard soldiers to St. Bernard Parish, Louisiana in the aftermath of the Hurricane was studied to present some of the operational issues involved with providing medical support for this type of operation. In doing so, the authors attempt to address some of the larger issues of how the National Guard can be incor- porated into domestic disaster response efforts. A number of unforeseen issues with regards to medical operations, medical supply, communication, preventive medicine, legal issues, and interactions with civilians were encoun- tered and are reviewed. A better understanding of the National Guard and how it can be utilized more effectively in future disaster response operations can be developed.

Type
Special Report
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Williams, R: Guard Chief Describes Katrina Response Operations. American Forces Press Service, Sept. 4, 2005. Available at http://www.ngb.army.mil/ news/story.asp?id=1772. Accessed 30 November 2005.Google Scholar
2.CNN: Floodwaters, tensions rise in New Orleans, CNN Web Site. 28 August 2005. Available at: http://www.cnn.com/2005/WEATHER/08/30/ katrina.neworleans/index.html. Accessed 30 November 2005.Google Scholar
3.Knauer, K (ed): 9 Days of Disaster. In: Hurricane Katrina: The Storm that Changed America. New York: Time Books, 2005, pp 3653.Google Scholar
4.Knauer, K (ed): Power Failure. In: Hurricane Katrina: The Storm that Changed America, New York: Time Books, 2005, pp 8895.Google Scholar
5.National Guard Bureau: About the National Guard. Available at http://www.ngb.army.mil/about/. Accessed 22 March 2006.Google Scholar
6.Hughes, J, Schrader, A: Colo. Guard lends helping hand. Denver Post Online.02 September 2005. Available at http://www.denverpost.com/search/ci_2994519. Accessed 27 January 2006.Google Scholar
7.Colorado Department of Military and Veterans Affairs: Task Force St. Bernard. Available at http://www.dmva.state.co.us/tfsb/. Accessed 27 January 2006.Google Scholar
8. US Army: Army Regulation 40-501. Available at http://www.army.mil/ usapa/epubs/pdf/r40_501.pdf. Accessed 14 September 2007.Google Scholar
9.Department of Homeland Security: National Response Plan. Available at http://www.dhs.gov/dhspublic/interapp/editorial/editorial_0566.xml. Accessed 21 August 2006.Google Scholar
10.Federal Emergency Management Agency: Disaster medical assistance team. Available at http://ndms.dhhs.gov/dmat.html. Accessed 15 February 2006.Google Scholar
11.Department of Homeland Security: National Disaster Medical System. Available at http://www.oep-ndms.dhhs.gov/. Accessed 26 February 2006.Google Scholar
12.Stopford, BM: The National Disaster Medical System—America's medical readiness force. Disaster Manag Response 2005;3:5356.CrossRefGoogle ScholarPubMed
13.Federal Emergency Management Agency: National Urban Search and Rescue Response System. Available at http://www.fema.gov/usr/. Accessed 15 February 2006.Google Scholar
14. Hurricane Katrina After-Action Report. California Task-Force 5. 28 October 2005.Google Scholar
15.Hardin, CK, D'Amore AR: Air Force Expeditionary Medical Support Unit at the Houston Floods—Use of a military model in civilian disaster response. Mil Med 2005;170:103108.Google Scholar
16.Callander BD: After M*A*S*H. Available at http://www.afa.org/maga- zine/dec2004/1204mash.asp. Accessed 10 January 2006.Google Scholar
17.National Emergency Management Association: Emergency management aassistance compact. Available at http://www.emacweb.org/. Accessed 25 November 2005.Google Scholar
18.National Emergency Management Association: Emergency Management Assistance Compact managing largest state-to-state aid in its history. Available at http://www.nemaweb.org/?1435. Accessed 24 November 2005.Google Scholar
19.Emergency Medical Services Association of Colorado: Legal issues of disaster response. In: EMSAC STAR Newsletter. Vol. 32, No. 5. September/October 2005.Google Scholar
20.US Northern Command: Posse Comitatus Act. Available at http://www.north- com.mil/index.cfm?fuseaction=news.factsheets&factsheet=5. Accessed 23 November 2005.Google Scholar
21.Brinkerhoff, JR: The Posse Comitatus Act and Homeland Security. Available at http://www.homelandsecurity.org/journal/Articles/brinkerhoffpossecomi- tatus.htm. Accessed 24 November 2005.Google Scholar
22.Hammond, MC: The Posse Comitatus Act: A Principal in Need of Renewal. Washington University Law Quarterly 1997;75.Google Scholar
23.Cone, DC, Weir, SD, Bogucki, S: Convergent volunteerism. Ann Emerg Med 2003;41:457462.CrossRefGoogle ScholarPubMed
24.Auf der Heide, E: Convergence in disasters. Ann Emerg Med 2003;41:463466 (Editorial).CrossRefGoogle ScholarPubMed
25.Library Fact Files: The Oklahoma City Bombing. The Indianapolis Star. Updated 09 August 2004. Available at http://www2.indystar.com/library/fact- files/crime/national/1995/oklahoma_city_bombing/ok.html. Accessed 30 November 2005.Google Scholar
26.Birnbaum, ML: Professionalization and credentialing. Prehospital Disast Med 2005;20(4):210211.CrossRefGoogle ScholarPubMed
27.Federal Emergency Management Agency: National Incident Management System. Available at http://www.fema.gov/nims/. Accessed 30 November 2005.Google Scholar