RESPONSE
When the call comes in, National EMR activates with field-tested teams and self-sufficient response systems, deploying assets within 12–48 hours. With an Emergency Operations Center and mobile command units, the organization operates under a NIMS/ICS-compliant structure, ensuring effective supervision and seamless integration with local, state and federal teams.
Trust our team to respond when every second counts.
RAPID EMERGENCY RESPONSE
Kerrville Floods (2025)
INCIDENT MANAGEMENT · REUNIFICATION · PUBLIC RECORDS MANAGEMENT · LOGISTICS
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ESF #: 5, 6, 7, and 15
Operational Highlights:
- 84 days operational (ongoing)
- 93 personnel deployed
- 215 participating agencies
- 150+ survivors evacuated
- 34,950 responder meals served
Location: Texas
Services Provided:
- Deployed a full Type I Incident Management Team (IMT) to the Kerrville Emergency Operations Center (EOC) to augment operations, planning, and logistics ICS functions, establishing Unified Command.
- Command and General (C&G) Staff established operational processes and coordinated 2,500+ multi-agency response personnel.
- Mobilized Mobile Command Platforms (MCPs) to support incident management and logistics assets for search and rescue.
- Reunification teams helped reconnect separated families.
- Public records management teams collected and properly stored all response documentation.
Hurricane Beryl (2024)
TURNKEY SHELTERING · MEDICAL
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ESF #: 5, 6, and 8
Operational Highlights:
- 13 days operational
- 300 medical shelter beds established
- 250 turnkey beds stood up in 26h
- 37 people evacuated pre-disaster
- 134 shelter patients supported
Location: Texas (2 counties)
Services Provided:
- Evacuation Triage Teams (ETTs) conducted shelter triage at multiple evacuation hubs and helped evacuate nursing facility residents in Goliad, TX.
- Operated two turnkey medical shelters in Schertz and at the NRG Arena in Houston, TX, to support evacuees.
- Established a Medical Shelter Triage Hotline, processing 255 calls to assess and determine evacuee medical shelter eligibility.
- Served 6,138 meals, conducted 12 EMS transports, and filled 334 prescriptions for shelter patients.
- Mobilized equipment and specialized squads of logistics personnel and electrical contractors to alleviate critical infrastructure outages for medical facilities.
- Provided case management support for post-shelter housing transitions, helping survivors secure stable accommodations.
Hurricane Helene (2024)
MASS FEEDING · DAMAGE ASSESSMENTS
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ESF #: 3, 5, and 6
Operational Highlights:
- 13 days operational
- 26 personnel deployed
- 41,750 meals produced
- 61 facilities assessed for damage
Location: North Carolina (7 counties)
Services Provided:
- Deployed six mobile teams to assess human services facilities across NC, providing HHS with critical data on service accessibility impacts and recovery priorities.
- Partnered with Operation BBQ Relief, deploying a team to help prepare food for impacted residents and disaster responders.
Hurricane Milton (2024)
SHELTER SUPPORT · MASS FEEDING · CASE MANAGEMENT
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ESF #: 5, 6, and 8
Operational Highlights:
- 32 days operational
- 17 shelters staffed
- 131 personnel deployed
- < 14 hr. mobilization time
- 8,824 shelter guests supported
Location: Florida (4 counties)
Services Provided:
- Deployed disaster responder teams to support 17 general population and medical needs shelters in Florida pre-disaster.
- Mobilized requested staff in less than 14 hrs. following task order. Staff were on site in Florida within 18 hrs. of task order.
- Embedded a Liaison Officer in the FL State EOC to work alongside state leadership to address shelter needs and guide response decisions.
- Provided on-the-ground support in shelters during landfall, guiding safety plan implementation and addressing critical infrastructure needs.
- Partnered with Operation BBQ Relief to help prepare food for disaster survivors and responders.
TX PANHANDLE WILDFIRES (2024)
TURNKEY BASE CAMP
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ESF #: 6
Operational Highlights:
- 9 days operational
- < 2 hr. mobilization time
- 250 base camp beds stood up in 16 hrs.
- 201 base camp guests supported
- 2,958 meals served
Location: Texas
Services Provided:
- Established and operated a 24-hour turnkey base camp in Borger, TX, within 34 hours of tasking, rapidly expanding capacity from 250 beds to 334 beds to meet needs.
- Delivered comprehensive life-support services, including 2,958 meals, 224 cot kits, and hygiene supplies to meet responder needs during sustained operations.
