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New England CERFP
New England
CBRNE Enhanced Response
Force Package
(CERFP)
By
Maj Philip Plourde
Capt Alexis Sablock
• Chemical Biological Radiological Nuclear
High Yield Explosive Enhanced Response
Force Package
CERFP
New England CERFP
Mission
On order, New England CERFP responds NLT 6
hours from Alert to chemical, biological,
radiological, nuclear, or high yield explosive
(CBRNE) incident to support local, state, and
federal agencies in conducting consequence
management by providing capabilities to conduct
patient decontamination, emergency medical
services, and casualty search and extraction.
New England CERFP
Formative Events
May 2003---Chief of National Guard Bureau directs the standup of a CBRNE capability within the NG. August 2004---12 States stood-up a capability to respond to a CBRNE incident with the capability to perform Mass Casualty Decontamination and Medical Treatment . Oct 2005---The 12 States completed Search and Extraction training Dec 05 – Dec 06---Training and Exercise Outlines (T&EOs) for Mass Casualty Decontamination, for Command and Control (C2), for Medical Treatment, and Search and Extraction drafted. FY06---Congressional legislation directed the establishment of five additional NG CERFP teams for a total of 17. June 2006---CNGB announced the 5 New States (GA, MN, NE, OH, VA); September 2007---Three of five New States complete their EXEVAL and validated by TAG, (Remaining two validated April & June 2008) December 2006--- NG CERFP T&EO finalized. March 2009 ---Full Operational Capability (FOC) for the NGB CERFPs
TX
CA
MT
AZ
ID
NV
NM
CO
OR
UT IL
WY
KS
IA NE
SD
MN
ND
OK
FL
WI
MO
WA
GA AL
MI
AR
IN
LA
PA
NC
NY
MS
TN
VA KY
OH
SC
ME
WV
VT
NH
MD
NJ
MA
CT
Region V
Region VI
Region IX
Region X
Region VIII
Region VII
Region IV
Region III
Region II
Region I
FEMA Region Boundaries
CERFP States
HRF States
VI
PR
AK
RI
DE
DC
Hawaii Region IX
17 CERFPs
10 HRFs
New England CERFP
CBRNE Response Enterprise
New England CERFP
Organization
C2 (16 PAX)
ME (ARNG): 52nd TC
Bangor, ME
MED (47 PAX)
NH (ANG): 157th MDG
Newington, NH
FSRT (11 PAX)
NH (ANG): 157th FSS
Newington, NH
DECON (75 PAX)
NH (ARNG): C/3-172 IN
Milford, NH
RI:(ANG): 143rd MDG
Quonset, RI
Search & Extraction (50 PAX)
RI (ARNG): 861st EN
East Greenwich, RI
Battalion Level
Command and Control Element
•Establishes Commanders Critical Information Requirements (CCIRs) for the CERFP
Advanced Deployment Team
•Recall, assemble and brief CERFP elements for deployment
•Ensures personnel recalled and ready to deploy within 6 hours of notification
•Operates within the National Incident Management System and plans all CERFP incident
site operations in support of the Incident Commander’s Incident Action Plan (IAP)
Casualty
Search and Extraction Element
•Receive NFPA certified training to operate in confined space collapsed structure
•Specialized equipment meets NIOSH/OSHA standards
•Trained to operate within the National Incident Management System
Listening Device Extraction Tool Kit
Oklahoma City Wash, DC Beaufort, SC
Mass Casualty
Decontamination Element
Chemical / Radiological Monitoring
Ambulatory Non-Ambulatory Decontamination Lane
Decontamination Generator
and Water Distribution Site
Ambulatory Decontamination
Re-dress Area
•Establish CBRNE response decontamination site
•Force sizing and specialized equipment designed to support the
mission operational objectives of 75 non-ambulatory and 225
ambulatory personnel per hour throughput
Medical Element
Air National Guard Medical Group
•Mission: To provide sophisticated, short duration, pre-hospital emergency medical
treatment during a Mass Casualty, CBRNE, or All-Hazard incident with the
ability to stabilize and treat 330 patients in a 12 hour period
•Provides medical triage, injury stabilization and treatment for CBRNE casualties
Medical Element
Air National Guard Medical Group
•Stabilizes critical and non-critical patients for civilian transport to tertiary care
•Ten medical personnel complete a collapsed structure confined space and pre-hospital
trauma life support course of instruction; provide medical triage in confined spaces
capabilities
Medical Element
Air National Guard Medical Group
Tent 1: Critical/ Non Ambulatory Tent
• Capable of treating life threatening physical injury
caused by blasts, collapsed structures, radiation
exposure, chemical, or biological contamination.
