STATE MEDICAL RESPONSE SYSTEM
SMAT I / SORT - State Level
The Special Operations Response Team (SORT) is a non-profit, federally supported disaster medical team capable of responding nationwide. The SORT is trained to provide both medical care and decontamination and may serve the resource needs of North Carolina should federal resources not be immediately available.
SMAT II – Regional Level
A SMAT II is a regional team comprised of medical and logistic personnel whose mission involves patient decontamination, mass medical care, establishment of alternate care facilities and pharmaceutical distribution points. Each of the eight lead RAC facilities (level I trauma centers) assume ownership of SMAT II assets (SMAT II Trailer, M8 Mobile Field Hospital) as well as the associated responsibilities in team development, training and mobilization.
SMAT II TrailerMTAC’s SMAT II Trailer serves as a sibling resource to the M8 mobile field hospital. The trailer is capable of providing hazardous materials decontamination and medical care in disastrous events. It is multipurpose and can b stocked with medical equipment, pharmaceuticals, personal protective equipment, a decontamination tent and supplies. M8 Mobile Field HospitalThe M8 serves a wide range of needs: mass medical triage, surge capacity and alternate care facility in particular. Most notably utilized as a 50-bed, six-unit mobile hospital, the M8 also serves as an emergency operations center and housing for responding personnel. In meeting its mission, the trailer makes mobile all necessary tents, and supplies. Once unloaded, the 53’ trailer converts into a multi-functional command center, housing, and storage center. The trailer’s 340 square foot interior cargo space can sleep up to 28 plus personnel. The interior command center contains an advanced communication system, audio visual components, refrigeration, microwave, dry erase walls and 100 square feet of climate-controlled work and storage space.
Upon assembly, any remote location can be transformed into a 3,826 square foot environmentally secure acute care facility. Each tent’s floor, roof, and walls are integrated with EasySeal™ insulation and climate control is maintained via six HVAC environmental control units. Vestibule connectors provide isolation of connecting tents facilitating the use of positive or negative pressure. The system also incorporates means of water purification and distribution, hygiene support, sanitation disposal, and interior electrical support. The M8 Mobile Field Hospital permits unlimited connection to other Western Shelter tents and systems. Depending on the scale of disaster, North Carolina’s SMATs and other Western Shelter users (FEMA, DMAT, USAR, NDMS) can readily and directly connect to each other. North Carolina’s SMAT teams have the capability of establishing a 400-bed plus facility!State Medical Assistance Teams
© 2009 MTAC Metrolina Trauma Advisory Committee Copyright. All Rights Reserved / Web Design Mike Jordan, RN
SMAT IIIA SMAT III Team is an EMS or Fire Department based team that is designed to be the first line of response in support of local agencies in the event of a decontamination event or mass medical care event. There are currently twenty-nine SMAT III teams across the State.
Mission:
•Provide a first line of defense locally, assist at hospitals, or respond regionally or statewide at the request of the North Carolina Department of Emergency Management.
Provide a first line of defense locally, assist at hospitals, or respond regionally or statewide at the request of the North Carolina Department of Emergency Management. •Provide local decontamination/medical treatment teams that can rapidly assist/start decontamination operations on victims of chemical exposures or other incidents that would require decontamination.
Provide local decontamination/medical treatment teams that can rapidly assist/start decontamination operations on victims of chemical exposures or other incidents that would require decontamination. Team Composition:
•Each team should consist of at least seven members during a deployment. At a minimum there must be at least one paramedic and six EMT’s or higher on each deployment. Each team should be trained three deep for each position, to provide for three complete shifts.
Each team should consist of at least seven members during a deployment. At a minimum there must be at least one paramedic and six EMT’s or higher on each deployment. Each team should be trained three deep for each position, to provide for three complete shifts. •Other medical professionals and support staff may be added to the minimum for support of the team’s operation.
Other medical professionals and support staff may be added to the minimum for support of the team’s operation. Team Activation:
•SMAT III teams can be activated to provide rapid victim decontamination and mass casualty medical care on a local, regional, or statewide level.
SMAT III teams can be activated to provide rapid victim decontamination and mass casualty medical care on a local, regional, or statewide level. •Teams should be able to deploy locally within a one hour and be ready to deploy statewide within two hours.
Teams should be able to deploy locally within a one hour and be ready to deploy statewide within two hours. •Teams can be activated by the local host agency, or regionally or statewide by the North Carolina Department of Emergency Management through the Statewide Mutual Aid Agreement.
Teams can be activated by the local host agency, or regionally or statewide by the North Carolina Department of Emergency Management through the Statewide Mutual Aid Agreement. 
