National GuardDomestic Operations

1UNCLASSIFIED

Colonel Dan Bochicchio, MD.Vice Chief Surgeon, National Guard Bureau

June 2008

2

National Guard Joint Capabilities

•

Briefing Agenda:

•

Overview of the National Guard•

National Guard Medical Assets

•

Air National Guard Aeromedical

Evac

Assets•

Domestic CBRNE Response Capabilities

–

WMD -

Civil Support Teams (CST)–

CERFP Program

3

The National Guard…. Hey…Who Are These Guys!?

•

Everybody knows the name; but nobody knows who we are….

•

History…–

Formed in 1636 Massachusetts Bay Colony•

Militia Clauses–

US Constitution Art.1, Sec.8, Clauses 15 and 16:•

To provide for calling forth the Militia to execute the Laws of the Union, suppress insurrections and repel invasions

–

The Second Amendment qualified Art. 1, Sec.10:•

To insure that the federal government could not disarm the state

militias. Insisted on by the anti-federalists, states, "A well-regulated militia, being necessary to the security of a free State….”

•

Current Force Structure–

Army National Guard ~ 355,000–

Air National Guard ~ 106,000

4

National Guard Statuses

State Active Duty (SAD) Title 32 Title 10

Command & Control Governor Governor President

Location of Duty IAW State Law CONUS Worldwide

Funding State Federal Federal

Mission Types IAW with State Law (riot control, emergencies)

Training and/or other federally authorized

missions

Overseas Training and other missions as

assigned

Support to Law Enforcement

Yes, within authority extended by state law

Yes, within authority extended by state law

In accordance with Posse Comitatus

Act

Indemnity State Federal Federal

5

A Community Based Force

3200 ARNG Facilities, 89 ANG Bases in 2700 Communities

6

51,40049,467

43,56341,271

45,940 48,463

53,26354,337

53,215

49,41248,029

39,000

49,000

59,000

Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07

FUTURE PROJECTIONS

US 9,886

US 1,110 - SAD

MAP ROLL-UP TOTALS

State Active Duty / T-32 Breakdown

LA 258

NM 953

TX 1,512NM 50

TX 104 FL 3

CA 46NY 596 INFRASTRUCTURE PROTECTION 1 JAN 05 - TBDLA 258 NOPD SPT - CHECKPOINTS & PATROLS 20 JUN 06 - TBDNJ 55 INFRASTRUCTURE PROTECTION 3 JAN 06 - TBDFL 53 WILDFIRE SUPPORT 5 MAY 07 - TBDCA 46 INFRASTRUCTURE PROTECTION 1 OCT 06 - TBDGA 44 WILDFIRE SUPPORT 8 MAY 07 - TBDKS 33 TORNADO RESPONSE 5 MAY 07 - TBDMA 18 INFRASTRUCTURE PROTECTION 2 JAN 05 - TBDNM 4 POTABLE WATER DISTRIBUTION 28 JUN 05 - TBDFL 3 SEAPORT INSPECTION PROGRAM 1 JUL 06 - TBD

AZ, CA, NM,TX 5,642 OPERATION JUMP START 1 JUN 06 - TBD

54 States/ Territories 2,197 COUNTER DRUG ONGOING

19 States 1,681 AIR SOVEREIGNTY SEP 01 - TBDSWB 338 COUNTER NARCOTICS SPT (CBP) 15 MAY 06 - TBD

WA, KS, WI 28 OPERATION OUTLOOK II 1 MAY 07 - 15 JUN 07

TITLE - 32 MISSIONS

STATE ACTIVE DUTY MISSIONS

Domestic Operations

Mission Breakdown

OCONUS Operations (T-10)

AZ 1,920

AZ 60

Crisis Response Key Asset ProtectPOTUS/VPOTUS Law Enforcement SptCounter Drug Hurricane SupportCST Response Border Security

LEGEND

CA 1,257

CA 124

- T-32

NM 4

MA 18NY 596

NJ 55KS 33

FL 53

GA 44

WA 28

CONUS MISSIONS ARNG ANG TOTAL

DOMESTIC OPS (SAD) 942 168 1,110OPERATION JUMP START (T-32) 4,841 801 5,642COUNTER DRUG (T-32) 1,890 673 2,563*AIR SOVEREIGNTY (T-32) 0 1,681 1,681