Tent 2: Non Critical/ Ambulatory Tent
•Capable of treating non life threatening injury
such as: fractures, abrasions, stress,
heat, and cold injuries.
Medical Element
Air National Guard Medical Group
MCC: Medical Command and Control
• Directs overall activities of the CERFP
• Coordinates with Joint Task Force (JTF) and
Incident Commander (IC)
•Coordinates use of local assets with the
Command and Control (C2)
Tent 3: Recovery Tent
• Responsible for ensuring the safety of all
military personnel going down range.
• Assess vital signs of all personnel prior to
wearing level C protective equipment
Fatalities
Search and Recovery Team (FSRT)
Air National Guard Services Flight
• Coordinate CERFP Incident Commander fatalities recovery
operations
• Conducts search and recovery of CBRNE fatalities to be turned over
to the IC
• Support local mortuary affairs
New England CERFP
Entire Team
• NFPA Hazmat Operations Level
• NIMS and Incident Command System
• CERFP Concept of Operations training
Specialized training
• Confined space/collapsed structure courses
• Search and rescue techniques
• Field/Medical Management of Chemical and Biological Casualties (US Army)
• Medical Effects of Ionizing Radiation (USUHS/AFRRI)
• Patient/Mass Casualty Decontamination
• FEMA CBRNE Domestic Preparedness training
• Specialized medical training
• ACLS, ATLS, PHTLS, PALS, BLS
All Elements must participate a collective External Evaluation every 24-36 months
Training
N+0 N+1.5 N+3< N+6 N+8 < N+ 12
Assembly Area
Or
NG CERFP Main
Deploys to Assembly Area or Staging Area
Incident Site
Staging Area
Local & State
First Responders
NG CERFP
Hot Zone
CST
MAIN
CST
ADVON
CERFP
ADVON
CERFP
MAIN
CE
RF
P A
lerte
d
CE
RF
P A
DV
ON
Departs
CS
T N
otific
atio
n
CS
T A
DV
ON
De
pa
rts
CS
T M
ain
De
pa
rts
CE
RF
P M
AIN
Departs
NG CERFP
CERFP
Tier II & III
Response
Operations
N+6 to N+72 Hours
CSTs & NG CERFP Provide A Phased Capability
• CSTs detect and identify CBRNE agents/substances, assess the effects and advise
the local authorities on mitgating the effects of the attack and assist with request for
other forces
• CERFPs locate and extract victims from a contaminated environment, perform
medical triage/treatment, conduct patient/casualty decontamination and fatalities
recovery.
New England CERFP
Concept of Operational Response Timeline
Hot Zone Warm Zone Incident Command Post
Wind Direction
NG CERFP Concept of Operations
Cold Zone
WMD-CST monitoring
WMD-CST monitoring
CERFP Search & Extraction
With Integrated Medical Personnel
Medical Monitoring
as needed
Chemical / Radiological
Monitoring-Ambulatory
WMD-CST
Survey Team
WMD-CST
Survey Team Civilian Patient Evacuation
Medical Treatment
Non-Ambulatory
transport
Medical Triage Casualties Collection
CERFP Decon
FSRT Ops
New England CERFP
Assets New England CERFP
Medical & Decon Foot Print
New England CERFP
Personal Protective Equipment
NFPA Class 2
Lion Suit
Level C
Kappler Suit
Promask 2000
APR with M96
civil defense
cartridge
Promask 2000
mask with
C240 PAPR
blower and
M96 civil
defense
cartridges
New England CERFP
Detection Equipment
M8/M9 paper ICAM JCAD M256 kit
MultiRae AreaRae AN/PDR-77 AN/VDR-2
AN/UDR-13
New England CERFP
NGB CERFP Alert Options
Command and Control Team Alert Recall:
Option 1 – Recall, ready to deploy NLT 6 hrs after notification (i.e.
unplanned emergency deploy scenario)
Option 2 - Pre-positioned e.g. National Special Security Event
(NSSE)
Option 3 - Stand-by at Home Station Armories/Hangers (i.e. imminent
threat notification)
• M-Day (traditional Guard) status until activated
• Utilization in State Active Duty, Title 32 or Title 10
• 5 AGRs per CERFP (2 Majors, 3 E7s)
New England CERFP
CERFP Interagency Support
This supports applicable State and Federal response
plans:
• Local Authorities (IC, EOC, local EMA)
• State Authorities (Governor, TAG, state EMA)
• Federal Authorities (FEMA, COCOM)
New England CERFP
