To: Emergency Medical Alert Network (EMAN) Participants

Date: October 24, 2007

Medical Updates Regarding the Fires—October 24, 2007, 1:00 p.m.

• All hospital emergency departments have beds available for patients. Fallbrook and Pomerado hospitals remain closed.

• The UCSD burn unit is reserving four intensive care unit (ICU) beds for burns and may divert ICU trauma patients for this reason. Trauma patients are being accepted but are being evaluated by the on-call trauma surgeon on a case-by-case basis.

• The following community clinic sites are closed: Borrego Medical Center– Julian office; Family Health Center -

Grossmont (may open today); Indian Health Council – Rincon; Mountain Health and Community Services -

Alpine and Jacumba; Neighborhood Healthcare – all sites closed except El Cajon and Temecula; North County

Health Services – Ramona; Planned Parenthood – Escondido, Carlsbad; Southern Indian Health Council – Alpine, Campo

• The status of medically fragile evacuees at the Qualcomm Stadium shelter is currently dependent upon facility readiness:

o 125 evacuees are to be sent to the Remmington Club Health Center in Rancho Bernardo

o 85 evacuees are to be sent to Villa Monte Vista in Poway

• San Diego County Medical Reserve Corps (MRC) volunteers are currently deployed at various county shelters, including Qualcomm Stadium, the Del Mar Fair Grounds, Valley Center shelter and Escondido High School.

The number of MRC volunteers willing to provide assistance far exceeds the current demand. Please note that MRC volunteers need to be deployed through the County Medical Operations Center before providing assistance at shelters.

Thank you for your continued participation.