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Beth Israel Deaconess System-Wide Medical Team
Hurricane Irma Response
Meg S. Femino
BIDMC, BID-Needham, BID-Milton, BID-Plymouth
Introduction/Problem
Hurricane Irma made landfall in the Florida keys as a large, powerful Category 4 hurricane on September 10, 2017.
It was the strongest hurricane ever recorded with sustained winds of 180mph in the Atlantic basin outside of the
Gulf of Mexica and Caribbean Sea.
On September 8th the State of Florida requested a ten person team to provide medical assistance through
Emergency Management Assistance Compact (EMAC), a state to state mutual aid compact. Florida anticipated
devastation in south Florida and catastrophic impacts throughout the Keys. The Massachusetts Department of
Health (MDPH) and Massachusetts Emergency Management Agency (MEMA) reached out to emergency managers
at all hospitals across the state asking for assistance with the EMAC request.
In March 2017, BIDMC sent a 20 person multi-discipline team from all BID hospitals to The Center for Domestic
Preparedness in Alabama to train for mass casualty response. This team trained for a week in command center
leadership, incident command, hazmat and decontamination and hospital mass casualty response. This team had
the skill sets, training and expertise to be able to deploy to Florida.
BIDMC Emergency Management reached out to our partner hospitals with the request and was able to confirm,
obtain managerial approval for nine staff for a two week deployment within 6 hours. We put together our team
documents, costs, signed MOU’s and Florida accepted our package and asked us to deploy immediately.
The Interventions
Compiling a comprehensive packet for Florida, prepare team for self sustainment during deployment
Arranging logistics to travel into New Orleans, rent cars, purchase supplies, communications, link in with the Tallahassee
Emergency Operations Center for assignment and daily checks, drive 17 hours to Miami
Staffed special needs shelter in Miami on generator power, patients had significant medical needs- LVADS, diabetics, parapeligics,
elderly, dialysis etc.
Set up a Red Cross shelter in Islamorada
Staffed five PODS from Islamorada to Key West, triaging residents who have been with out food, water and power for 6 days
Working with the State, County and City Emergency Operations Centers to provide them with Public Health surveillance, situation
status and where to drive medical resources
Providing medical care to vulnerable populations in Key West, Bahama Village
Results/Progress to Date
Aim/Goal
The original goal of this medical relief team was to provide medical assistance at a special needs medical shelter.
Due to our training, skills and experience, we were able to provide medical care not only at the shelter but then
moved down into the keys for six days, paired up with the National Guard at points of dispensing sites (PODS)
from Islamorada down to Key West and triage the residents that had not left. We spent two days in Miami at a
shelter with ~75 residents, assisted with their medical care and moving them back into their homes when power
was restored.
The Team
Meg Femino, Senior Director, Emergency Management, BIDMC, team lead
Lisa Devlin RN, Nurse Manager ED, BID-Plymouth
Phillipa Breslin RN, Nurse Manager ED, BID-Milton
Jill Sullivan RN, Nursing Director Infusion, BID-Needham
Jeff Lamson RN, Clinical Manager ED, BIDMC
Jaimee Cathers RN, Emergency Department, BIDMC
Courtney Berube RN, Emergency Department, BID-Milton
Lisa Bergandahl RN, Director Critical Care and Respiratory, BID-Plymouth
Krisit Marquis, PCT, BIDMC
The BID Team cared for and helped over 75 special medical needs patients return to their homes, find and reunify family members
The team screened ~3200 family members for medical needs and public health surveillance. This information
was key to the Emergency operations Center in understanding the population health of residents who stayed
out the hurricane on the keys
Colonel Roy Basset MD, State Surgeon in charge of Florida National Guard- “The Beth Israel
Deaconess Medical Team should be considered a role model for civilian medical teams”
For more information, contact:
Meg S. Femino,Senior Director, Emergency Management BIDMC
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Silverman Symposium
Description
An account of the resource
Each year the Silverman Symposium poster session offers BIDMC staff and affiliates the opportunity to share experiences and learn about efforts to improve Quality and Safety.
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Silverman Poster
Primary Contact
If you would like more information about this project, contact this person. Make email address clickable.
Meg Femino (<a href="mailto:mfemino@bidmc.harvard.edu">mfemino@bidmc.harvard.edu</a>)
Department
Any departments listed on the poster or identified in the spreadsheet.
Emergency Management
Emergency Department
Nursing
Project Team
Meg Femino
Lisa Devlin
Phillipa Breslin
Jill Sullivan
Jeff Lamson
Jaimee Cathers
Courtney Berube
Lisa Bergandahl
Krisit Marquis
BIDMC Location
The BIDMC location where the poster team resides if identified in spreadsheet. If not identified, choose BIDMC.
BIDMC
BID-Milton
BID-Needham
BID-Plymouth
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Beth Israel Deaconess System-Wide Medical Team Hurricane Irma Response
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
Format
The file format, physical medium, or dimensions of the resource
pdf
Effectiveness
Safety