Hampton Roads Metropolitan Medical Response System

Hampton Roads Metropolitan Medical Response System The Hampton Roads Metropolitan Medical Response System is a collaboration of 17 emergency management

The Hampton Roads Metropolitan Medical Response System began as a DHS Grant Program in 1999 and continues today to support & enhance Hampton Roads public safety, hospital, public health, & emergency management response capabilities to manage mass casualty incidents. "HRMMRS" is a collaboration including emergency management, fire departments, emergency medical services agencies, public health depa

rtments, hospitals and other healthcare organizations, and community partners from the 17 Hampton Roads jurisdictions, working together to provide emergency medical care for our community before, during and after an incident or disaster."


Looking forward to this presentation!! Behavioral/Mental Health Wellness is so important!!


Thank you Sponsors!!!

Dropbox - Submit files

The Tidewater EMS Council is so proud of the work being done by the more than 60 local EMS agencies, 15 area hospitals, and countless other healthcare organizations during this COVID-19 pandemic. You are all providing timely response with the skillful, quality treatment our patients deserve. We are ALL in this TOGETHER; One Community!!

As people are being asked to stay at home and practice social distancing many are wanting to know more about what we are doing during this crisis. So, I would like to ask you to take this opportunity to show them. Send your pictures and video to the Dropbox link below, and we will put together a video showing all the hard work and dedication that our TEMS partners are demonstrating in the cities of Chesapeake, Franklin, Norfolk, Portsmouth, Suffolk, and Virginia Beach, and the counties of Accomack, Northampton, Isle of Wight and Southampton. We would like to get this video up soon, so if you have a chance please send the shots in as soon as possible. DO NOT send pictures or video of patients or patient care activities! For instance, send pictures of donning/doffing PPE, what social distancing looks like, artwork, efforts to appreciate hospital staff, Drs. and nurses. We will put it up on social media as soon as it’s complete and we encourage all of you to share it with your friends and family so that see all the wonderful work you are doing! Let’s spin the negative into a POSITIVE!!

Thanks again for being the frontline heroes in this fight!


Dropbox is a free service that lets you bring your photos, docs, and videos anywhere and share them easily. Never email yourself a file again!


Stay informed...

"A new analysis from the Centers for Disease Control and Prevention finds that people with chronic conditions including diabetes, lung disease and heart disease appear to be at higher risk of severe illness from COVID-19."

"The report finds 78% of COVID-19 patients in the U.S. requiring admission to the intensive care unit had at least one underlying condition. And 94% of hospitalized patients who died had an underlying condition. The analysis is a preliminary snapshot based on data from about 7,000 cases in the U.S. and about 200 deaths."

Accident involving more than 45 vehicles shuts down I-64 westbound near Queens Creek Overpass

Great job by ALL public safety agencies (York County, James City County, Williamsburg, VSP) and healthcare organizations (Riverside Regional Medical Center) in response to a Mass Casualty Incident (MCI). Shout out to the Eastern Virginia Healthcare Coalition, tracking patients and assisting in reunification!!

YORK Co., Va. (WAVY) — First-responders are on the scene of an accident involving more than 45 vehicles. According to emergency communications, they received a call at 7:49 Sunday morning for…

Virginia 1 Disaster Medical Assistance Team

Both are Strike Team Members!!

As Hurricane Dorian approaches, VA-1 DMAT has a member deployed with OH-1, am member with CA-4, and five members rostered with Delta-1 (not yet deployed). Shout out to Shamera Boone and Craig Topping; stay safe!!


Rotating pharmaceutical stock...excerpt from Tim Nowak

While there’s an arguable benefit for staffing urban fire engines with a mix of BLS and ALS providers, stocking them with a full array of ALS medications might not be the most feasible option during times of shortage.

Implementing aggressive rotation practices can also help to combat some of the effects of drug shortages. Rotating near-expiring stock on fire apparatus or reserve units to front-line units can help to extend the duration of your current medication stocks. If you order your medications from a local hospital’s pharmacy, working out an exchange program with their facility may also be an option to lessen some of the effects of drug shortages.

On the topic of expirations, while your local pharmacy may not be in favor of using expired drugs, your medical director may grant a temporary pass until a replenished stock becomes available. Keep in mind, moreover, that utilizing a medication that is 1 month past expiration is likely entirely different than 1 year past expiration.

In any event, working to find solutions to your shortage or stocking problems will likely be a need that we’ll face for the foreseeable near future. Anticipating what your plan B will be before the need to implement it arises will help you to keep better accountability over your agency’s medication needs. Implementing creative practices to acutely reduce stock, as well as developing a rotation relationship with other higher-volume entities or units can also work in your favor.

Stay ahead of the curve and receive updates directly from the FDA regarding drug shortages by joining their email list: [email protected]


Space weather affecting the Earth is monitored and reported daily by the National Oceanic and Atmospheric Administration (NOAA) Space Weather Prediction Center
(SWPC). NOAA SWPC rates space weather on an
intensity scale from 1 to 5. A 1 event can cause minor damage such as minor degradation of radio signals. An
event with a rating of 5 causes extreme to catastrophic damage.

An example of an extreme event is a radio blackout lasting hours or longer.

The three types of monitored space weather are:

Solar Flares (Radio Blackout) hit Earth with no warning and typically impact over-the-horizon communications.

Solar Radiation Storms give approximately 10-20 minutes notice. Satellites are the most vulnerable systems.

With a Geomagnetic Storm, typically there are 15-96 hours of warning before impact with earth’s atmosphere, but they can cause the greatest damage.

These events can affect communication, the power grid, and other critical infrastructure! NOAA is an important partner to the Emergency Management and Public Safety communities!!


1104 Madison Plaza
Chesapeake, VA

Opening Hours

Monday 8:30am - 4:30pm
Tuesday 8:30am - 4:30pm
Wednesday 8:30am - 4:30pm
Thursday 8:30am - 4:30pm
Friday 8:30am - 4:30pm




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Couldn't agree more!!
Substituting systolic blood pressure with shock index in the National Trauma Triage Protocol: The National Trauma Triage Protocol (NTTP) is an algorithm that guides emergency medical services providers through four decision steps to identify the patients that would benefit from trauma center care. The NTTP defines a systolic blood pressure (SBP) of less than 90 mm Hg as one of the criteria for trauma center need. The aim of our study was to determine the impact of substituting SBP of less than 90 mm Hg with shock index (SI) on triage performance. CONCLUSION Substituting the current criterion of SBP of less than 90 mm Hg in the NTTP with an SI of more than 1.0 results in significant reduction in undertriage rate without causing large increase in overtriage