- Provided on-site facilities management and logistics support (beds, showers, hygiene stations, and comfort items) to ensure responder readiness and wellbeing.
- Conducted full demobilization and site remediation post-operations, repairing infrastructure and completing landscaping.
LAHAINA WILDFIRES (2023)
INDIVIDUAL ASSISTANCE (IA) · CRISIS COUNSELING ASSISTANCE
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ESF #: 8
Operational Highlights:
- 43 days operational
- 17 personnel deployed
Location: Hawaii
Services Provided:
- Collaborated with the Administration for Strategic Preparedness & Response (ASPR) and the State of Hawaii to provide behavioral health support to the survivors of the Lahaina wildfires.
- Mobilized licensed counselors and social workers to a disaster community mental health clinic, community events, the Lahaina Disaster Recovery Center (DRC), and hotel outreach to help survivors navigate recovery.
- Collaborated with other recovery agencies to share insights and improve the behavioral health response based on community needs.
COVID-19 PANDEMIC (2020-2023)
MEDICAL · PUBLIC HEALTH · TURNKEY SHELTERING· CASE MANAGEMENT
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ESF #: 1, 5, 6, 7, and 8
Operational Highlights:
- 3 years operational
- > 82K emergency responders mobilized
- > 10K staff deployed concurrently
- > 500 mission taskings completed
- > 104K infusion treatments administered
- > 117K COVID vaccines administered
- 2K staff mobilized in 48 hrs.
Location: Texas (226 counties), Missouri, & New Mexico
Services Provided:
- Executed pandemic response operations across 89% of Texas counties including medical surge staffing, treatment and vaccination sites and mobile teams, alternate care sites, fatality management teams, and infection control teams.
- Ran the 24/7 State of Texas Infusion Hotline to coordinate scheduling of monoclonal antibody treatment, processing 127,371 infusion referrals.
- Provided shelter management, logistical support, and food services to operate a 400-bed general population shelter in Dallas, TX to help offset lost beds at homeless shelters caused by social distancing precautions.
- Special Infection Control Assessment squads conducted 994 infection control assessments in long-term care facilities to implement mitigation measures.
- Established and operated five low to moderate acuity Alternate Care Sites (ACS), with a combined capacity of 497 beds.
- Staffed 251 hospitals during medical surge.
- Established 17 drive-through testing facilities and ran a Testing and Treatment Center, a vaccination clinic, and nine Regional Infusion Centers.
UVALDE SCHOOL SHOOTING (2022)
CASE MANAGEMENT
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ESF #: 5 and 6
Operational Highlights:
- 165 days operational
- 39 families served
- 364 successful contacts and connections to advocate for survivors
Location: Texas
Services Provided:
- Case management teams supported Uvalde shooting victims and families, guiding them in accessing resources to meet immediate and ongoing needs.
- Provided logistical support to effectively conduct operations including 100 cots and linen, nine Western Shelters, six conex containers, and two generators.
- Coordinated with the State of Texas to assess needs and connect survivors with critical support.
BORDER SURGE SHELTER (2021-2022)
INFLUX CARE FACILITY · TURNKEY SHELTERING · CASE MANAGEMENT
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ESF #: 5, 6, and 8
Operational Highlights:
- 394 days operational
- 11,060 children supported
- 1,700 staff maintained on site
- 31K medical assessments completed
- 1.7M meals served
Location: Texas
Services Provided:
- Established and operated a 24/7 Influx Care Facility (ICF) in Carrizo Springs, mobilizing comprehensive logistical resources including modular buildings, conex units, vehicles, ambulances, fire engines, and medical and communication assets.
- Provided on-site care and medical, education, legal, case management, behavioral, and recreation services for over 11,060 children.
- Rostered, cleared, trained, and deployed over 5K responders throughout the operation.
- Maintained 250 isolation beds (the single largest negative-pressure isolation capability in Texas at the time) with dedicated epidemiologists, achieving a 0% on-site COVID positivity rate.
- Case manager teams processed cases, reunifying 10,276 children with their sponsors.
HURRICANE IDA (2021)
TURNKEY SHELTERING · MEDICAL· CASE MANAGEMENT
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ESF #: 5, 6, and 8
Operational Highlights:
- 40 days operational
- 4 medical shelters operated
- 1,050 turnkey medical beds combined
Location: Louisiana
Services Provided:
- Stood up and operated four medical shelters in New Orleans, Bossier City, Alexandria, and Baton Rouge to support Hurricane Ida evacuees.
