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FAQ

What types of support should organizations provide to their EMTs?

Supportive measures for EMTs before, during and/or after deployment:

Preliminary deployment medical check-up

Personal health insurance

Psychological screening and support

Medivac support plan while team is on deployment

Uniforms that the team can wear on deployment 

Field training in global health, disaster medicine and for the provision of care in an austere environment

Vaccinations before deployment

Medications for prophylaxis and/or vector before and during deployment

Fitness training to ensure the appropriate level of fitness in an austere environment

Professional medical indemnity/insurance
Initial Medical Care

What are Special Cell EMTs?

These teams may be as small as two or three senior specialists and provide additional specialized care embedded within the type 2 or 3 EMTs, a national hospital, or be a type 2 team without a self-sufficient field facility. They must bring appropriate equipment, maintenance and supplies adequate to their specialty area. Like other EMTs, additional specialized care teams must adhere to the EMT Guiding Principles and core standards, and follow current guidelines for the specialty represented and ensure care provided is appropriate to context and identified needs.

        

 Specialized Cells Include: 

Burn Care Specialist surgical +/- allied health teams with expertise in management of burns and burn complications.
Dialysis Specialist nephrology and renal care teams for the care of crush syndrome; provide expert advice on mass dialysis.
Maternal & Child health

Specialist providers of midwifery and obstetric surgical care.

Outbreak

Specialists who provide care to those who contract a case of disease that is in excess above what would normally be expected in a defined community, geographical area or season. 

Psycho-social care Teams that provide psychological care. 
Reconstructive Surgery Specialist maxillo-facial surgical teams +/- operative teams with expertise in the management of complex facial trauma and facial reconstruction.
Search and rescue with pre-hospital triage Teams that preform search and rescue tasks while offering pre-hospital emergency medical care.
Surgical Definitive Care

 

Transport and Retrieval Specialist teams for the transfer of critically ill patients in specific circumstances after consultation with the host ministry of health.
CBRN and decontamination  Specialist teams that provide care to those affected by CBRN contaminants. 
Humanitarian medical care Medical teams that provide care under protracted and/or complex environments.  
Neonatal care Provide specialist neonatal care.
Paediatric Care Provide specialist paediatric care.
Public health care Provides services to prevent disease, promote health, and prolong life among the population as a whole. The focus in on entire populations and not individual patients or diseases. 
Rehabilitation Specialist rehabilitation teams that provides support to FMTs and hospitals unable to provide rehabilitation services.
Spinal Injury Care Specialists surgical teams that care for spine and spinal cord injuryresulting from trauma. 
Surgical Trauma Care Specialist teams that provide emergency and trauma care.
Orthoplastic Surgery Specialist orthopaedic and plastic teams providing complex orthopaedic and wound surgical care and reconstruction.

 

Expression of Interest Process

Submit an Expression of Interest

 

Steps to submitting an Expression of Interest (EOI) Application

1. A new user account must be created.

The organizational focal point completes the required fields and submits the information through the on-line form. The information is then reviewed and pending approval, the organization will be granted an account.

2. Once the account request is made, the user is sent an email with log-in instructions.

At this time, the user can then log-in to and follow the steps to submitting their application. 

 

 

 

Can anyone be an EMT?

The term EMT is exclusively used for those international medical teams that have registered and agreed to comply with the standards and principles. The term refers to groups of minimum two health professionals and supporting staff outside their country of origin, aiming to provide health care specifically to disaster affected populations. They include governmental (both civilian and military) and non-governmental teams. A EMT has staff to provide basic and/or advanced healthcare based on international classification levels and minimum standards during a limited time period in existing or temporary structures, with or without field hospitals. Any individuals or groups that do not fit within the definition and cannot comply with the standard should either consider joining a recognized organisation that provides EMT or not responding in the aftermath of a sudden onset disaster.

Who can apply for an Account?

Who is eligible for EMT Global Classification?

Organizations who wish to submit an expression of interest application for classifying their EMTs should apply. These organizations must adhere to the minimum standards and principles of Foreign Medical Teams

Who are EMTs?

The term EMT refers to groups of health professionals providing direct clinical care to populations affected by disasters or outbreaks and emergencies as surge capacity to support the local health system.

What are the different types of EMTs?

