Upstream DeepwaterLogistics-Aviation
SAR-MEDEVAC Call-out Process
---27 December 2017
Bob JablonskiAviation Manager, Gulf of MexicoLogistics-AviationUpstream [email protected]
Bristow SAR-MEDEVAC: +1-855-844-2367
(1) Facility Information
Type: _____________________________ (TLP, Vessel, Support Vessel, etc)
Name: _____________________________
Location: _____________________________ (Block #/Lat-Long)
Radio Frequency: ________________________
(2) Caller’s Name & Phone Number (3) Nature of Emergency (Injury/Illness) (4) Patient’s Medical Status (To be provided by asset/vessel medic)
Stable or Unstable ________________
Blood Pressure ________________
Pulse ________________
Respirations ________________
Patient’s Weight ________________ (5) Location of Patient aboard the Asset (6) Helideck Information & Status (Used to determine a helicopter landing or hoist aboard the asset/vessel)
AW-139 Capable: Yes or No
S-92 Capable: Yes or No
Open for Landing: Yes or No (7) Aviation Fuel Available: Yes or No (8) Special Equipment or Services Required (if any) (9) U.S. Customs Information Asset/vessel is connected to the ocean floor: Yes or No Patient is a Foreign National: Yes or No
*** Do not delay a call-out request just because all information is not immediately available ***
*** Red font highlights the essential information required to initiate a SAR-MEDEVAC call-out ***
Effective: 1 January 2017
Incident Occurs
Personnel at Incident Site
Assess Scene safety and
Patient
First responder or First
Aider Arrives and
Assesses Patient
Tier 2, < 1 hour
Tier 1, < 4 minutes
Tier 3, < 4 hours
Tier 2 Rescue
Team.
Make Area + Patient Safe
Provide Care
Asset Name Control Room 911
Channel 1 Gaitronic PA
or 5XXX
Notify 911
Stabilized by
first responderNO
YES
Tier 3 Medevac
Required?
Treat Patient on
SiteNO
YES
Tier 2 Rescue Team
arrives to stabilize Patient
Activate Medevac
Contact control room at 911
Confirm Patient
Arrives at Hospital
Company Health Advisor
monitors progress
Contact Details for Tier 2 Call Out
Site Supervisor
Site Specific Contact Info to include phone #
Site Medical Professional Paramedics
Site specific (eg. via site Gaitronics PA or phone
XXXX
Remote Medical Support
Dr. XXXXX
TEL: +1 XXX XXX-XXXX
(Contact via site medical professional)
ER Team
Site specific (eg. 911 control room)
Contact Details for Tier 3 Call Out
Bristow SAR-MEDEVAC
+1-855-844-2367Shell Emergency Hotline
+1-713-241-2532
Company Health Advisor
Dr. Remi Aliyu
Cell: +1-832-530-9287
Hospital – Site Specific Tier 3 Hospital Info
ER (XXX) XXX-XXXX // (XXX) XXX-XXXX
Ambulance Transport - For Land Transport
Coordinated through Bristow as required
• Location • # Injured personnel
• Nature of injury / illness • Name, Age, Sex
• Time of incident• Cause of incident
• Contact info of informant
• Incident contained / escalating, area secure?
Obtain Patient and Scene Details
Activate Tier 2 Asset name control room
911
Confirm transport to hospital is
organized (as required)Medevac
(accompanied by Tier 2 Professional)
Notify hospital of patient
(flight crew normally does this)
Tier 4 Medevac
Required?
