Disaster Mortuary Operational Response Team
FALL 2007
EDITORS: SHEILA HALL AND TERRY SWANSON
ARE YOU DEPLOYABLE?
Sue Atwood
Region V Administrative Officer
In order to be considered “deployable” by DMORT, there are several responsibilities that you, as a DMORT team member, need to be pro-active in addressing.
Contact information: It is imperative to keep your Administrative Officer updated with your current contact information. If you are planning on being away for several days, let your AO know, so if there is a call down, someone will not be spending their time trying to contact you while you are not available anyway.
Immunizations: TB and flu shots are the yearly requirements that most members are lacking. Be sure to keep your immunizations current and forward a copy of your proof of immunizations to whoever is in charge of immunizations in your region.
Online training: Every member is required to complete the IS-100, 200, 700, and 800 courses. Your certificate of completion is to be sent to either your Administrative Officer or Training Officer for your file. The person in charge will differ from region to region. Additional online courses will be added soon, so complete these four classes now.
HHS Badges: Most members have gone through the badging process at one location or another. If you have not gone through the badging process yet, please check with your Administrative Officer to obtain a list of available badging locations.
Uniforms: Proper uniforms are mandatory for deployment.
Make sure you have what you need now and don't wait until you are contacted
to deploy. Update your uniform with the appropriate patches in the correct
locations: NDMS patch on the left pocket, DMORT patch on the right pocket.
The
sleeve, with the blue field facing forward. At this time, there are no patches on the left sleeve.
Licenses: If your team position requires a professional license, then a current license must be on file at all times. Members cannot be deployed without a current license on file.
Please help your Administrative Officer by doing your part.
TRAVEL ISSUES
Sue Atwood
Region V Administrative Officer
All authorized travel is arranged through headquarters. Travelers are not to change or cancel flights, contact the airline directly, or call the travel agency, even though your itinerary states otherwise. All requests for changes must go through the OSC and every change incurs a charge to the team. All airline travel is charged to a central account and should not be put on your US Bank credit card. Travel authorizations include dates of travel, and members are not to travel outside of those dates. Expenses incurred outside of your authorized dates will not be reimbursed.
Hotel expenses are to be charged to your US Bank card. The US Bank credit card is mandatory for deployability. Meals and other expenses while on official travel can be charged to your card. Only those travelers with permission to rent a vehicle are allowed to purchase fuel and put it on their US Bank card. It is the traveler's responsibility to pay the invoice from US Bank before/by the due date, whether or not reimbursement has been received for travel expenses. Reimbursement is by direct deposit, not by receiving a check in the mail.
The OSC is to be called upon arrival to your destination and again upon your safe return home. The OSC is responsible for you from the time you leave your home until you return home.
REGION III NEWS
DMORT Region III is happy to
announce the engagement of their Commander, Pat Kauffman, MD, to Daryl
Sensenig. Dr. Kauffman is a forensic pathologist and has been the Commander
of DMORT III for five years. Daryl is the Training Officer for the DMORT WMD
team, and formerly served as Administrative Officer for DMORT III. Nuptials
are planned for January 2009 in
REGION III
ANNUAL TRAINING
On July 28, DMORT Region III held its second team training for 2007. Team
members gathered in
DMORT heritage was highlighted, including a tribute to the “Father of DMORT” – Tom Shepardson. At the conclusion of the training, team members enjoyed a team-building excursion on the historic Strasburg Railroad, a short line through scenic Amish countryside, at the height of summer.
REGION V NEWS
Congratulations to:
Dr. Jim Adams - the new Region V Logistics Officer and
Dave Walters - the new Region V Safety Officer.
Over seventy team members and guests attended the Region V Annual Training
Session at the Danville Armory and
These groups provided a comprehensive and informative training for the team.