EMT Types

Type of EMT Definition
Type 1 Fixed Provide outpatient initial emergency care of injuries and other significant health care needs. Teams must be capable of treating at least 100 outpatients per day and function during daytime. Key services include: triage, first aid, stabilisation, referral of severe trauma, nontrauma emergencies, and care for minor trauma injuries. Type 1 fixed teams can work from suitable existing structures or supply their own fixed or mobile outpatient facilities, such as tents or special equipped vehicles.
Type 1 Mobile Provide outpatient initial emergency care of injuries and other significant health care needs.Teams must be capable of treating at least 50 outpatients per day and function during the daytime. Key services include triage, first aid, stabilisation, referral of severe trauma, nontrauma emergencies, and care for minor trauma injuries. Type 1 mobile teams do not work out of a fixed structure and the team, including all equipment, can be easily moved throughout the mission deployment.
Type 2  Provide emergency care and have surgical capacities. Teams must be capable of performing at least 7 major or 15 minor operations daily with at least 20 inpatient beds per one operating table and be able to function 24 hours per day. Key services include screening of new and referred patients, surgical triage, advanced life support, definitive wound care, basic fracture management, damage control surgery, emergency general and obstetric surgery, inpatient care for nontrauma emergencies, basic anaesthesia, Xray, sterilisation, laboratory, blood transfusion, and rehabilitation services. Type 2 EMTs may either be offered within a suitable existing structure, or provide a temporary facility. Teams must have staff capable of managing expected epidemiology, and should have a specific plan to manage the comorbidity of normal disease patterns, and of other medical conditions with complications or severity that requires admission.
Type 3 Provide complex inpatient referral surgical care including intensive care capacity. Teams must have at least 2 operating tables in two separate rooms within the theatre area, at least 40 inpatient beds (20 per table) and have the capability to treat 15 major or 30 minor surgical cases a day. Key services include screening of referred and new patients, surgical triage and assessment, complex reconstructive wound and orthopaedic care, enhanced, Xray, sterilisation, laboratory, blood transfusion, rehabilitation services, high level paediatric and adult anaesthesia, and intensive care beds with 24/7 monitoring and ability to ventilate. Type 3 EMTs should be considered an option to provide a highlevel referral service to those type 1 and 2 teams (both local and foreign) that cannot provide services of that standard. Teams may deploy into existing health facilities or offer their services within their own structures (field hospital).
Specilized Teams Specializes in a specific medical area. These teams may be as small as two or three senior specialists that provide additional specialised care embedded within type 2 or 3 EMTs or a national hospital. They must bring appropriate equipment, maintenance and supplies adequate to their specialty area.

 

 

 

What are the different emergency situations?

Types of Emergencies

Sudden Onset Disaster (SOD)

According to the World Health Organization, Sudden onset disasters (SODs) are both “natural” disasters (e.g, earthquakes, hurricanes, floods) and manmade or “complex” disasters (e.g., sudden conflict situations arising from vared political factors), for which there is little or no warning. A disaster is defined by the United Nations Office for Disaster Risk Reduction as a serious disruption of the functioning of a community or a society involving widespread human, material, economic or environmental losses and impacts, which exceeds the ability of the affected community or society to cope using its own resources. These events occur without time to complete a full evacuation.
Protracted crisis The World Health Organization and World Food Programme defines a protracted emergency, sometimes referred to as a slowonset emergency, as an extended disaster that takes a long time to produce emergency conditions, for instance natural disasters such as a drought or socioeconomic decline, which are normally accompanied by early warning signs.
Conflict or complex emergencies A complex emergency, as defined by the World Health Organization and IASC, is “a humanitarian crisis in a country, region or society where there is total or considerable breakdown of authority resulting from internal or external conflict and which requires an international response that goes beyond the mandate or capacity of any single and/or ongoing UN country programme,” (i.e., violence, political instability, security risks).
Outbreak According the World Health Organization, outbreak refers to the occurrence of cases of disease in excess of what would normally be expected in a defined community, geographical area or season. An outbreak may occur in a restricted geographical area, or may extend over several countries. It may last for a few days or weeks, or for several years. A single case of a communicable disease long absent from a population, or caused by an agent (e.g. bacterium or virus) not previously recognized in that community or area, or the emergence of a previously unknown disease, may also constitute an outbreak. 
CBRN Chemical, biological, radiological, or nuclear events caused by manmade reasons, naturally occurring incidents, or technological issues. These events may be weaponized materials or nonweaponized accidents. Note that biological events do not constitute communicable disease outbreaks (REF: Center for Excellence in Emergency Preparedness).

What are the EMT minimum standards?

