Emergency and Trauma

Sudden injuries and illnesses can be frightening and stressful. That’s why it’s important to know that wherever you are in eastern North Carolina, emergency care is close by.

There is an Emergency Department, available 24/7, at each Vidant Health hospital. That's eight different locations. At Vidant Medical Center in Greenville, there is also a separate Children’s Emergency Department, specializing in emergency care for those under age 18.

Emergency departments are staffed with specialty-trained doctors, nurses and other health professionals who have access to advanced technology. They are ready to diagnose and begin care for emergency conditions.

Some emergencies require advanced specialty care. We are fortunate in eastern North Carolina to have quick access to a Level I Adult Trauma Center and a Level II Pediatric Trauma Center at Vidant Medical Center in Greenville. This means you will receive the highest level of trauma care available from a multidisciplinary team of trauma specialists. Just like the emergency teams, the trauma team is available 24 hours a day, 7 days a week, to handle all aspects of a life-threatening or life-changing traumatic injury.

Experts in many critical clinical areas work together to make sure you are cared for quickly and safely, and that a comprehensive plan is put in place for your condition.

Critically ill patients require the highest level of monitoring and the most advanced medical equipment. After a traumatic injury or life-threatening illness or condition, most patients are placed in a critical care or intensive care unit until they are well enough to be moved to a step-down unit. Most Vidant Health hospitals have Intensive Care Units (ICU). Vidant Medical Center has a Surgical Intensive Care Unit (SICU), Neurosurgical Intensive Care Unit (NSICU) and a trauma ICU.

The surgical critical care physician team includes board-certified surgical intensivists, mid-level residents and interns and a critical care fellow. The team is dedicated to ensuring timely referrals and consultations for all high-risk surgical/trauma patients. The team oversees all admissions to the SICU, and a board-certified surgeon is available around the clock.

An important part of Vidant’s emergency, trauma and critical care services is Vidant EastCare, our air and ground medical transport service. Depending on your location, you may be taken to one of the regional hospitals and transferred to Vidant Medical Center or transported directly from the scene of your injury or illness by EastCare. There are multiple EastCare ground ambulances throughout eastern North Carolina, including one dedicated to the Children’s Transport Team. Vidant’s five helicopters are located in Bertie, Craven, Nash, Onslow and Wayne counties. Both ground and air ambulances provide rapid transportation and advanced medical care to critically ill and injured patients to tertiary care centers.

All Vidant hospitals are also connected by an electronic health record. So, as a patient moves, important information is immediately available to all the professionals providing care.

Why Vidant?

  • Get care no matter where you live. Eight 24-7 Emergency Departments are located throughout eastern North Carolina. There is also a Children's Emergency Department in Greenville.
  • An industry leader with proven success. Only six hospitals in the entire state of North Carolina have Level I Trauma Center status. Vidant Medical Center has been designated as a trauma center by the State of North Carolina since 1983, and was verified by the American College of Surgeons as a Level I Trauma Center in 2005.
  • EastCare is nationally recognized for safety, quality and service. We are the region's only Commission on Accreditation of Medical Transport Systems (CAMTS) recognized transport service.
  • We know your family needs to be here too. Families are viewed as important members of the team and work in close collaboration with physicians and nurses in all aspects of your care.
  • Trauma and Burn Clinics are offered weekly. After you are released from the hospital, we will continue to monitor your recovery at these outpatient clinics.
  • Preventing traumatic injuries is important to us, too. The Eastern Carolina Injury Prevention Program, known as ECIPP, was established in 1995 and includes several programs to keep our community safe. Read about them all.
  • ERAC is on site. As the Level I Trauma Center for eastern North Carolina, we are responsible for the development and maintenance of a coordinated trauma system in the region. The Eastern Regional Advisory Committee (ERAC) is on-site at Vidant Medical Center. The affiliated hospitals in our region evaluate and provide initial care for injured patients in the region, if needed.
  • You and your doctors are connected. Your medical professionals stay connected to each other and your care through an electronic health record at all Vidant hospitals. Vidant MyChart puts your health record at your fingertips. View your personal information, connect with your care team, check test results and more.

Technologies for Emergency and Trauma

Back to Overview

Providers for Emergency and Trauma

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Vidant EastCare provides critical care air and ground transport service to all of eastern North Carolina. There are multiple ground units, including one dedicated to children’s transport. EastCare’s five air units are located in Bertie, Craven, Nash, Onslow and Wayne counties. Both ground and air units provide rapid transportation and advanced medical care to critically ill and injured patients. Both air and ground transport programs serve all types of critical patients including trauma, cardiac, medical, high-risk obstetrics, burns, pediatric and more.

