State Medical Assistance Teams

State Medical Assistance Teams

State Medical Assistance Teams (SMAT) bring together a variety of resources and assets, along with overhead, clinical and non-clinical personnel to provide the necessary components for their assigned missions during an emergency or disaster. The State Medical Assistance Teams are a three-tiered system organized by State Coordinated SMAT I teams, regionally coordinated SMAT II teams, and locally coordinated SMAT III teams.

SMAT I - State

The North Carolina SMAT I team is primarily made up of NCOEMS and other State Agency employees.  

Many of the SMAT I capabilities are focused on large scale emergencies and disasters.  This includes the North Carolina Mobile Disaster Hospital (MDH) and its various components.  

SMAT II - Regional

SMAT II teams are regionally coordinated, traditionally through some of our large healthcare systems.  There are currently 7 SMAT II teams:

  • Atrium Health Wake Forest Baptist (Winston Salem)
  • Duke Health (Durham)
  • ECU Health (Greenville)
  • Mission Hospital (Asheville)
  • Novant Health New Hanover Regional Medical Center (Wilmington)
  • UNC Health (Chapel Hill)
  • WakeMed Health & Hospitals (Raleigh)

SMAT III - Local

The SMAT III teams are locally managed.  These teams initially started with a small trailer focused on decontamination, but over time they have moved more towards all-hazards and other specialty healthcare response components.  Each team is unique in their capabilities and how they assist the State Medical Response System.  Capabilities include:

  • Mass Casualty Incidents (MCI)
  • Mass Fatality Management
  • Mobile Treatment Space
  • Scene Responder Rehabilitation Units
  • Special Events 
  • And Many More!
North Carolina Map showing the location of each SMAT team by county.