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Emergency Medical Teams (EMT)
- We hosted Dr. Roy Cosico, World Health Organization (WHO) Technical Officer, and Dr. Nelson Olim, Simulation Learning Officer in our foundation.
- After our EMT Type 1 classification process that started in October, our EMT mentoring program officially launched. We have accelerated our work by determining our roadmap for the next process together. we expressed our thanks to Dr. Nelson Olim and Dr. We Roy Cosico for their support.
Emergency medical teams (EMTs) are an important part of the global health labor force and have a special role. In an emergency, any doctor, nurse, or medical team from another country should be part of a team. In order to properly intervene and avoid burdening the national system, this team should have quality, training, equipment, and supplies. In addition to self-competence and envoriment, EMTs need to have minimum acceptable standard and should strive to have a service quality suitable for the environment.

EMTs are a group of health personnel who treat patients affected by an emergency or disaster (doctors, nurses, medical teams, etc.).
- Comply with classification and minimum standards set by WHO and its partners; they have to come educated and self-sufficient in order not to burden the national system.
Emergency medical teams
- It has a long history of steppin into sudden-onset disasters such as the Haiti earthquake, the Indian Ocean Tsunami, and the floods in Pakistan.It has a long history of steppin into sudden-onset disasters such as the Haiti earthquake, the Indian Ocean Tsunami, and the floods in Pakistan.

EMTs historically had focused on trauma and surgery.
- However, Ebola showed us the value of these teams in epidemic and other types of emergencies.
- The Ebola response was the largest (58 teams) for an epidemic, which was faint compared to the 151 teams deployed to respond to Typhoon Haiyan in November 2013 and the nearly 300 teams deployed in Haiti following the earthquake.The Ebola response was the largest (58 teams) for an epidemic, which was faint compared to the 151 teams deployed to respond to Typhoon Haiyan in November 2013 and the nearly 300 teams deployed in Haiti following the earthquake.The Ebola response was the largest (58 teams) for an epidemic, which was faint compared to the 151 teams deployed to respond to Typhoon Haiyan in November 2013 and the nearly 300 teams deployed in Haiti following the earthquake.
Emergency medical response requirements
- It is broader than what is necessary for sudden-onset disasters and traumas. It should include teams to support populations affected by diseases such as Cholera, Shigella and Ebola, as well as protracted crises such as floods, conflicts and famine.

How do we define EMT?
- EMTs works according to the WHO Classification and Minimum Standards guidelines for Foreign Medical Teams guided by sudden-onset disasters. These guidelines address the principles and core standards for how registered EMTs should operate and declare their operational capabilities. An electronic version of these guidelines can be found at the link below.

Classification and minimum standards were published in mid-2013.
- These standards were successfully implemented in November 2013 for the first time after Typhoon Haiyan. The Philippines Health Administration coordinated 151 EMTs and created the new fit-for-purpose classification system.
- In February 2014, a new EMT unit was established at the WHO Department of Emergency Risk Management and Humanitarian Aid in Geneva. This study consist of:

Establishing a new global registration system where EMTs can register and classify their capacities,
- The progress of EMT coordination in Southeast Asia, Continental America, the Caribbean, Europe, and the Pacific, the closer cooperation with United Nations Office of the Coordination of Humanitarian Affairs (OCHA), International Search and Rescue Advisory Group (INSARAG), United Nations Disaster Assessment and Coordination (UNDAC), Use of UN On-Site Operations Coordination Center (OSOCC) mechanisms by FMTs (Foreign Medical Teams), Regional studies in Continental America where Urban Search and Rescue Teams and EMTs are jointly deployed

The next steps for 2015 include:
- Working with countries in order to develop the capacities of national and medical response teams
- Training national ministries of health who responsible for the countries that likely to be prone to natural disasters to be aware of the capacity of FMTs and to make arrangements for the reception and coordination of teams on arrival.
- Development of best practice guidelines and standards so that FMTs can respond to the care of children, pregnant women, patients with disabilities, the elderly, and those with pre-existing health conditions who have lost access to their medicines during the disaster.

What is the Global EMT Registry?
- WHO has established a global registry system that validates and classifies emergency medical teams that can be deployed in health emergencies. Availability of a global registry of EMTs meeting WHO EMT minimum standards for deployment in sudden-onset emergencies from all hazards provides an increase in time-limited clinical capacity for the affected population. It serves as a commissioning and coordination mechanism for all partners aiming to provide clinical care in emergencies such as tsunami, earthquake, flood and, more recently, major outbreaks such as the West African Ebola epidemic that require an increase in clinical care. It allows a country affected by a disaster or other emergency to contact pre-registered and quality-assured teams.

What are their aims?
- Improving the quality of care provided
- Improve coordination between clinical care teams
- Predictable and timely response to affected governments and populations
- Serving as a quality improvement forum by sharing best practices among working groups, best practice guidance, and partners enforcing minimum standards
- To provide a forum for interaction between EMT providers and potential recipient countries, allowing countries to inform EMTs about certain standard operating procedures (SOPs) and requirements for access to their home country in an emergency (e.g. rules on the import of painkillers, registration as a doctor, etc.)

- EMT staff help facilitate and coordinate this placement.
- If teams pre-register and demonstrate their quality, Offers of EMT assistance are more likely to be accepted. Pre-registration will speed up arrival to country and assignment procedures. Registered teams will work in a national and international response effort, not separately.
- Donors will be assured that registered EMTs will meet a minimum standard and be able to provide a list of accredited medical organizations that can be supported financially and in other ways.
- The global community is now able to build around a predictable and defined clinical increase capacity. This registry system can be used to examine capabilities and gaps for local response to various emergencies.

What is the role of EMTs in the Ebola Response?
- EMTs have traditionally been used for trauma and surgical focus and for sudden-onset disasters such as earthquakes and typhoons. Ebola care during this multi-country epidemic required medical knowledge and equipment. It carried risks for health workers. Progress against Ebola has been made in part thanks to the response of national and international teams that operate partly in 72 Ebola Treatment Centers (ETCs) in the three countries.
- WHO and the world have learned important lessons from the Ebola response, which has broader application to the agency and the global health response community. These lessons have been used to improve the coordination, quality and predictability of clinical response teams deployed with surge capacity as EMTs.
- Over 40 organizations including international NGOs, the military, faith-based organizations and governments have deployed EMTs throughout the current Ebola Response.