Notice of CAMTS accreditation site visit of Vidant EastCare

Helicopter service

Each aircraft has a range of 150 miles from its regional base and can fly directly to the scene of an accident or disaster. Crew members are specially trained in advanced critical care life support and transport procedures.

Aviation services provided by Metro Aviation, Inc. HDNA610E.

Mobile Intensive Care Units (MICU)

The EastCare ground fleet consists of regionally based vehicles which can rapidly move patients from community hospitals to area referral centers. They are equipped to provide state-of-the-art trauma and medical care for up to two critically ill patients. Crew members have special training in life support and emergency transport procedures.

Children’s transport

EastCare has a ground unit specifically outfitted and designed to care for infants and children during their journey to the hospital. A dedicated children's hospital transport team will provide the mobile services for sick infants and children throughout eastern North Carolina. The team is comprised of intensive-care trained nurses who are skilled at providing the specialty care many of these children need from the onset of transport to the arrival at James and Connie Maynard Children’s Hospital at Vidant Medical Center. The team will be available 24/7 by helicopter or ambulance whenever a child in the region is in need.

BLS service

EastCare's ambulance service provides 24-hour non-emergency transfer from hospitals for patients returning to their residence and to long-term care facilities.

These ALS ambulances are staffed by either a Paramedic or Registered Nurse to transport patients requiring additional monitoring or procedures for the duration of the transport.

EastCare support

Support for EastCare is provided by nationally certified communications specialists, credentialed as EMTs or Paramedics. The communications center, based at Vidant Medical Center, receives transport request calls, dispatches transport teams, maintains radio contact throughout the transport, and coordinates incoming EMS patients to the hospital.

EastCare is nationally recognized for safety, quality and service. We are the region's only CAMTS (the Commission on Accreditation of Medical Transport Systems) accredited transport system.

Hospitals, physicians, nurses, EMS providers, law enforcement personnel and public safety officials can request EastCare transport services by calling 1-800-672-7828.

Outreach and Education

The public outreach team links Vidant EastCare to regional hospitals, field providers and the general public. Our staff is available to provide educational classes to organizations throughout our service area. We also offer an observer program and tours of all of our locations. Contact us at 252-847-4779 for more information about our outreach programs.

ASERT - Landing Zone Safety Class

EastCare's Aero-medical Safety Emergency Response Training class (ASERT) was developed to increase the safety awareness of regional emergency response agencies. Topics include an overview of EastCare, landing zone identification, communication, hazards, safety and helicopter scene operations. To schedule an ASERT class, call 252-847-4779.

PR requests

We provide information displays for the helicopter and Mobile Intensive Care Unit, as well as public education on health and safety topics for community events throughout eastern North Carolina. Depending on the specific request, we may be able to provide a speaker, helicopter and/or a Mobile Intensive Care Unit. To request additional information and to schedule PR visits, call the outreach department at 252-847-4779.

Advanced Stroke Life Support Provider Course (ASLS)

In conjunction of the Stroke Center at Vidant Medical Center, we offer the Advanced Stroke Life Support Provider Course. ASLS is grant funded by the NC Stroke Care Collaborative. The ASLS Provider Course consists of an eight-hour didactic and hands-on skill lab oriented for the prehospital care provider. Contact Vonda Cogdell at 252-847-5851 for more information.

EMS Night Out

We offer an array of outreach and educational programs designed to support our healthcare partners, including local fire, EMS and law enforcement agencies. Our regional EMS Night Out sessions share information on topics like trauma updates and case reviews, cardiac, stroke, pediatrics, medical, advanced airway management and induced hypothermia.

Trauma education

We also provide trauma education for healthcare providers in hospitals, fire/EMS/law enforcement agencies and community colleges. We offer PHTLS and TNCC several times throughout the year in Greenville and throughout eastern North Carolina.

PHTLS (Pre-Hospital Trauma Life Support Course)

The Outreach and Education Department at EastCare offers NAEMT's PHTLS to public safety agencies and hospitals in eastern North Carolina. If you are interested in PHTLS, please call 252-847-4779 for more information.