Confirm Patient
Arrives at Hospital
Company Health Advisor
monitors progress
YES
Tier 4
Medical decision made and includes
input from combination of:
Continue Treatment
at Tier 3 hospitalNO
Tier 0, Immediately
Medical decision made and includes
input from combination of:
• Site Medical Professional
• Remote Medical Support Provider
• Company Health Advisor
Medical decision made and includes
input from combination of:
• Site Medical Professional
• Remote Medical Support Provider
• Company Health Advisor
• Remote Medical Support Provider
• Company Health Advisor
• BU Health Advisor
• Tier 3 Hospital
Effective: 1 January 2017
Critical Category Definitions
24/7 Bristow SAR-MEDEVAC Dispatch +1-855-844-2367
Category Description Implication
Status 1 SAR Response; or Medical – Emergency
(SAR) Search and Rescue Tasking or Status 1 (Emergency) Termed “Life threatening emergency”
SAR Tasking
Requires urgent search and rescue response to individuals and assets in immediate distress
Medical Emergency
Critical Medical Patient Definitions:
New onset of GCS <13, Resp Rate <10 or >29 or SpO2<90, BP <90 or HR <45 or >145
Requires urgent search and rescue response to individuals and assets in distress
Helicopter Air Ambulance Operation (HAA)
Life threatening emergency meeting the status 1 patient definitions
Immediate priority response upon notification
Unable to divert to a secondary tasking or assignment
Priority over status 2-5 tasking’s upon notification
Potential for category downgrade by on-site paramedic
Potential for category downgrade by on-site assessment by our medical staff
Can be diverted by the hospital for ED saturation, ED closure, mass casualty event affecting the receiving facility, non-functioning diagnostic capability, no general surgery available, and significant changes to the patient’s medical condition requiring an alternate hospital for immediate stabilization
We do not usually accept hospital diversions of status 1 patients where the destination is the definitive care facility
Status 2 Medical – Emergency
Status 2 (Emergency) Termed “Time Critical”
Medical Emergency Time critical intervention is required: Major trauma or combination trauma
with burns STEMI ST Elevation (>1mm) in at least
two contiguous leads New onset of stroke <4.5hours
Helicopter Air Ambulance Operation (HAA)
Rarely diverted for a Status 1 due to the time critical nature of the patient Priority over status 3-5 tasking’s upon notification
Trauma definitive care destination – Regional Trauma Center or 24/7 surgical capabilities
STEMI – Regional Stroke Center or facility with Percutaneous Coronary Intervention capability
Critical Burn Patients – Regional burn facility Acute Stroke Patients – Regional stroke system or closest level I, II, III stroke center Same diversion criteria as detailed in the status 1 patient category
Status 3 Medical – Emergency
Status 3 (Emergency) Termed “Stable
emergency”
Stable Medical Emergency
ALS assessment and/or interventions are necessary and ongoing or significant mechanism of injury (MOI)
Helicopter Air Ambulance Operation (HAA)
Response aircraft may be diverted to a higher category of status 1 or 2
Priority over status 4-5 tasking’s upon notification
Can divert to a secondary tasking/location with this patient(s) onboard
These patients are generally treated at a general care hospital, which is defined as having 24/7 emergency department capabilities
The patient requires continuous monitoring and/or medical interventions enroute to the hospital destination
We do not accept hospital diversions of status 3 patients
Status 4 Medical (Non-emergency)
Status 4 (Non-Emergency) Termed “Non-emergency” No need for ongoing advanced life support (ALS) diagnostic evaluation or medical treatment
Helicopter Air Ambulance Operation (HAA)
Response aircraft may be diverted to a higher category of status 1, 2, or 3
Priority over status 5 tasking’s upon notification
Can divert to a secondary tasking/location with this patient(s) onboard
These patients are generally treated at a general care hospital We do not accept hospital diversions of status 4 patients
Status 5 Utility (Non-medical)
Status 5 (A) Passenger Status 5 (B) Cargo
Status 5 (Non-Medical) Termed “Aviation Support Services” Unscheduled passenger flights and logistical cargo movements
Same contact number (855) 844-2367 for these flight requests
Does not require medical attention
The caller information will be passed along to the lead pilot for further coordination of the utility flight
Cargo is limited to size and weight for these rescue configured aircrafts
Aircraft remains in service and is always divertible to higher category
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▪ Crew:
▪ 2 Pilots
▪ 1 Rescue Swimmer
▪ 1 Hoist Operator
▪ 1 Advanced Care Medic
▪ Cruise Speed: 140Knots
▪ VFR & IFR Capable
▪ SAR Capability
▪ 2 x Rescue Hoists
▪ Internal Auxiliary Fuel Tank
▪ Night Vision Goggles (Q1 2018)
▪ DF Homer & Search Radar
▪ Forward Looking Infrared (FLIR) Search Sensor
▪ Satellite Communications System
▪ Sea State 6 Floatation System
▪ Rotor Ice Protection System (S-92)
▪ Alert-30: SAR & MEDEVAC = Day
▪ Alert-45: SAR & MEDEVAC = Night
▪ Confined Space Entry & High Capacity Bilge Pumps
S-92 & AW-139 SAR-MEDEVAC Aircraft
• The best method to rescue or MEDEVAC a patient is to land on the vessel.