TOTALS 7,673 3,323 10,996* ANG ASA & AIR DEFENSE PERSONNEL

National Guard Operations

7

Army & Air National Guard Core Capabilities

10 Domestic Support Capabilities

JFHQ-State C2WMD Response

Civil Support TeamsCBNRE Response Teams

MaintenanceAviation and AirliftEngineer (Tech Search & Rescue)Medical (Including Mass Decon)CommunicationsTransportationSecurityLogistics

50%- Homeland

Defense- Homeland

Security- National

Response Plan- All Hazards

Plans

25%Mobilized

&Deployed

Forces

25%Enhanced Pool Intensive Training

Getting Ready

8

•

Capabilities the National Guard Brings:–

Medical Triage–

Emergency Medical Treatment –

Patient Evacuation•

Ground Ambulances •

Air Ambulances (Rotary) •

Mobile Aeromedical Evacuation Staging facilities (MASF)•

Aeromedical Evacuation (Fixed Winged)–

Preventive Medicine and Critical Incident Stress Mgt Teams

•

Task Organization:–

Assets would come under Joint Task Force Commander

Concept of Operations

9

CT109thMMB

118th MMB

161st MMB111th ASMB( MMB)

146TH MMB641ST EVAC

110th EVAC

Multi-Functional Medical Battalions

Mission: The MMB Headquarters is designed to provide (C4I) systems

MMB:Provides C4I for up to~6 Company sized elementsHQ = 81 personnel

Deployed

Pending Deployment

Available

Homeland Support

10

Air Ambulance Companies

C/7-158 OR

C/2-135 NE/COC/1-168 CA/NV

C/1-159 WY/AZ C/1-189 SD/MT

C/2-149 TX/OK

C/1-171 NM/KS

249 NY/RI/NH

832 WI/GA/ND

812 LA/CA/NM

C/2-104 WV/TN

C/2-211 MN/IA

C/3-238 NH/MI

C/3-126 VT/MA

C/1-126 ME

121 DC/DE

Mission: Provides Short Range MEDEVAC (16 Co’s available)

C/1-111 FL/AR

C/2-238 IN/CO

C/11-169 MD/PA/KY

15 Aircraft per CompanyFMC Single Lift Capability:

~60 Litter or 105 Ambulatory OP Rate ~66% = ~128 AAAvailable

Deployed

Pending Deployment

Available

Homeland Support

11

128

313

296

141134708

Ground Ambulance Companies

Mission: Provides ground evacuation of injured via wheeled Ambulances

24 Ambo’s per CompanyFMC Single Lift Capability:

96 Litter or 192 Ambulatory OP Rate ~ 75% = 90 Ground

Ambo’s available

Deployed

Pending Deployment

Available

Homeland Support

12

205th

209th 284th

Area Support Medical Companies (ASMC) “Mobile Emergency Rooms”

814th Det

144th

1065th ASMC

1165th ASMD

PR

738th

1171st 466th

1077th Det

1209th Det

204TH

285th

756th

996th

248th

256th

163RD

215th

213th

709/ 708th142nd

135th

684th

1163rd224th

Mission: Provide Triage, Emergency Treatment and Evacuation (22 Co’s available)

206th

Each Company provides:• Emergency Med Treatment• 40 Temp Holding “Cots” (880 total)•

FMC: 8 Ground Ambulances (176 total OP=74% ~130 avail)

Deployed

Pending Deployment

Available

Homeland Support

13

Brigade Support Med Co (BSMC) “Mobile Emergency Rooms”

Hawaii

MA

NJMD

VT

Mission: Provides Triage, Emergency Treatment and Evacuation (28 Companies available)

Each Company provides:Emergency Med Treatment40 Temp Holding “Cots” (1120 total )FMC: 8 Ground Ambulance (224 total OP75% = 170 Ambo’s Avail)

41st BCT

1/34 BCT218th BCT

Puerto Rico92th BCT

Deployed

Pending Deployment

Available

Homeland Support

14

Air National Guard EMEDS+25 by FEMA Region

Approximately 10% of EMEDS Personnel Deployed Approximately 10% of EMEDS Personnel Deployed

