Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-18T21:27:19.289Z Has data issue: false hasContentIssue false

Urban Search and Rescue Medical Teams: FEMA Task Force System

Published online by Cambridge University Press:  28 June 2012

Joseph A. Barbera*
Affiliation:
Assistant Professor, Division of Emergency Medicine Albert Einstein College of Medicine/Bronx Municipal Hospital Center, Bronx, N.Y.; Physician Commander Special Medical Response Team New Florence, Penn.
Michael Lozano Jr.
Affiliation:
Chief Resident, Emergency Medicine Albert Einstein College of Medicine/Bronx Municipal Hospital Center, Bronx, N.Y.
*
Bronx Municipal Hospital Center, Jacobi, Room IW20, Pelham Parkway South & Eastchester Road, Bronx, NY 10461USA

Abstract

Recent national and international disasters involving collapsed structures and trapped casualties (Mexico City; Armenia; Iran; Philippines; Charleston, South Carolina; Loma Prieta, California; and others) have provoked a heightened national concern for the development of an adequate capability to respond quickly and effectively to this type of calamity. The Federal Emergency Management Agency (FEMA) has responded to this need by developing an Urban Search and Rescue (US&R) Response System, a national system of multi-disciplinary task forces for rapid deployment to the site of a collapsed structure incident. Each 56person task force includes a medical team capable of providing advanced emergency medical care both for task force members and for victims located and reached by the sophisticated search, rescue, and technical components of the task force. This paper reviews the background and development of urban search and rescue, and describes the make-up and function of the Federal Emergency Management Agency (FEMA) Task Force medical teams.