Patient Packaging and Preparation Course (P3) and hospital outreach

EastCare Outreach Education provides training to hospital personnel involved in the treatment and transfer of acutely ill and injured patients from community hospitals to tertiary care centers. P3 training includes transfer guidelines, history of air transport, transport team composition and equipment, communications, transport packaging guidelines, loading procedures and special patient challenges. We also offer educational sessions targeted to emergency medicine and intensive care units. Topics include invasive lines, acute stroke recognition and management, STEMI and advanced 12 lead courses, trauma case review, pediatric emergencies, ventilatory management, advanced airway management and induced hypothermia. Please call 252-847-4779 to request the P3 Course or Hospital Outreach Courses.


Satisfaction Surveys

Using the following scale, please rate your recent experience with Vidant Medical Transport in the areas listed:

1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, 5 = strongly agree

Communications with inbound aircraft *
Timely arrival of EastCare team *
EastCare team introduced themselves *
EastCare team was courteous and professional *
Knowledgeable/skillful EastCare team *
Overall satisfaction *
I would recommend service from EastCare in the future *
Would you like someone from EastCare to contact you regarding your experience with this mission? *

Join The EastCare Team

Vidant EastCare provides critical care air and ground transport service to all of eastern North Carolina. We are based at Vidant Medical Center, home of the region's only Level I Trauma Center and home to the James and Connie Maynard Children's Hospital at Vidant Medical Center.

EastCare is nationally recognized for safety, quality and service. We are the region's only CAMTS (the Commission on Accreditation of Medical Transport Systems) accredited transport system. Since 1985, EastCare has been committed to building relationships with our partners, patients and the communities we serve.

Employee requirements:

Transport nurse:

  • Minimum 3-5 years of critical care experience in a busy ED/ICU setting
  • North Carolina EMT certification required within one year of hire
  • Current North Carolina driver license
  • CEN, CFRN, CCRN, or CTRN certification is required within one year of hire
  • A BSN along with experience in an ICU or ED setting with advanced patient care capabilities/Level I or II trauma center preferred
  • BLS, ACLS, PALS, NRP, TNCC certifications required

Transport paramedic:

  • Minimum 3-5 years of experience in an urban 911 setting
  • North Carolina EMT-P certification is required, NREMT-P certification is preferred
  • Current North Carolina driver license
  • FP-C certification is required within one year of hire
  • Bachelor's degree is preferred
  • BLS, ACLS, PALS, NRP, ITLS/PHTLS certifications required

Transport EMT:

  • Minimum 3 experience in a 911 or transport setting is preferred
  • North Carolina EMT certification is required
  • Current North Carolina driver license
  • BLS required

Communication specialist:

  • Minimum 3 years in an applicable communications center setting preferred (transport, 911, hospital operations)
  • North Carolina EMT certification within one year of hire
  • CFC certification within one year of hire

Eastern Regional Advisory Committee

The Eastern Regional Advisory Committee (ERAC) was organized in 1998 to implement and coordinate a regional trauma system and thereby improve trauma care in eastern North Carolina. The committee's activities and purpose were mandated by the NC General Assembly, which passed the Trauma Systems Act in that year.

ERAC Mission

To establish and maintain a coordinated regional trauma system plan to provide optimal trauma care for the people of eastern North Carolina.

ERAC Vision

To plan, coordinate, and provide education for health care personnel and the public on trauma-related topics including clinical care, prevention, and quality management. The ERAC will also participate in national, state, and region trauma-related research projects to advance the development of trauma systems and promote the understanding of traumatic injury on the human body. Through these efforts, ERAC will continually progress trauma care in eastern North Carolina.

ERAC is composed of representatives from the 29 counties that make up the referral region for the Level I Trauma Center at Vidant Medical Center. View the North Carolina Regional Advisory Committee Trauma Center map.

ERAC EMS and hospital counties

  • Beaufort County
  • Bertie County
  • Camden County**
  • Carteret County
  • Chowan County
  • Craven County
  • Currituck County**
  • Dare County
  • Duplin County~
  • Edgecombe County
  • Gates County**
  • Greene County**
  • Halifax County
  • Hertford County
  • Hyde County**
  • Jones County**
  • Lenoir County
  • Martin County
  • Nash County
  • Northampton County**
  • Onslow County~
  • Pamlico County**
  • Pasquotank County
  • Perquimans County**
  • Pitt County
  • Tyrrell County**
  • Washington County
  • Wayne County
  • Wilson County