Dr. Frank Saul (Region V Commander) led
the team in a moment of remembrance for teammate Gabe Hensley of
The following is a copy of Gabe’s
I had never deployed before Katrina and I just wanted
you to know that the training we had in
I am very proud of what we did in
Gabe Hensley
Jan Simons (Region V Training Officer) reviewed the agenda for the training weekend: classroom session with a series of speakers, simulated morgue operations, review and discussion of morgue operations, and updates from Command Staff.
Konrad J. Banaszak, PhD & LPG
This presentation was a thorough introduction to understanding earthquakes: where they occur, how they are measured, and what to consider when they do occur.
Dr. Banaszak explained that the
Earthquakes are measured with three seismographs, detecting and recording vertical and horizontal movements of the ground. These seismographs trace “P waves” (Primary), “S waves” (secondary), and “L waves” (slowest wave, which causes surface vibrations). Severity of damage is not only based on the intensity of the earthquake, but also the condition of the ground or foundation where buildings stand.
The speaker listed some of the main earthquake hazards: ground shaking, differential ground settlement, soil liquefaction, ground displacement, floods, and fires.
Mr. Bell addressed questions and concerns by members, regarding the HHS (Health and Human Services) background checks, new badges, uniforms, budget, and training.
Indiana Department of Homeland Security
Mr. Perkins explained State Preparedness and the need to develop coordination between Federal, State, and local resources. He also described the Indiana DPMU, including the composition of the Indiana DPMU Team.
DMORT DPMU
Mike Gedert updated the team on the status of the three DMORT DPMU’s. He reviewed the importance of maintaining equipment and inventory, in order to assure readiness of the DPMU’s. Mike introduced the team to the new DPMU Forms, relevant to the accountability, condition, and status of equipment, utilized during a deployment.
Victim Identification Program (VIP)
Gregory Klimetz, Family Assistance Core Team (FACT)
Mr. Klimetz discussed the history of VIP, the challenges with this program, and the updates made to it, in association with the development and advancements in forensics. He illustrated the organization of the FACT Incident Command System (ICS),
The following is a list of significant updates to VIP: Filemaker 8.5 Version (upgraded from 6.0), true relational database structure, complete conversion of old VIP database, more versatility in working with other software, easy EXCEL or PDF reporting, tables allow for faster searches, picture import capability, more secure options and access privileges, same easy interface, record tracking, web-enabled with appropriate security, and streamlined export protocols.
Mr. Roberts emphasized the importance of improving response capabilities for a catastrophic earthquake event and related hazards in the New Madrid Seismic Zone (NMSZ), including a plan to coordinate response and recovery efforts for Federal, State, and local agencies. He commented on the need to incorporate key lessons from the Hurricane Katrina response, the Southeast Louisiana Catastrophic Hurricane planning, and previous earthquake response and recovery actions.
The highlight of the training was a mock mass fatality earthquake disaster at the Danville Armory: this realistic drill included a number of “unexpected” scenarios, which enabled participants to realize that not all disasters are alike and always be prepared! To further the realism, MRE’s (Meals Ready-to-Eat) were served for lunch.
The scenario of the simulation was an 8.0 Earthquake of the New Madrid Fault
Epicenter – Tristate:
All team members and representatives from participating agencies were required to obtain and wear mission-specific photographic identification badges for security purposes.
A fully functional portable morgue based on the Federal DPMU’s – the Indiana Department of Homeland Security DPMU – was assembled. Mock deceased victims were transported from refrigerated trucks to the temporary morgue, where post-mortem examinations were simulated. Trackers moved bodies through the various morgue stations, where findings were carefully documented: Admitting, Photography, Personal Effects, Radiology, Pathology, Anthropology, Dental, Fingerprinting, and DNA.
A separate area in the armory housed the VIP (Victim Identification Program) data entry team. Combined data from the temporary morgue and FACT (Family Assistance Core Team) are entered into the VIP database and used to match the deceased with the proper identity.
On the final day of the training, Jan Simons presented a comprehensive recap of the drill. This included explanation and results of the “unexpected” scenarios: mental health issues, aftershock situations, personal safety and accountability for all team members inside and outside of the morgue, team member cooperation, and overall team awareness of your surroundings at a deployment. DMORT Leadership, Morgue Section Leaders, and other participants also offered comments on their learning experiences.