Type
Administration
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1993

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. Copeland, C, Smith, WB, Schuler, JH et al. : Medical examiner/coroner reports of deaths associated with Hurricane Hugo—South Carolina. MMWH 1989;38:754762.Google Scholar
2. Cain, DP, Plummer, CC, Cook, DB et al. : Earthquake-associated deaths—California. MMWR 1989;38:767770.Google Scholar
3. McQueen, I: The quake of 89. Emergency 1989;24:3057.Google Scholar
4. Reeder, L. The big one hits the midwest: translating awareness into readiness. Rescue 1991;4:S845.Google Scholar
5. Federal Emergency Management Agency: An assessment of the consequences and preparations for a catastrophic California earthquake. Washington, D.C.: FEMA. 1980.Google Scholar
6. Minetree, JI.: An assessment of urhan search and rescue in the United Stales. Vienna. Va.: The National Institute for Urban Search and Rescue, 1989.Google Scholar
7. Krimgold, F: Public safety—Could Washington survive a quake? The Washinglon Post 1990 March 25;Sect C:3 (col.l).Google Scholar
8. Barbera, JA. Cadoux, CG: Search, rescue and evacuation. In: Kvetan, V (ed). Disaster Management. Critical Care Clinics 1991;7:321337.CrossRefGoogle ScholarPubMed
9. Moede, D: Medical aspects of urban heavy rescue. Prehospital and Disaster Medicine 1991;6:341345.CrossRefGoogle Scholar
10. Kunkle, RF: Medical care of entrapped patients in confined spaces. Proceedings of the International Workshop on Earthquake Injury: Epidemiology for Mitigation and Response 1989 July 10–12; Baltimore (Md.). The Johns Hopkins University, 1989:338344.Google Scholar
11. De Bruycker, M, Greco, D, Annino, I et al. : The 1980 earthquake in southern Italy: Rescue of trapped victims and mortality. Bull World Health Org 1983;61:10211025.Google ScholarPubMed
12. Klain, M, Ricci, E, Safar, P et al. : Disaster reanimatology potentials: A structured interview study in Armenia. Prehospital and Disaster Medicine 1989;4:135152.CrossRefGoogle Scholar
13. Noji, EK, Kelen, GD, Armenian, HK et al. : The 1988 earthquake in Soviet Armenia: A case study. Ann Emerg Med 1990;19:891897.CrossRefGoogle ScholarPubMed
14. Brand, S: Learning from the earthquake. Whole Earth Review 1990;68:215.Google Scholar
15. Yong, C et al. , (eds.): The Great Tangshan earthquake. 1976: An Anatomy of a Disaster. New York: Pergamon Press, 1988.Google Scholar
16. Noji, EK: Medical care for earthquake victims. UNDRO News 1990 Jul/Aug; pp 618.Google Scholar
17. Noji, EK: Natural disasters. In: Kvetan, V (ed). Disaster Management. Critical Care Clinics 1991 Apr; 7:271292.CrossRefGoogle Scholar
18. Michaels, M: Catastrophic quake in Mexico: Disaster spurs worldwide emergency response. Firehouse 1985 (Dec:);5380.Google Scholar
19. Milnes, R: A moment's notice: Metro-Dade coordinates El Salvador rescue. Firehouse 1987 (Feb);5073.Google Scholar
20. Bay Area Regional Earthquake Preparedness Project: Management of emergency response: Search and rescue. Networks Earthquake Preparedness News 1986, Feb.Google Scholar
21. Castillo, CJ: Small successes are just as sweet: U.S. SAR team saves lives in Armenia. Rescue 1989;2:4144.Google Scholar
22. Goldsmith, MF: Armenian earthquake elicits aid from all, strengthens American-Soviet ties. JAMA 1989;261:341342.CrossRefGoogle ScholarPubMed
23. Keesecker, WL, Caulfield-Vasconez, KS: The international search and rescue component of the U.S. government's foreign disaster relief response. Washington, D.C.: Agency for International Development/Office of U.S. Foreign Disaster Assistance, 1989.Google Scholar
24. Castillo, CJ: Philippine earthquake: International disaster with an international response. Fire Engineering 1990;143:2027.Google Scholar
25. Federal Emergency Management Agency: Plan for federal response to a catastrophic earthquake. Washington, D.C.: FEMA, 15 April 1987.Google Scholar
26. Headquarters, Forces Command: Catastrophic earthquake response plan (urba search & rescue). Fort McPhearson, Ga.: Forces Command. 14 August 1989.Google Scholar
27. Headquarters, Forces Command: CINCFOR—Catastrophic Earthquake Response Plan (federal urban search & rescue). Forces Command Domestic Emergency Planning System (DEPS) Volume V. Fort McPhearson, Ga.: Forces Command 5 Apr 1991.Google Scholar
28. Williams, L, Winokur, S: Cypress victims might have lived: Slow rescue efforts blamed. San Francisco Examiner 1991 Oct 20;Sect. A-1.Google Scholar
29. Downey, R. The rescue company: urban search and rescue. Fire Engineering 1990;143:1415.Google Scholar
30. Federal Emergency Agency. Summary of proceedings: urban search and rescue workshop; 1990 Jan 29-Eeb 2; Seattle, Wash. Washington, D.C.: Federal Emergency Management Agency, 1990.Google Scholar
31. Federal Emergency Management Planning Agency: Federal Emergency Management Agency urban search and rescue response system: A component of the Federal Response Plan under Emergency Support Function 9. Washington, D.C.: Federal Emergency Management Agency, 1991 Jan.; U.S. Government Printing Office:1991, 523–835/40339.Google Scholar
