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. 2009 May 15:193–202. doi: 10.1016/B978-0-323-03253-7.50035-2

TABLE 28-2.

SURGE PLANNING MATRIX*

COMPONENT PREHOSPITAL ARENA TRADITIONAL FACILITIES ARENA NONTRADITIONAL FACILITIES ARENA DOMICILIARY CARE ARENA
Facilities
  • Triage facilities

  • Decontamination facilities

  • Private offices, community health centers, large group practices

  • Transport vehicles (emergency medical service [EMS], private carriers, transportation sector resources)

  • Emergency departments, urgent care centers

  • Hospitals

  • Public health centers

Off-site treatment centers (acute care facilities) Long-term care facilities (off-site triage, treatment, and transportation center [OST3C])
  • Homes

  • Dormitories

  • Hotels

Personnel
  • EMS providers (ALS/BLS)

  • Public health and hospital workers

  • Volunteers

  • Disaster medical assistance teams (DMATs), U.S. Public Health Service (USPHS)

  • Metropolitan Medical Response System (MMRS)

  • Healthcare providers

  • Volunteers

  • Healthcare providers

  • Public health

  • Volunteers

  • DMATs, USPHS

  • Nongovernment organizations

  • Medical professions students

  • Strategic National Stockpile

  • Public health: epidemiological investigation and tracking

  • Home healthcare agencies

  • Community and faith-based groups

  • Nongovernment organizations

Medication and supplies
  • MMRS

  • DMATs

  • Planned caches

  • Vendors

  • Strategic National Stockpile

  • Planned caches

  • Vendors

  • Strategic National Stockpile

  • Planned caches

  • Strategic National Stockpile

  • Vendors

  • Planned caches

Policy (including legal and statutory issues)
  • Triage protocols

  • Mutual aid agreements

  • Credentialing of volunteers

  • Specialty hospital designation

  • Triage protocols

  • Discharge planning

  • Transfer protocols

  • Credentialing of volunteers

  • DMATs

  • Vendors

  • Transfer protocols

  • Credentialing of volunteers

Coordination
*

This matrix is prepopulated with elements to begin planning efforts for surge capacity. Please refer to the chapter text for descriptions and discussion of the elements listed.