- Provided medical triage and patient support services.
- Integrated logistics with local emergency operations centers.
WINTER STORM URI (2021)
LOGISTICAL SUPPORT · INDIVIDUAL ASSISTANCE (IA)
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ESF #: 7
Operational Highlights:
- 16 days operational
- 4 generators deployed
- 242 MREs, 2,000+ water bottles, 1 tanker truck, 1 plumber, 1 water trailer, 4 electricians, and fuel for generators
- 4 warming centers staffed
Location: Texas (6 counties)
Services Provided:
- Coordinated generator and emergency fuel response during a winter storm that impacted Texas, leaving around 4 million households without power and heat and water system failures.
- Provided long-term care facilities, dialysis centers, and nursing homes with staffing, generator, water, and fuel support during widespread power outages to ensure safety of at-risk residents.
- Equipped City of San Antonio employees with FEMA IA application training to better support impacted residents.
LA COVID-19 PANDEMIC (2020)
TURNKEY SHELTERING · MEDICAL · PUBLIC HEALTH
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ESF #: 5, 6, and 8
Operational Highlights:
- 223 days operational
- 1K beds with 3K-bed surge capacity
- 465 personnel deployed
Location: Louisiana
Services Provided:
- Established and operated a Medical Monitoring Station (MMS) in New Orleans, LA to provide isolation and treatment services to COVID-positive patients.
HURRICANE DELTA (2020)
TURNKEY SHELTERING · MEDICAL· CASE MANAGEMENT
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ESF #: 5, 6, and 8
Operational Highlights:
- 65 days operational
- 100 turnkey medical shelter beds
Location: Louisiana
Services Provided:
- Stood up and operated a 100-bed medical shelter at the Alexandria Mega Shelter in Louisiana to support Hurricane Delta evacuees.
HURRICANE LAURA (2020)
TURNKEY SHELTERING · MEDICAL · CASE MANAGEMENT · INDIVIDUAL ASSISTANCE (IA)
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ESF #: 5, 6, and 8
Operational Highlights:
- 98 days operational
- 3 medical shelters operated
- 426 total turnkey beds
- 1,322 survivors provided case management services
- 1,640 service referrals provided
Location: Louisiana (21 parishes) & Texas
Services Provided:
- Established and operated two turnkey medical shelters in Texas, 276 beds in San Antonio and 50 beds in Austin, to support evacuees.
- Established and operated one 100-bed shelter in Alexandria, LA for evacuees.
- Deployed case management teams to provide immediate disaster case management services to Hurricane Laura survivors, helping them navigate recovery.
- Processed 11,431 survivor calls to the case management call center, of which 1,640 received information referrals and 1,322 participated in extended case management services.
PARADISE CAMP FIRE (2019)
CASE MANAGEMENT · INDIVIDUAL ASSISTANCE (IA)
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ESF #: 5 and 6
Operational Highlights:
- 112 days operational
- < 48 hr. mobilization time
- 24 personnel deployed
- 1,564 families supported
- 4,203 survivor contacts made
- 869 resources vetted
Location: California
Services Provided:
- Provided Immediate Disaster Case Management (IDCM) services to survivors of the Paradise fire, helping them navigate available recovery resources.
- Supported FEMA and partner agencies at the Disaster Recovery Center (DRC) to connect survivors with critical resources and recovery services.
- Deployed mobile case management teams to the impacted area to close transportation gaps and ensure equitable access to services. Case managers talked to survivors in 90 different locations including community service agencies, churches, Walmart parking lots, stores, and RV parks and campgrounds.
BORDER SURGE SHELTER (2019)
INFLUX CARE FACILITY · TURNKEY SHELTERING · CASE MANAGEMENT
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ESF #: 5, 6, and 8
Operational Highlights:
- 43 days operational
- 1,008 turnkey bed capacity
- > 750 personnel deployed
Location: Texas
Services Provided:
- Established and operated a 24/7 Influx Care Facility (ICF) in Carrizo Springs, mobilizing comprehensive logistical resources and services to operate the site.
- Provided on-site care and medical, education, legal, case management, behavioral, and recreation services to unaccompanied children.
- Case manager teams processed cases, reunifying 426 children with their sponsors.
- Cleared and maintained a roster of 4,026 responders to support rapid operational scaling.