**denotes counties without a hospital
~denotes secondary EMS affiliation

ERAC Hospitals

  • Albemarle Health
  • Lenoir Memorial Health
  • Vidant Bertie Hospital
  • Nash General Hospital
  • Camp Lejeune Naval Hospital
  • Onslow Memorial Hospital
  • Carteret General Hospital
  • Our Community Hospital
  • Vidant Chowan Hospital
  • Vidant Medical Center
  • Carolina East Medical Center
  • Vidant Beaufort Hospital
  • Martin General Hospital
  • Vidant Duplin Hospital
  • Vidant Roanoke-Chowan Hospital
  • Halifax Regional Medical Center
  • Washington County Hospital
  • The Outer Banks Hospital
  • Wayne Memorial Hospital
  • Vidant Edgecombe Hospital
  • Wilson Medical Center


ERAC and the Vidant Medical Center trauma department are committed to providing trauma education to our 29 county region. Team members across the ERAC region can customize any education related to trauma to suit the needs of pre-hospital providers, regional hospitals and beyond. Some of the available education offered through ERAC and VMC is listed below:

  • Rural Trauma Team Development Course (RTTDC)
  • Trauma Nursing Core Course (TNCC)
  • Advanced Trauma Life Support (ATLS)
  • Customizable Trauma Training
  • Performance Improvement and Case Reviews

View trauma transfer criteria.

Providing incredible care to our trauma patients is a team effort and only exists with collaboration and dedication from first responders, 911 centers, EMS, hospitals, rehabilitation, injury prevention and so many more.

To schedule education, inquire about patient follow-up, or for any other additional information, please contact the trauma outreach/ERAC coordinator directly at 252-847-8687.

Eastern Healthcare Preparedness Coalition

The Eastern Healthcare Preparedness Coalition (EHPC) was formed from the Disaster Preparedness Committee of the Eastern Regional Advisory Committee in February 2015. Our mission is to facilitate coordination cooperation throughout the region of eastern North Carolina by ensuring partners have the capability to mitigate, prepare, respond and recover from critical health events.

North Carolina has endured its share of disasters, natural and man-made. In totality, hurricanes in North Carolina history are responsible for more than $11 billion in damage and almost 1,000 fatalities (2008 data). Within our state, Emergency Support Function 8 (Public Health and Medical) is provided by North Carolina Office of Emergency Medical Services (NCOEMS) and Public Health. Of the $103.1 million that North Carolina has received in Hospital Preparedness Program (HPP) funding from the Assistant Secretary for Preparedness and Response (ASPR), $7.5 million has been awarded to EHPC since 2004. This funding has brought forth one of the most robust State Medical Response Systems in the United States.

Three agencies joined efforts to focus on the treatment and response phase of natural and man-made disasters. These agencies include the North Carolina Office of Emergency Medical Services (NCOEMS), the North Carolina Division of Emergency Management (NCEM) and the North Carolina Division of Public Health - Office of Public Health Preparedness & Response (PHP&R). The agencies have collaborated to develop a tiered State Medical Response System (SMRS). Activities are based on and support the National Response Framework, the National Incident Management System and the Homeland Security Exercise and Evaluation Program. Use of these systems ensures that all entities responding to a public health emergency are equipped and prepared to do so.

Teams and assets within the SMRS utilize the National Incident Management System (NIMS) when operational and report to either on-site incident command under the Medical Branch Director or the Medical Coordination Team (MCT). The MCT provides overhead to the deployed assets and reports to the Chief of NCOEMS or their designee in the State Emergency Operations Center.


In the late 90s, Regional Advisory Committees (RACs) were established to improve and coordinate trauma care in the counties surrounding the trauma centers based on their service area. Each county and hospital in North Carolina is included in at least one of eight RACs. Following the events of September 11, 2001, the federal government began providing grant funds to the hospitals and Emergency Medical Service agencies. It was quickly determined that these funds should be better coordinated for statewide standardization. This was to be accomplished at the RAC level.

One function of the RAC was to create a Disaster Planning Committee (DPC) or Healthcare Coalition (HC) to facilitate the planning and communication of first responders and first receivers (hospitals) by developing a regional disaster plan to improve the utilization of information and resources during an actual event.