❖ Primary = Vessel’s Helideck
❖ Secondary = Alternate Hoist Location
• Some vessels do not have AW-139 or S-92 capable helidecks, or the helideck is fouled, which may drive the need for hoisting using one of the following:
• Rescue Basket • with or without guideline
• Stokes Litter or Bauman Bag• with or without guideline
• Air Rescue Vest (ARV)• with or without guideline 5
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CAP 437 Obstacle Clearances
• S-92 Helicopter• D = 68.49 feet (20.88 meters)
• AW-139 Helicopter• D = 54.6 feet (16.63 meters)
• Vessel Winch Area• Clear Zone: > 5 m diameter
• Maneuvering Zone• Inside Ring: no obstacles > 3 m• Outer Ring: no obstacles > 6 m
• Portion of the maneuvering zone, outside the clear area, may be located beyond the vessel’s side
Keep the patient in a warm, dry area, well clear of the intended hoisting site and as close to the helicopter pick-up area as the patient's condition permits.
Ensure the patient is tagged with details of any medication that has been administered.
Prepare the patient's seaman's papers, passport, medical record, and other necessary documents in order to transfer them with the patient.
Ensure personnel are prepared to move the patient as directed by the helicopter crewmember.
Keep all unnecessary personnel away from the helicopter hoisting area.
8
Secure or remove all loose objects surrounding the operating area
Lower or secure all aerials and standing/running gear, above and in the vicinity of the operating area
Confirm the Deck Party Leader has a portable radio to communicate with the bridge
Confirm the Deck Party is complete, correctly dressed, and in position
Confirm that fire-fighting equipment is available and ready Keep the hose near, but not in the operating area Point hoses and foam nozzles away from the operations area
Confirm the correct lighting is on for night operations (including special nav lights) Direct available lighting to illuminate the pick-up area (do not blind the aircrew)
9
Confirm the Deck Team is ready and wearing brightly colored clothes and protective helmets
Confirm that access to and from the hoisting area is clear with all cargo securely fastened
Confirm that the Officer of the Watch has been consulted about the ship’s readiness
Maintain communications with the helicopter pilots
Always maintain the agreed upon speed and heading throughout the hoisting procedure. Advise if course corrections are required.
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Helicopter hoisting is a high risk operation. A helicopter in flight generates powerful static electricity that can cause serious injury. Therefore, rules to live by:
• Never assist the Rescue Technicians being lowered to the deck• If they need assistance, they will request it after they discharge the static
electricity
• Never touch personnel or equipment being lowered to the vessel
• Never allow unnecessary people near the hoisting area
• Never connect any line or hook from the helicopter to the vessel
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This briefing will be relayed by the Helo to the bridge crew.
1. Establish working frequencies;2. Confirm position of vessel;3. Current sea conditions and wind;4. Request change of course and speed of the vessel if needed;5. Secure deck and all loose objects;6. Keep patient in a protected place;7. Do not help the hoist personnel unless signaled8. Turn vessel radar to stand by;9. Do not attached any cable or lines from the helicopter to the vessel;10. Vessel must maintain constant speed and heading through out the hoist
operation (Failure to do so could result in injury to hoist personnel). Advise if course corrections are required; and
11. Confirm estimated time of arrival.
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Standard hoist sequence Insertion will include:
• Insertion of SAR personnel with guideline;• Delivery of Medic / SAR personnel guideline attached; and• Delivery of Equipment with guideline attached.
(Equipment May include a Basket and/or Stokes Litter)
Standard hoist sequence Extraction will include:
• Extraction of Medic / SAR Personnel (with or without guideline);• Extraction of Equipment with guideline attached; and• Extraction of remaining SAR personnel (Possible circuit in-between to
police guideline)
MEDICAL NOTE: In most cases the Patient will be packaged in the Helicopter Litter for hoisting.
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