77399

66 44

5511

88 2210

Training Equipment Set

15

Aeromedical Evacuation Squadrons

146 AES, Port Hueneme,

187 AES, Cheyenne, WY

109 AES, St Paul, MN

173 AES, Jackson, MS 156 EAS, Charlotte, NC

118 AES, Nashville, TN

167 AES, Martinsburg,

139 AES, Scotia, NY

10 ANG AE Squadrons => 1 Mobile Aeromedical Staging Facility (MASF),1 Aeromedical Evac Liaison Teams (AELT), 7-11 AE crews ( Total ~115 personnel)

Deployed

Pending Deployment

Available

Homeland Support

137 AES, Oklahoma City

MASF: 1. One per Squadron2. Stages patients for fixed wing transport3. Can prep ~ 40 pt’s /hr

AELT:

Commo and Ops for AE lift assets AE Crew: A 5 pax team: provides basic in flight medical care

142 AES, New Castle,DE

16

KEY CHARACTERISTICS:• Must be certified by Secretary of Defense• Unique to National Guard• Main role is support to Governor and Incident Commander• Title 32 Full-time (AGR) Army and Air National Guard personnel• Interoperable with Civil Responders

KEY CHARACTERISTICS:• Must be certified by Secretary of Defense• Unique to National Guard• Main role is support to Governor and Incident Commander• Title 32 Full-time (AGR) Army and Air National Guard personnel• Interoperable with Civil Responders

MISSION: Support civil authorities CBRNE incident by:

–

Identifying CBRNE agents/substances, –

Assessing current and projected consequences,

–

Advising on response measures, and–

Assisting with RSO&I for military and state assets

17

Full Capability for WMD ResponseSpecializing in Advanced Communications and

Technical Analysis

CST Team Composition

18

CST Vehicle Fleet

Admin-Log/ SurveyAdmin-Log/ Survey

Command & MedicalCommand & Medical Opns

& SurveyOpns

& Survey

UCSUCS

–

Large SUV-type vehicles with pre-installed communications–

Specially constructed vans for the Mobile Analytical Laboratory System and the Unified Command Suite

ALSALS

19

CBRNE Enhanced Response Force Package (CERFP)

•

Task organized from existing National Guard units or organizations

•

Comprised of traditional soldiers and airmen•

Trained and equipped for domestic response to perform:–

Triage, Emergency Treatment and Stabilization

–

Mass Casualty Decontamination–

Patient Decontamination

–

Casualty Extraction•

Can respond in SAD, T-32 or T-10 Status

20

Bridging The Gap

0-06 Hours 72-96 Hours06 -72 Hours

Capability Gap - Extraction, Decon, Med

Triage and Treat

CE R F P

Local and State First Responders

Federal Response

Military Response (NG Forces)

Military Response(Title 10 Forces)

WMDWMD--CSTCST

NGRF

21

•

Designed to operate under NIMS

CASUALTYEXTRACTIONCASUALTY

EXTRACTIONDECONDECONMEDMED

NG CERFPC2

NG CERFPC2

MTOE Eng COMTOE Chem CO

ANG Medical Group

MTOEBN HQ C2

CERFP TF Organization

Specialized equipment meets NIOSH/OSHA standards

HAZMAT trained and certified IAW NFPA 472

22

VI

PR

TX

CA

MT

AZ

ID

NV

NM

CO

OR

UT IL

WY

KS

IANE

SD

MN

ND

OK

FL

WI

MO

WA

GAAL

MI

AR

IN

LA

PA

NC

NY

MS

TN

VAKY

OH

SC

ME

WV

VT

NH

MD

NJ

MACTRegion V

Canada

Mexico

AK

Region VI

Region IX

Region X

Region VIII

Region VII

Region IV

Region III

Region II

Region I

RI

DE

DC

HawaiiRegion IX

17 CERFP Locations

FEMA Region Boundaries

CERFP States

FY 06 New CERFP States

23

In Summary

•

The magnitude and composition of the medical response will depend on the severity and nature of the disaster.

•

NuDet

≠

Hurricane ≠

Pandemic…

•

The National Guard Medical assets provide:–

The three “T’s”:•

Triage (Medical triage)•

Treat (Emergency treatment)•

Transport (Evacuation)

•

The National Guard is actively engaged with our federal and state response partners define shortfalls and develop unity of effort

24

Questions?

Rosie the Riveter circa 1943