Within each RAC, there are Healthcare Preparedness Coordinators (formerly Bio-terrorism planners, Emergency Response Coordinators or Regional Emergency Response and Recovery Coordinators), State Medical Assistance Team (SMAT) team leaders and Budget Finance Specialist who are employed by the lead trauma centers. Their role is to coordinate the HPP grant and SMAT. Additionally, NCOEMS has full-time personnel dedicated to the state level oversight of the HPP grant and State Medical Response System (SMRS)

The Eastern Regional Advisory Committee (ERAC) was made up of 20 hospitals, 29 different Emergency Medical Services systems, local and state Public Health, local and state Emergency Management, community and rural health departments, Urban Search and Rescue (USAR), Regional Response Teams (RRT – hazmat), Military, Civil Support Team (CST), Vidant Medical Transport, NCOEMS Eastern Regional Office staff, state treatment facilities, military instillation representatives, regional medical examiner and private business.

There are 29 counties of northeastern North Carolina with a population of roughly 1.4 million people that make up the ERAC region. Seven of those counties are on the Atlantic Ocean or Pamlico Sound thereby exposing them to hazards not present in most other North Carolina regions. Additionally, the region is home to Cherry Point Air Station, Seymour Johnson Air Force Base, Coast Guard Air Station Elizabeth City, six other Coast Guard Boat Stations, NC National Guard 42st CST WMD Team and Harvey Point Defense Training Center and Air Field.

In February 2015, the Disaster Preparedness Committee of ERAC became the Eastern Healthcare Preparedness Coalition (EHPC) with completed bylaws in May 2015. These Bylaws are reviewed annually at the January coalition meeting.

Over the last several years, the EHPC has put into place and further developed many programs in order to better prepare the region for natural or man-made disasters. Such programs include development of the State Medical Assistance Teams (SMATs), Medical Reserve Corp (MRC), Medical Response Plan, participation in the Cities Readiness Initiative (CRI), augmentation of various communications systems, development of Alternate Care Facility Mobile Storage Units, Medical Ambulance Bus (MAB), Medical Support Units (MSUs), regional education programs, standardized evacuation tools for hospitals, Burn Surge Cache, participation in the Ambulance Strike Team (AST) and collaboration with regional response partners.

Starting in 2017, all of these programs will be used to address the four Healthcare Preparedness Capabilities from the Assistant Secretary for Preparedness and Response (ASPR). These include:

  • Foundation for Health Care and Medical Readiness
  • Health Care and Medical Response Coordination
  • Continuity of Health Care Service Delivery
  • Medical Surge

EHPC 24-Hour Emergency Call Number


Critical Incident Stress Management

What is Critical Incident Stress Management (CISM)?

CISM is an intervention protocol developed specifically for dealing with first responders and traumatic events. CISM works to enable individuals to return to their daily routine while minimizing the experience of post-traumatic stress disorder by providing a safe, without judgment or criticism, peer-driven platform for discussion.

How does EHPC support CISM?

The EHPC aims to provide access to CISM leadership, education, training, consultation and support services in comprehensive crisis intervention to the emergency response professions in eastern North Carolina.

For more information regarding CISM, email Kiplan Clemmons.

EHPC 24-Hour Emergency Call Number



As a key function of Capability 6, EHPC developed and implemented a Regional Communications and Information Sharing Plan in 2013. This comprehensive plan outlines mission critical communication guidance along with how to exchange regional health care status information. The guide is geared towards the end hospital/EMS user while offering numerous technical references for further guidance. Common goals of interoperability, redundancy, communication planning and how to find technical assistance in the region were targeted. The EHPC SMAT program has a vast communications cache that includes all modes of RF, voice and data capabilities. There is also an extensive private and public repeater network for amateur radio operations throughout the region that has been established for emergency operations. Each hospital in the EHPC region has been supplied with multiple layers of redundant communications including UHF, VHF, 800 VIPER (the state 800 MHz interoperable system), as well as some satellite phone capabilities.

EHPC has also established a 24-hour one call system with Vidant EastCare Communications. Agencies can call 1-800-672-7828 for access to EastCare or any of our disaster services.

EHPC hosts quarterly meetings for all of its regional stakeholders. Stakeholders include hospitals, EMS, public health (local and state), community health centers, Emergency Management (local and state) and emergency response teams (including, but not limited to, USAR, HAZMAT, 42nd CST). During these meetings, the region is updated on events, grant activities, educational opportunities, exercises and regional disaster planning.

NC Public Health operates NC DETECT (Capability 13) which is a program networking all of the North Carolina hospital emergency departments with a central data mining function looking for trends and pertinent public health threats via patient chief complaints and diagnoses. Vidant Medical Center, with grants from state and federal sources, employs a public health epidemiologist to review hospital health data for reportable events. The public health epidemiologist routinely communicates to EHPC partners with weekly newsletters and public health updates at the EHPC meetings or directly during emergent events.