BORDER SURGE SHELTER (2018-2019)
INFLUX CARE FACILITY · TURNKEY SHELTERING · CASE MANAGEMENT
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ESF #: 5, 6, and 8
Operational Highlights:
- 215 days operational
- 43,000 sq. ft. congregate shelter
- < 24 hr. mobilization
- 3,000 turnkey bed capacity
- > 1,900 personnel deployed
Location: Texas
Services Provided:
- Established and operated a 24/7 Influx Care Facility (ICF) in Tornillo, TX, building out 469,000 sq. ft. of tenting with full utilities—including power, water, sewer, HVAC, and electrical systems—in an area with no pre-existing infrastructure.
- Engineered and sustained full water and wastewater systems on a site with no utilities, building on-site storage, pump delivery, and distribution networks that provided 24–36 hours of water self-sufficiency and safely managed nearly 10 million gallons over nine months.
- Provided on-site care and medical, education, legal, case management, behavioral, and recreation services to unaccompanied children.
HURRICANES IRMA & MARIA (2017-2018)
CASE MANAGEMENT · INDIVIDUAL ASSISTANCE (IA)
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ESF #: 5 and 8
Operational Highlights:
- 657 days operational
- 143 operational locations
- 15,992 disaster survivors served
Location: Puerto Rico, U.S. Virgin Islands, Massachusetts, Illinois, Colorado, Connecticut, & Florida
Services Provided:
- Provided Immediate Disaster Case Management (IDCM) services to survivors of Hurricanes Irma and Maria, both in Puerto Rico and displaced across the U.S., to help them navigate available recovery resources.
- Deployed case management teams to fixed and mobile sites across Puerto Rico, ensuring survivors could access services despite transportation challenges.
- Assisted 751 evacuees with disabilities and medical, access, and functional needs from the U.S. Virgin Islands to return home or relocate safely.
HURRICANE HARVEY (2017)
TURNKEY SHELTERING · MEDICAL · CASE MANAGEMENT · INDIVIDUAL ASSISTANCE (IA) · BASE CAMP
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ESF #: 5, 6, and 8
Operational Highlights:
- 202 days operational
- < 24 hr. mobilization time
- 7 emergency shelters operated
- 2,000 total shelter beds
- 250 base camp beds
- 243,000 survivors served
- > 2,900 resources vetted
Location: Texas
Services Provided:
- Established and operated seven turnkey emergency shelters for Hurricane Harvey evacuees, providing 500 medical beds (San Antonio & Austin) and 1,500 general population beds (Port Arthur & Orange, TX).
- Deployed fixed and mobile case management teams across the State of Texas to provide recovery support to survivors.
- Reached 243,000 survivors through outreach, a case management hotline, and on-site support at Disaster Recovery Centers (DRCs).
WIMBERLEY MEMORIAL DAY FLOOD (2015)
CASE MANAGEMENT · INDIVIDUAL ASSISTANCE (IA)
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ESF #: 5 and 6
Operational Highlights:
- 6 weeks operational
- < 12 hr. mobilization
- Hundreds of families assisted
Location: Texas
Services Provided:
- Deployed Individual Assistance (IA) and housing support teams within hours to assist survivors in Hays County, TX.
- Conducted unmet needs and housing assessments to identify and address survivor priorities.
- Supported Disaster Recovery Centers (DRCs) and participated in local coordination meetings to align resources.
- Connected survivors with long-term recovery and aid programs.
HURRICANE KATRINA (2005)
INDIVIDUAL ASSISTANCE (IA) · TURNKEY SHELTERING · MEDICAL
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ESF #: 5, 6, 7, and 8
Operational Highlights:
- 60+ days operational
- > 1,500 staff deployed
Location: Louisiana & Mississippi
Services Provided:
- Rapidly established emergency shelters across Louisiana and Mississippi.
- Deployed thousands of medical and logistics personnel to sustain operations.
- Delivered full-scale medical, shelter, and logistics support under FEMA task order.
ESF# Reference Guide
ESF#1 Transportation | ESF#2 Communications | ESF#3 Public Works and Engineering | ESF#4 Firefighting | ESF#5 Emergency Management
ESF#6 Mass Care, Housing, and Human Services | ESF#7 Resources Support | ESF#8 Public Health and Medical Services | ESF#10 Oil and Hazardous Materials Response
ESF#11 Agriculture and Natural Resources | ESF#12 Energy | ESF#13 Public Safety and Security | ESF#14 Long-term Community Recovery and Mitigation | ESF#15 External Affairs