Evacuation of walking and non walking wounded from all types of disasters. In our state and most other states the EMS services are under funded and struggling to take care of thier existing daily emergencies. In disaster situations these resources are stretched even further. Assistance from out of state agencies has been addressed, drilled and organized. The problem as I see it is we need additional resources (vehicles-evacuation buses) that can address immediate transport needs that are needed in the first hours of a disaster emergency. Our state has a regional response program with trailers scattered throughout the state but that does nothing to address the overwhelming transport needs. FEMA and Homeland security need to look at directing funding assistance to develop evacuation and treatment vehicles.
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