EMT Minimum Standards 

Standard A

The EMTs agree to:

  1. Register with the relevant national authority or lead international agency on arrival.
  2. Collaborate with inter-agency response coordination mechanisms at global, national and sub-national levels, as well as with other EMTs and health systems.
Standard B
  1. EMTs will undertake to report on arrival what type, capacity and services they can offer based on the international EMT classification system.
Standard C
  1. EMTs will undertake to report at regular intervals during response, and prior to departure, to the national and the cluster, using national reporting formats, or if not available, the agreed international reporting format.
Standard D
  1. EMTs will undertake to keep confidential records of interventions, clinical monitoring and possible complications.
Standard E
  1. EMTs will undertake for the individual patient, to have record of treatment performed and referral for follow-up planned as needed.
Standard F
  1. EMTs will undertake to be part of the wider health referral system, and depending on type, offer to accept or refer or both accept and refer patients to other EMTs, the national health system or, if approved, other countries.
Standard G

EMTs will adhere to professional guidelines:

  1. All their staff must be registered to practice in their home country
  2. All their staff must have license to practice for the work they are assigned to by the agency.
Standard H

EMTs ensure that:

  1. All their staff are specialists in their field.
  2. Their personnel are appropriately trained in either conflict or sudden onset disaster surgical injury management if relevant. The majority should have training and experience in global health, disaster medicine and providing care in austere environments. Acknowledging the need to train and provide experience to new staff, there may be scope for junior and inexperienced staff in the later phase of a disaster response and working under direct supervision of experienced colleagues.
Standard I
  1. EMTs will ensure that all pharmaceutical products and equipment they bring complies with international quality standards and drug donation guidelines.
Standard J
  1. EMTs are self-sufficient and do not put demand on logistic support from the affected country, unless agreed otherwise before deployment.
Standard K

EMT complies with:

  1. Minimal hygiene and sanitation standards,
  2. Minimal standards required for management of medical waste.
Standard L

EMTs must ensure:

  1. The team and individuals within it are covered by adequate medical malpractice insurance.
  2. That there are mechanisms in place to deal with patient complaints and allegations of malpractice.
Standard M
  1. EMTs must have arrangements in place for the care of their team members health and safety including repatriation and exit strategies if required.

What are the EMT Principles?

What are the EMT benefits of the Global Classification process?

Benefits of Global Classification

  • Demonstrates commitment to adhering to core principles and standards for EMTs
  • Demonstrates an interest in understanding the EMT concept and importance of accountability when providing medical assistance following a disaster
  • Improves integration, collaboration and networking between EMTs pre and post deployment, shared learning and training.
  • Enable EMTS to benefit from logistical support on-site and to receive guidance on suitable locations to establish their team
  • Assists in guiding providers to deliver targeted training and preparation for EMTs pre-deployment to help meet healthcare and logistical needs that cannot be met nationally following a SOD
  • Provides confidence to donors to fund registered EMTs
  • Knowledge that registration will facilitate the invitation to be deployed

How does EMT Global Classification help the affected country?

EMT Assistance 

  • Provides assurance to recipient countries that registered EMTs have declared to meet agreed international minimum standards and core principles.
  • Identifies, through declaration, capabilities and operational capacity of EMTs which helps in targeting health needs in the affected country
  • Assists in strengthening national response by supporting requirement for National governments to invite and authorize select EMTs from the register.
  • Improves coordination, and thus timeliness of entry, response and mobilization of EMTs, in line with other international teams (such as USAR) arriving to an affected country
  • Improves collaboration between local, national and international teams in targeting needs, and mapping of response.
  • Assists in predicting likely response from EMTs following a SOD
  • Improves management of surge mechanisms with other organizations
  • Contributes to improving professional accountability of practice by EMTs deploying
  • Helps develop a greater understanding at all government and non government levels amongst those that send and receive FMTs to improve response coordination and standards and thereby reduce morbidity and mortality from a particular SOD.
  • Assists in exit co-ordination of EMTs, information and data gathering and thus future responses
  • Improves collaborations with host government response activities

Why do EMTs need to be classified?

For providers of EMTs that will engage in the global classification process, classification may give confidence to donors to fund registered EMTs. Furthermore, classification will facilitate the invitation to be deployed and authorization to operate on arrival in the disaster location. On arrival, the EMTs will be able to benefit from logistic support onsite and receive guidance on what the best place is to set up their units so they don’t lose time to start working on a designated site. 

Humanitarian operational partners providing quality EMTs and participating in the Global Classification will find a better-managed, rapid and efficient authorization process and a mutually supportive working relationship with local health services.