Public Health also operates the Health Alert Network (HAN) Project in North Carolina. This ensures that each community has rapid and timely access to emergent health information. The HAN functions as the Public Health Information Network (PHIN)’s Health Alert component. This includes collaborating with federal, state and city/county partners to develop protocols and stakeholder relationships that will ensure a robust interoperable platform for the rapid exchange of public health information.

The CDC and state-level HAN is a nationwide project that links public health agencies at the local, state and federal levels to other organizations critical for preparedness and response via continuous, high-speed connection to the internet, broadcast communications, satellite and web-based information distribution, and organizational infrastructure for defense against bioterrorism and health threat. North Carolina Public Health is able to notify public health offices, hospitals, clinics, doctors, press agencies and emergency services of public health issues using facsimile, email, voice and other electronic communication methods.

EHPC Tools and Informational Resources

EHPC strives to keep its stakeholders up-to-date with current tools and information regarding health care and health care system preparedness, response and recovery. Please see the following links for situational awareness:

Partnering agencies

EHPC quarterly meeting resources

Zika virus resources

CMS emergency preparedness rule resources

EHPC 24-Hour Emergency Call Number


Educational Opportunities

The Eastern Healthcare Preparedness Coalition strives to provide a wide range of educational opportunities to assist health care organizations in eastern North Carolina to better prepare for, respond to and recover from a disaster. Please review the following educational opportunities in our area:

Additional educational opportunities will be posted as soon as they become available. You may also visit NC TERMS for more information.

If you have questions, please email Elaina Skarote or call her at 252-847-3002.

EHPC 24-Hour Emergency Call Number


Resource Catalog and Resource Requests

EHPC encourages its stakeholders to communicate with us and your local emergency manager early and often.

When should I call EHPC?

  • Potential or currently occurring infrastructure issue impacting your healthcare facility or agency
  • Potential or currently occurring clinical issues that might require outside assistance
  • Expected or unexpected opening of your EOC or Command Center
  • Any issue where you may need assistance communicating your situation to the region or the state.

Should you need assistance, please fill out the EHPC Resource Request Form and email it to Chris Starbuck.

Available resources

Shelter and Sheltering Support

  • Western Shelter Gatekeeper Tents (19' x 35')
  • Western Shelter Gatekeeper Tent (20' x 20')
  • Deployed Logix ASAP 18 Tent (18' x 15')
  • Western Shelter XE 1200 HVAC Units
  • Handwashing Stations
  • Cots

Response Trailers

  • Magnum MLT 4250 Generator and Light Tower
  • Mobile Field Hospital
  • Clinical Support Unit
  • Operations Support Unit
  • Functional Medical Support Unit
  • Decon Support Unit
  • Genie TML-400N Light Tower
  • Refrigerated Trailer


  • LTV 1200 Ventilators
  • Eagle 73X Ventilators

Portable Suction

  • Portable Suction Units


  • BioSeal Mass Fatality System
  • Communications Cache
  • Cardiac Monitors

EHPC 24-Hour Emergency Call Number


Medical Reserve Corp

The mission of the Medical Reserve Corps (MRC) is to improve the health and safety of communities across the country by organizing and utilizing public health, medical and other volunteers.

The MRC was founded after President Bush's 2002 State of the Union Address, in which he asked all Americans to volunteer in support of their country. It is a partner program with Citizen Corps, a national network of volunteers dedicated to ensuring hometown security. Citizen Corps, along with AmeriCorps, Senior Corps and the Peace Corps, are part of the President's USA Freedom Corps, which promotes volunteerism and service nationwide.

MRC units are community-based and function as a way to locally organize and utilize volunteers who want to donate their time and expertise to prepare for and respond to emergencies and promote healthy living throughout the year. MRC volunteers supplement existing emergency and public health resources.

Volunteers include medical and public health professionals such as physicians, nurses, pharmacists, dentists, veterinarians and epidemiologists. Many community members - interpreters, chaplains, office workers, legal advisors and others - can fill key support positions.

MRC units are assigned specific geographic areas to target by the U.S. Surgeon General. Their goal is to help strengthen the public health infrastructure of their communities. The overarching goal is to improve health literacy and in support of this, work toward increasing disease prevention, eliminating health disparities and improving public health preparedness.

