Medical Emergency Response Planning in Remote Sites | Dr. Vineet Datta, Medical Director India,...

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Global HSE Conference | Sept 26 - 27 2013 | New Delhi, India

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Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

Medical Emergency Response Planning in Remote Sites

Dr. Vineet DattaMD FRCP(Glasg) MCEM FRSPH

Medical DirectorIndia, Bhutan & NepalInternational SOS

Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

Agenda

Why MERPs?

How to mitigate the risk?

Who is this for?

Q & A

What should be implemented?

Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

Get-To-Know

Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

The Remote Environment

Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

Risk Classification

• Occupational Exposure

• Chronic Diseases

• Accidents• Natural Disasters• War & Terrorism• Infectious Diseases

• Location• Environmental• Cultural• Institutional

• Corporate• Individual• Family

Internal External

ContinuousEmergent

Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

Who should it help / help the most?

The patient!!!!!!

A quality MERP most directly benefits a sick or injured or dying person and their family and relatives and friends and employer.

And why this helps is because all the information needed to know to provide help quickly, safely and efficiently is in one place and accessible 24/7... And in hopefully an updated condition.

Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

How often should it be updated?

The emergency response procedure should be updated every time something significant changes on the location in terms of the staffing numbers, logistics, the surrounding medical facilities, endemic illness, medical staff on-site, medical and inventory on-site, transport options etc etc.

Does this happen???....if not..... better late than never

Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

Is This What You Do?

• Emergency vs. Evacuation procedure• Location / Coordinates / Site plans• Local medical infrastructure• Medical resources / Skill-sets• Preferred medical facilities• Local transport• Access routes• Immigration hurdles• Authorized person

Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

Emergency Care Timeframe

Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

What to Review?

• Risk / Scenario based• Determination of minimal medical support needs• Trained responders / FAKs• Transportation assets• Identify designated healthcare providers• Likely evacuation routes• Contact details of key personnel• Means of communication• Incident documentation and post-action briefing

Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

Proactive Approach

IncidentPre Incident

Post Incident

Pre Incident

Incident Post Incident

Cost & D

isruptio

nCost & Disruption

Event Response Risk ManagementModel Model

Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

What is the Mitigation?

• Occupational Exposures

• Chronic Diseases

• Accidents• Natural

Disasters• War & Terrorism• Infectious

Diseases

• Environmental

• Cultural• Institutional

• Corporate• Individual• Family

Internal External

ContinuousEmergent

• Site Health Review

• Health Impact Assessment

• Health Risk Assessment

• Health Check & Vaccination

• Medical Staffing

• Site Health Review

• Health Incident Planning

• Health Check & Vaccination

• Health Incident Planning

Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

Staffing Programs

Procurement

Consulting

Support

Training Services

Integrated Medical Response

Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

Key Message: Be Effective

• Developed prior to onset of activity• No one size fits all• Effectively communicated• Designed to facilitate important actions in parallel• Integrated into organizations general ERP• Responsibility of line management• Regularly tested through drills• Review….Review….Review• Ensure emergency management continuum

Technical Session 4BTopic : Medical Emergency Response Planning at Remote Sites

Thank You