Most memorable moments of the training simulation:
Julie Saul’s simple makeshift aftershock motion sensors and warning devices
Brad Targhetta’s “crack” (in the wall), with further expansion by Shawn Wilson throughout the day
Hew Simons’ arrival with a huge semi truckload of “bodies” with more on the way from
Brent Hartley’s meltdown, equaled by a “fight” between Terry Swanson and Sheila Hall
Mike Frost never leaving his post at lunchtime
Dave Walters’ infamous response to the question: “Are you a Structural Engineer?”
“No, but I stayed at a Holiday Inn Express last night!”
Jack Horbal’s exercise-ending accidental “destruction” of the $7000 NOMAD handheld
X-ray unit
Dr. Frank Saul reviewed the new “DMORT Standard Operating Procedures” as they relate to the “DMORT NTSB Standard Operating Procedures” and the “National Association of Medical Examiners (NAME) Mass Fatality Plan.”
David Hunt (Region V Deputy Commander) updated the team on the DMORT V Recovery Team.
Sue Atwood (Region V Administrative Officer) reviewed team time sheets and form changes.
Carl Adrianopoli (Emergency Coordinator Region 5) updated the team on field management in response to an emergency. He informed the team that Rear Admiral Vanderwagon is in charge of the Incident Response Coordination Team. This team will take over Field Management issues, Logistics, and Communication on a rotating basis during deployments.
Marc Poulshock (VeriChip Representative) described VeriChip – an implantable or attachable Radio Frequency Identification (RFID) microchip. Mr. Poulshock explained the benefits and potential application of VeriChip during a DMORT mission.
THE COMMANDERS’ AWARD FOR MERITORIOUS SERVICE TO REGION V
The contributions of the following Team members and others were acknowledged with the Commanders’ Award:
Jim Adams Dave Hunt Hew Simons
Marcia Adams Karen Hunt Jan Simons
Buddy
Helga Sharff-Bell Denise Murmann Dave Walters
Kelly Cissell Bob Nicola, Sr. Geoff Wells
Scott Davis Jim Offrink John Williams
Leslie Eisenberg Dave Perkins Shawn Wilson
Todd Grisier Mike Pratt
Mike Frost Patty Pratt
Jack Horbel Tim Schmidt
Congratulations on a job well done!
Special thanks to: Dr. Gary Berman for providing photographs from the training
Dr. Jim Adams for providing us with DMART supplies
Geoff Wells for providing the team with radio/ flashlights
Hendricks Regional Health for allowing us to use their meeting room
Indiana Department of Homeland Security
The Staff at the Danville Armory for all their assistance
Towne Air Freight for the use of their tractor trailer during our simulation scenario
Tripp’s for the evening retreats
REGION VII
ANNUAL TRAINING
Over fifty DMORT team members
(89% of Region VII) attended their annual training in
Dental personnel participated in a special hands-on workshop, which utilized the WIN-ID/DEXIS Digital Dental Identification software program.
The entire training consisted of a lecture series and a training workshop.
The lectures included information on proper scene documentation of human remains and log entry of the remains, using a system designated by the scene Medical Examiners/Coroner’s office. Morgue operations, logistic flow of human remains, accurate record keeping, and log entry were discussed, applying the “chain of command” concepts developed by the National Incident Management System (NIMS).
The training workshop stressed to members that deployment field training will be a viable option when the team is in the staging areas, and prior to full morgue operations. Section Leaders will administer pre-training agendas, in accordance with DMORT/National Transportation Safety Board (NTSB) protocols and Morgue Operation guidelines.
The continuation of “chain of command” reporting was stressed in the pre, during, and post deployment phases. The team was also advised and mandated to complete the NIMS-100, 200, 700, and 800 exercise series, as posted on the DMORT VII website (www.dmort7.org).