By becoming part of the EHPC MRC, you will enhance the EHPC State Medical Assistance Team (SMAT) in its mission. There are eight regional SMAT teams across North Carolina. Each SMAT program is registered as a regional MRC, providing each team a pool of volunteer personnel to respond to disaster and community events across the state. Teams respond as requested by North Carolina Emergency Management, as well. The EHPC SMAT regional MRC unit covers 29 counties in eastern North Carolina.

For more information about joining the EHPC MRC, email Kiplan Clemmons.

EHPC 24-Hour Emergency Call Number


State Medical Assistance Team

What is a State Medical Assistance Team (SMAT)?

A SMAT II team is a hospital-based team of medical professionals established to provide patient decontamination, mass medical care, alternate care facilities and mass drug distribution points. North Carolina currently has eight SMAT II teams, which are based at each of the Healthcare Coalitions’ sponsor hospitals.

Recent terrorism and North Carolina's history of weather-related events have ignited a renewed commitment in the state of North Carolina to strengthen our readiness and our capacity to respond to these hazards. Numerous local, state and regional agencies are collaborating to enhance the preparedness effort here in North Carolina.

Specifically, three agencies have joined efforts to consider the treatment and response phase of these hazards. The agencies include the North Carolina Office of Emergency Medical Services (NCOEMS), North Carolina Division of Emergency Management (NCEM) and the North Carolina Division of Public Health Epidemiology & Communicable Disease (NCPH). These agencies represent the management system responsible for coordinating a disaster response, ensuring that treatment and prevention strategies are implemented, as well as disease surveillance and medical preparedness.

The goal of this effort is to assure our citizens that when an event occurs in North Carolina, they will be able to get the medical care services they need to protect their health and prevent the further spread of disease. Priorities include enhancing disease monitoring and investigation systems, improving communication capabilities among health agencies, and building the medical response capacity.

The agencies have collaborated to develop the following tiered State Medical Response System (SMRS) plan:

Type II (Regional Level) addresses our hospital-based capabilities (medical surgical capabilities). Each county and hospital in North Carolina is currently included in at least one of eight Healthcare Coalitions. Each coalition will serves as the lead in coordinating organizations across their region and acts as a conduit for information, training, and medical mobilization in preparation for a disaster event. To facilitate these efforts, each Healthcare Coalition will include the health directors from each of the counties included in its geographic area and representatives from local Emergency Medical Services (EMS) and Emergency Management. 

A Type II response involves the delivery of "mobile" packages (mobile field hospitals or decontamination teams) to areas within the region. The equipment inventory consists of personal protective equipment, decontamination materials, medications, etc. The Type II plan involves the lead coalition hospitals in identifying medical augmentation personnel at each hospital within their respective regional areas to respond to an incident with the mobile package, without taxing the medical resources within any one facility.

Type III (Local Level) employs another element of the State Medical Response System (SMRS) and would consist of pre-hospital disaster teams, including Advanced Life Support providers, often the first line of defense. This will involve North Carolina purchasing and distributing, throughout the state, highly mobile packages with basic personal protective equipment, decontamination equipment and medications.
While much of the tiered SMRS plan is still in the developmental phase, the agencies are quickly moving to outline a comprehensive plan that will account for the need to develop and train regional medical teams. Current coordination of medical activities during activation is through the existing Disaster Medical Section as written in the existing State Emergency Operation Plan.

EHPC 24-Hour Emergency Call Number



Thank you for your interest in the Eastern Healthcare Preparedness Coalition State Medical Assistance Team (EHPC SMAT). The following information will give you more detail about SMAT II and requirements needed tomreceive credit for training and attain full membership status.

Application: To join the Eastern Healthcare Preparedness Coalition SMAT II Team or Medical Reserve Corp (MRS) you must complete an application and return it via email or in person. This application also requires that your manager sign off on it so that they are aware of your intentions to participate in the SMAT program.

ServNC: ServNC is a web-based application that you must complete to be a member of SMAT II Team or the Medical Reserve Corp (MRC). This takes about 15-20 minutes to complete. You will need your certifications, license and immunization record. This allows for verification of all information before a deployment. To register for ServNC please visit www.servnc.org. You will need to affiliate with the Eastern Healthcare Preparedness Coalition SMAT II Team.

SMAT Initial Training: Each team member must complete the SMAT Initial Training Course. This course includes a classroom session as well as a skills training session. Because of the large number of team members, we have limited seating for these trainings. Please be reminded that you must register for the SMAT Initial Training.

