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

1. Technical Session 4B
Topic : Medical Emergency Response Planning at Remote Sites
Medical Emergency
Response Planning in
Remote Sites
Dr. Vineet Datta
MD FRCP(Glasg) MCEM FRSPH
Medical Director
India, Bhutan & Nepal
International SOS

2. Technical Session 4B
Topic : 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?

3. Technical Session 4B
Topic : Medical Emergency Response Planning at Remote Sites
Get-To-Know

4. Technical Session 4B
Topic : Medical Emergency Response Planning at Remote Sites
The Remote Environment

5. Technical Session 4B
Topic : 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

6. Technical Session 4B
Topic : 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.

7. Technical Session 4B
Topic : 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

8. Technical Session 4B
Topic : 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

9. Technical Session 4B
Topic : Medical Emergency Response Planning at Remote Sites
Emergency Care Timeframe

10. Technical Session 4B
Topic : 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

11. Technical Session 4B
Topic : Medical Emergency Response Planning at Remote Sites
Proactive Approach
IncidentPre
Incident
Post
Incident
Pre
Incident
Incident Post
Incident
Event Response Risk Management
Model Model

12. Technical Session 4B
Topic : 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

13. Technical Session 4B
Topic : Medical Emergency Response Planning at Remote Sites
Integrated Medical Response

14. Technical Session 4B
Topic : 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

15. Technical Session 4B
Topic : Medical Emergency Response Planning at Remote Sites
Thank You