At the conclusion of the training, certificates of attendance were distributed and course evaluations were collected from each team member. These evaluations will assist the Command Staff in planning for the 2008 annual team training, as Region VII continues to prepare for field readiness at future deployments following a Mass Fatality Incident.
Region VII team members gather for a group picture
REGION IX NEWS
Congratulations to Dr. Michael Iliescu- the new Region IX Training Officer
REGION IX
ANNUAL TRAINING
June 29-
The DMORT
IX annual training took place at the Palo Verde Holiday Inn in
Robert Gerber presented
“
“Search and Recovery of Human Remains” was discussed by team member Rodney Walters.
Multiple speakers reviewed “NTSB Morgue Protocols.” The September 2006 NTSB protocols were utilized. All major sections of DMORT were introduced, including new topics such as: Information Resources, Computerized Digital Radiology, and an Orientation and Tutoring Program for new members, or members who have never been deployed.
The key general session was “Katrina: Mass Fatality Response Organization” panel discussion. Eleven panelists shared their experiences during the Katrina mission and interacted with the team during a question and answer session.
Team members had the opportunity to practice what was learned by participating in a major table top exercise. The exercise was based on a
bombing scenario
of a large stadium in
The hotel was ideal for social dinners among the participants. In typical DMORT fashion, team members “made do” with a candlelight dinner, when the hotel had a power supply problem in the ballrooms.
The Region IX team expresses their sincere gratitude to Dr. Michael Iliescu (Region IX Training Officer) for his outstanding efforts in planning, preparing, and organizing this thorough and comprehensive training event.
DMORT WMD
ANNUALTRAINING
The DMORT WMD Team conducted their annual training
session in
For the third consecutive year, the DMORT WMD Team has had the opportunity to work with cadavers and other human remains, creating a training that was as realistic as possible. The intense training was in cooperation with the University of Tennessee (UT) Department of Forensic Anthropology and the UT Forensic Facility (better known as the “Body Farm”). The Team was provided with cadavers in various states of decomposition and fragmentation to simulate what would be processed on an actual deployment.
The training was held at the City of Knoxville
Fire Training Center, where both recovery and decon operations could be performed.
The training scenario was a simulated car bomb, packed with containers of
Cesium 137, which detonated at a
DMORT WMD was honored to have Dr. Bill Bass, internationally known forensic anthropologist and author, assist in commencing the meeting on Friday morning. Following his presentation, Dr. Bass and his co-author, Jon Jefferson, autographed copies of their recent book, “Beyond the Body Farm,” for team members and other guests. This publication is the third in a series of murder mystery books, based on actual cases experienced by Dr. Bass.
Another renowned speaker, who the Team was
privileged to have present, was U.S. Congressman John J. Duncan, Jr.
The Congressman welcomed the Team to
Guests who attended this training included
representatives from DMORT Region V, Military Mortuary Affairs, Joint Task
Force - Civil Support, the State of
Participants of the session, who were members of NDMS or other federal agencies, were allowed to suit up in Personal Protective Equipment (PPE) and work in the decontamination corridor to better understand how the DMORT WMD Team functions.
At the conclusion of the training, the consensus from everyone was that they were better-prepared to handle a situation, where human remains must be decontaminated from biological, chemical, or radiological incidents before proceeding into the standard DMORT process.
All guests and new team members were also provided
with a tour and familiarization of the
Team members suit up in their PPE before getting safety checked and starting decon
Dr. William Bass, internationally known forensic anthropologist and author, lecturers to members of the DMORT WMD Team and other visitors during the September 2007 training in Knoxville on differences between human and animal bones
U.S. Congressman John J. Duncan Jr. with DMORT WMD Commander- Dale Downey and Deputy Commander- Leonard Parker
NDMS TRAINING
The National Disaster Medical System (NDMS) Conference has been renamed the NDMS Training Summit to better represent the educational and training aspect of the event.
The 2008 NDMS Training Summit will be held on