The EHPC Staff are working diligently to determine the Training dates and locations for the next SMAT Initial Training. These training dates and locations will be posted as soon as the education calendar is developed for 2017. If you have any questions, comments or concerns please email Chris Starbuck.

Prerequisite Requirements: You must complete the mandatory online training requirements before the first class. The SMAT Training/Education Committee is in the process of reviewing the online modules and will make changes as needed.

The EHPC SMAT II requires that you complete five additional online courses provided by the Federal Emergency Management Administration (FEMA) Independent Study Program. The courses you need to complete are:

To access these courses go to the FEMA website or click on the links above. Click on the "FEMA Independent Study" tab located on the green bar at the top of the page. When the IS page opens, click on "Our Courses" and scroll down until you come to the course you want. Click on the course and follow the instructions.

Upon completion of the online exam, FEMA will email you a course completion notice followed by a printed certificate that you will receive in the mail several weeks later. Print a copy of the email notification and save for your file. This will not be due on the first class, but it will be due at a later time.

It is recommended and encouraged that you also complete ICS 300 and 400 (both of these are classroom courses); however, this is not required.

Documentation: On the first day of class we will need the following completed documentation forms with you:

  • SMAT Check Off Sheet
  • Signed SMAT Application
  • SMAT Behavior Policy
  • SMAT Personnel Form
  • VFIS Insurance Form
  • A copy of your professional license (MD, RPh, EMT, etc.)
  • Copies of any certifications (BLS, ACLS, PALS, etc.)
  • A copy of your driver’s license
  • Copies of the Prerequisite Certificate Requirements

These documents will become part of your permanent personnel file, so please provide copies, not originals.

Team Training: EHPC will conduct training in accordance with NCOEMS requirements. Training is generally scheduled as an 8-hour block or as deemed appropriate. Training will cover a variety of subjects and will give team members the opportunity to obtain some extra training on our equipment.

Trainees will be required to dress appropriately. Shoes are to be closed toe and heel. Please be reminded this will be on hands training, and depending on the weather, there may be a chance of getting wet.

SMAT Identification Card: During the classroom training day, you will be photographed and be issued an EHPC SMAT Identification Badge. The ID is to be worn at all training events and deployments. The ID remains the property of the EHPC SMAT and must be returned if you leave the team.

If you have questions or need additional information, please feel free to contact someone listed below.

Chris Starbuck
Healthcare Preparedness Coordinator 
Eastern Healthcare Preparedness Coalition
252-847-6634 office

Elaina Skarote
Disaster Services Specialist
Eastern Healthcare Preparedness Coalition
252-847-3002 office

EHPC 24-Hour Emergency Call Number



An SMAT III Team is an EMS or Fire Department based team that is designed to be the first line of response in support of local agencies in the event of a decontamination event or mass medical care event. There are currently 29 SMAT III teams across the state. There are five in the Eastern Healthcare Preparedness Coalition region.

Mission: Provide a first line of defense locally, assist at hospitals, or respond regionally or statewide at the request of the North Carolina Department of Emergency Management.

Provide local decontamination/medical treatment teams that can rapidly assist/start decontamination operations on victims of chemical exposures or other incidents that would require decontamination.

Team Composition: Each team should consist of at least seven members during a deployment. At a minimum there must be at least one paramedic and six EMTs or higher on each deployment. Each team should be trained three deep for each position, to provide for three complete shifts. Other medical professionals and support staff may be added to the minimum for support of the team's operation.

Team Activation: SMAT III teams can be activated to provide rapid victim decontamination and mass casualty medical care on a local, regional, or statewide level. Teams should be able to deploy locally within one hour and be ready to deploy statewide within two hours.

Teams can be activated by the local host agency, or regionally or statewide by the North Carolina Department of Emergency Management through the Statewide Mutual Aid Agreement.

EHPC 24-Hour Emergency Call Number


SMAT Information Resources

Family Preparedness

Additional Links

SMAT Procedural Documents

  • SMAT Professional Behavior Guidelines
  • Initial and Annual Training Requirements
  • SMAT Deployment Gear
  • SMAT Uniform Issuance

EHPC 24-Hour Emergency Call Number



Chris Starbuck
Healthcare Preparedness Coordinator

Elaina Skarote
Disaster Services Specialist, Planning

Chris Cieszko
Disaster Services Specialist, Logistics

Matt McMahon
Disaster Services Specialist, Communications

EHPC 24-Hour Emergency Call Number


Awards and Accreditations for Emergency and Trauma

Quality Reports for Emergency and Trauma

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