The Hampton Roads Metropolitan Medical Strike Team (HRMMST) consists of 44 positions staffed from a 213 member call group. Team membership consists of fire and rescue personnel, physicians, allied healthcare professionals, logistics and law enforcement personnel from accross the Hampton Roads region. It is a regionally available chemical, biological, radiological, nuclearand explosives (CBRNE) trained medical emergency response team and is a component of the Hampton Roads Metropolitan Medical Response System (HRMMRS).

The HRMMST is trained and equipped to provide operational assistance and expertise to Incident Commanders in the region dealing with the medical effects of a mass casualty incidents involving CBRNE and other incident types that place a similar demand on healthcare systems and resources in the region.

The HRMMST can be deployed in one of four operational levels.