32. Federal Emergency Management Agency: Federal Emergency Management Agency urban search and rescue response system: sponsoring organization capablity criteria. Washington (DC): Federal Emergency Management Agency, 1991; U.S. Government Printing Office: 1991, 523–832/40337.Google Scholar
33. Irwin, RL: The incident command system. In: Auf der Heide, E, (ed.) Disaster Response. St. Louis: Mosby Company, 1989: 133163.Google Scholar
34. Federal Emergency Management Agency: Canine criteria and canine search team evaluation. In: Federal Emergency Management Agency urban search and rescue response system: A component of the Federal Response Plan under Eergency Support Function 9. Washington, D.C.: Federal Emergency Management Agency, 1991 (an; Appendix A. U.S. Government Printing Office: 1991,523–835/40339.Google Scholar
35. McGroarty, M: Rescue from collapsed buildings. Rescue 1989;2:2431.Google Scholar
36. Sanchez-Carrillo, CI: Morbidity following Mexico City's earthquake: clinical and epidemiologic findings from hospitals and emergency units. Public Health Reports 1989;104:482488.Google ScholarPubMed
37. Barbera, JA: Medical unit report: Disaster assistance response team, Philippine earthquake response 1990 July 16–23. Washington, D.C.: Office of U.S. Foreign Disaster Assistance, Oct 1990.Google Scholar
38. Eiseman, B: Combat casualty management in Vietnam. J Trauma 1967;7:5363.CrossRefGoogle ScholarPubMed
39. Frykberg, ER, Tepas, JJ. Terrorist bombings: Lessons learned from Belfast to Beirut. Ann Surg 1988;208:569576.CrossRefGoogle ScholarPubMed
40. Mahoney, LE, Reutershan, TP: Catastrophic disasters and the design of disaster medical care systems. Ann Emerg Med 1987;16:10851091.CrossRefGoogle ScholarPubMed
41. Hingston, RA, Hingston, L: Respiratory injuries in earthquakes in Latin America in the 1970s: a personal experience in Peru (1970), Nicaragua (1972–1973) and Guatemala (1976). Prehospital and Disaster Medicine 1983;1:425426.Google Scholar
42. Vollmer, TP, Stewart, RD, Paris, PM et al. : Use of a lighted stylet for guided orotracheal intubation in the prehospital selling. Ann Emerg Med 1985;4:324328.CrossRefGoogle Scholar
43. Stewart, RD: Tactile orotracheal intubation. Ann Emerg Med 1984;13:175178.CrossRefGoogle ScholarPubMed
44. Mateer, JR. Thompson, BM, Aprahamian, C et al. : Rapid fluid resuscitation with central venous catheters. Ann Emerg Med 1983;12:149.CrossRefGoogle ScholarPubMed
45. Seldinger, SL: Catheter replacement of the needle in percutaneous arteriography: a new technique. Acta Radiol 1953;39:368376.CrossRefGoogle ScholarPubMed
46. Ron, D, Taitelman, U, Michaelson, M, Bar-Joseph, G, Bursztein, S, Better, OS. Prevention of acute renal failure in traumatic rhabdomyolysis. Arch Intern Med 1984;144:277280.CrossRefGoogle ScholarPubMed
47. Better, OS, Stein, JH: Early management of shock and prophylaxis of acute renal failure in traumatic rhabdomyolysis. N Eng J Med 1990;322:825829.Google ScholarPubMed
48. Allister, C: Cardiac arrest after crush injury. Br Med J 1983;287:531532.CrossRefGoogle ScholarPubMed
49. Cohen, J, Bonfiglio, M, Campbell, CJ: Orthopedic pathophysiology in diagnosis and treatment. New York: Churchill Livingston, Inc., 1990; pp 205206.Google Scholar
50. Epps, CH Jr. (ed.): Complications in Orthopedic Surgery (2d ed). Philadelphia: JB Lippincott Co., 1986; pp 186187.Google Scholar
51. Mitchell, JT: Assessing and managing the psychological impact of terrorism, civil disorder, disasters, and mass casualties. Emergency Care Quarterly 1986;2:5158.Google Scholar
52. National Disaster Medical System: Concept of Operations, January 1991. Rockville, Md.: NDMS, 1991.Google Scholar
53. Federal Emergency Management Agency: Urban Search and Rescue Response System Field Operations Guide. Washington, D.C.: Federal Emergency Management Agency, 1992 November.Google Scholar
54. Feldstein, BD, Gallery, ME, Sanner, PH et al. : Disaster training for emergency physicians in the United States: A systems approach. Ann Emerg Med 1985;14:3640.CrossRefGoogle ScholarPubMed
55. Kunkle, RF: Special Medical Response Team. Prehospital and Disaster Medicine 1986;1:5455.CrossRefGoogle Scholar
56. Federal Emergency Management Agency: The Federal Response Plan (for public law 93–2881 as amended). April 1992. Washington, D.C.: FEMA, 1992. U.S. Government Printing Office: 1992 625688/60582.Google Scholar
57. Federal Emergency Management Agency: Urban search and rescue system: Notice of solicitation for award. Federal Register 1991 May 23;56:2370823709.Google Scholar
58. Federal Emergency Management Agency: Advisory committee of the national urban search and rescue system: Establishment. Federal Register 1991 Nov 19;56:5837658377.Google Scholar
59. Federal Emergency Management Agency. Urban Search and Rescue Response system Operational System Description and Mission Operational Procedures. Washington, D.C.: FEMA, 1992, July.Google Scholar
60. Sandin, B: FEMA announces grants to 25 US&R Task Forces. Response 1992;11:1419.Google Scholar
61. Federal Emergency Management Agency. Urban Search and Rescue Response System Task Force Orientation Student Manual. Washington, D.C.: FEMA. 1992 July.Google Scholar