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General Preparedness

EMS and the emergency care system needs to have a seat at the planning table

As I reviewed the proposed membership of the Task Force, I have noted the glaring absence of representation from the emergency medical services (EMS) community and emergency physicians. EMS providers and emergency physicians are the members of the emergency care system who will play key primary roles in a disaster response, regardless of its etiology. Although I commend the inclusion of firefighters, the specific designation... more »

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53 votes
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General Preparedness

Nationalize the Successful HSIN-CI Program

I suggest you take the successful 2004 / 2006 DHS/FEMA HSIN-CI pilot program and implement it nationally. It proved that local knowledge and regional strength supported local resiliency and success in real world situations. It wa recognized by DHS Secretary Ridge and its predecessor was recognized by FBI Director Mueller.

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-7 votes
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General Preparedness

Get faith-based orgs involved

I suggest you...start including the faith-based organizations in educating citizens about the need to set up a plan, a kit and a mindset. People usually believe what they hear in church and if the pastors/mentors etc. join in the 'chorus' of preparedness it would add some credibility that does not now exist.

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35 votes
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General Preparedness

Move Beyond Command & Control

As demonstrated by recent catastrophes, effective crisis management demands more than command and control techniques can achieve alone. Achieving a successful transition from response to recovery demands community engagement. Coordination goes further but still implies little more than an effort to avoid conflict. Cooperation and collaboration more accurately describe the leadership actions required to rebuild trust and... more »

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12 votes
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General Preparedness

Evacuating islands

My idea would be for islands that have been hit by a disaster. Commander a cruise ship. Work out ahead of time a plan with the cruise lines that in the event an island is being hit with such a great disaster that the population must be evacuated, to be able to use a cruise ship for the evacuation. Cruise ships are floating cities and have everything you need to house hundreds of evacuees.

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-3 votes
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General Preparedness

REGIONAL FEMA-ERG (Emergency Response Group) Police, Fire, and EMS

Create a nationally standardized FEMA-ERG (Emergency Response Group). Within the 10 FEMA Regions I feel that they need to create Regional ERG’s that draw personnel from Federal / State / and Local Police, Fire, and EMS agencies to provide a unified response to Major Incidents. I believe that the ERG’s need to be federally funded to reimburse the member agencies for the use of their resources. I also feel that the agencies... more »

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3 votes
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General Preparedness

How appropriate is capabilities-based planning?

CPB leans heavily towards planning by scenario, which has its merits but is not always the most useful process. The TCL has some useful applications, but much of the preparedness "metrics" simply focus on what can easily be measured rather than meaningful steps in preparedness (which can't always be counted).

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2 votes
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General Preparedness

Better training for EOC functions

ICS doctrine has a problem with using standard ICS in EOCs, and AHIMT classes have no meaningful content on EOC integration (and the one FEMA class on ICS/EOC integration does not add much). The Planning function in and EOC may have the same purpose as that at an incident, but the practice is very different; ditto Logs and Ops (or what functions under "Ops" in an EOC: prioritizing resource allocation for field incidents).... more »

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23 votes
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General Preparedness

Neighbor-to-neighbor outreach through volunteers is the key

People take action to prepare for disasters when they are convinced that the danger is real and that their friends, relatives, and neighbors believe the same thing. Native Americans and other aboriginal groups achieve this through oral traditions. For example, no lives were lost to the 2004 Indian Ocean tsunami in native groups with strong oral traditions that taught instinctive evacuation after an earthquake. This "culture... more »

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9 votes
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General Preparedness

General Preparedness

A National Training Program (4-6 week Boot Camp type training to include all disciplines) on ICS, security, timekeeping, record keeping, documentation, triage, full set up and take down of a FMS. Training could be given continuously during hurricane off season (Jan-April)

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2 votes
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General Preparedness

ESF 8

I suggest you...I have worked at a state health dept in preparedness for 4 years and the biggest problem I have seen is a lack of coordination at the federal level. The various agencies working on preparedness seem very unclear about who is responsible for what. This causes duplication in some areas and no effort in others. This is a waste of time and money and ultimately will impact reponse to disasters. We have... more »

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-1 votes
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General Preparedness

Asst Dir of Preparedness

I have worked at a state health dept in preparedness for 4 years and the biggest problem I have seen is a lack of coordination at the federal level. The various agencies working on preparedness seem very unclear about who is responsible for what. This causes duplication in some areas and no effort in others. This is a waste of time and money and ultimately will impact reponse to disasters. We have worked hard at the... more »

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-2 votes
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General Preparedness

Training and exercising

Regular training and exercising is needed at all levels - government, volunteers, and community. Having people involved once a year or so, is not enough - we need to find a way to make things more available, online as well as hands on to keep people up on their skills and keep them interested.

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37 votes
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General Preparedness

Funding Streams

It is unreasonable to assume that the myriad of agencies within a region will effectively work together when each agency has its own and sometimes multiple funding streams, and each funding stream has its own set of extensive requirements. The Federal Government needs to evaluate a funding stream that creates an incentive for all actors in a region to work collaboratively instead of operating like silos. "A row of silos... more »

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19 votes
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General Preparedness

Bring Poison Control Centers to the table.

Poison Control Centers need to have a seat at this table. Poison Control Centers already have an established National Toll free line. The centers are open 24/7/365. They are trained health care professionals with the capability of communicating both to the general public and other health care professionals on treatment modalities for Radiological, Biological and Chemical exposures. They have a proven near-real time... more »

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13 votes
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