Medical Evacuation Report

(Medevac Drill)

Date

: JANUARY 7, 2017

Location

: KK.07 sp1285

Reported by

Reviewed by

Approved by

dr. Hari Sucahyo

Medical advisor
Elnusa

Marwan saputra
Hse Elnusa

Andy Mahri
Party chief

Description
Emergency Response Plan (ERP) is consists of three levels, which each
level of medical evacuation accordance with the conditions and severity of
medical cases. For the first level, medical evacuation refer to Basecamp
clinic, and victims can be stabilized and on observations at this stage
without referring in the second or third level. If it cannot be resolved at
the first level, it will be referral in the second level, Kuala Kurun Hospital
with the aim to obtain the further medical services. When the victim is
necessary to having the further medical service such as special doctor,
specific medical equipment, diagnostic support, etc. The patient will be
referred to the third level, to Doris Sylvanus Hospital at Palangkaraya.

Objective
The objective of Medical Evacuation Drill e.g.:
1. Identify the medical team's ability to respond of emergency in the
field including the communication aspect with physician medical
field, management, ambulance and health services.
2. Identify whether the Emergency Response Plan (ERP) which has
been prepared is going well.
3. Identify whether the coordination and communication of the
emergency response team (ERT) is going well.
4. Ensure that all employees recognize and understand properly with
regard to medical evacuation so that when a real accident
occurred, all lines are able to provide a response properly so that
the purpose of medical evacuation was achieved well.
Target
1. Safety Concern will increase.
2. Equitable understandings with respect to MEDICAL EVACUATION.

3. Identify the feasibility of equipment which supports the medical

evacuation.
4. Identify the capabilities of each personnel whether can determine
appropriate action in the real accident occurred.
5. Identify the travel time of the accident location to the base camp,
Public Health Care, or referral hospital.
6. Identify the obstacles and process anticipation of the medical
evacuation.
Description of Incident
One of preloading crew of Bravo Unit on behalf Andika Reza with 18 years
age has pegged on the part of right leg above knee by snake while
searching of the grass for the tamping process of drill hole, the position in
the KK 09 line SP.1285. The crew has feel pain on his right leg feel
enervate. Federik, field medic of Alpha unit has told the information by
victims friends. Because the snake could have potentially malignant, then
the medical field immediately contact a doctor Basecamp by radio to
report the state of the victim and waits for instructions from the doctor.
Once connected with a doctor via the radio room, the doctor instructed
the medical Dawn for urgent action in first aid, among others by taking
first aid action against the victim, among others, Suction because when
the bite is not too long, then in bandages and given spalk to minimize
movement in the victim's leg so that the poison did not spread fast and
continue to monitor the general condition and vital signs of the victim.
Subsequently, doctor with emergency response team management (HSE,
PC & Client) has decided to evacuate the victim from accident location to
heading off the line of KK 09 so that evacuation process can be easy to a
transporter car. Site Emergency Responses Team (SERT) has deiced to call
the doctor to send an ambulance to accident location immediately.

Chronology

13:15 pm
Radio operators in Base Camp has received an emergency call from
the medical drilling Bravo Unit that informs you that there is one crew
preloading unit Bravo peck snake on the track, then radio operator
immediately call a doctor. With a doctor immediately takes over
communication with medical Federik and gave instructions to the medical
Federik to act first aid, among others with suction since the time the bite
is not too long, then in bandages and given spalk to minimize movement
on the part of the victim's legs so that the poison was not spread fast and
continue to monitor the general condition and vital signs of the victim.
Then the doctors decided to evacuate the victim to the Kualakurun
Hospital
13:20 pm
After receiving the information, the physician immediately inform the
Ambulance to immediately move closer to the position of the unit Bravo.
The information received ambulance immediately docked to the position,
which incidentally Ambulance position not too far from the position of the
unit.
13:25 pm
Ambulance to position the victim, then the paramedic ambulance
leave the action by checking the victim's vital signs and oxygen
installation.
13:30 pm
Ambulance leaving immediately brought the victim directly to the
Kualakurun Hospital while coordinating with the base camp on the
condition of the victim. The victim was still conscious and cold sweat.
13:40 pm
Ambulance arrived at the local palm oil company PT. KRS, the
condition of the victim is still unconscious with blood pressure of 100/90

mm Hg, pulse 135 beats / minute, and breathing 30 times / min. Elnusa
doctor instructed the ambulance paramedics to perform infusion.
13:55 pm
Victims have been installed with a drip infusion RL 30 drops / minute,
the condition of the victim was still conscious and ambulance continue the
journey to the Kualakurun Hospital
14:05 pm
Ambulances deterred and stuck midway palm PT. KRS because there
is roadwork.
14:25 pm
Ambulances escaped from the road improvements and continue their
journey. Condition of the victim is still unconscious with blood pressure of
100/60 mm Hg, pulse 135 beats / minute, and breathing 35 times / min.

14:35 pm
Ambulances entering the area of PT. Asia Pelago, ambulance
paramedics continued to monitor the condition of the victim.
14:50 pm
Ambulances have passed through the portal company PT. Asia Pelago
Cros Line Physician KK 10. doctor Fadlan with EN-04 and HSE Marwan and
doctor Hari with EN-20 vehicle, towards Kualakurun Hospital to coordinate
with the state of emergency in order to prep the hospital more readily and
quickly deal with the victim when the victim arrived in the hospital.
14:55 pm
Ambulances have arrived at the asphalt road towards the hospital
Kualakurun. The state of the victim remains conscious and improved blood

pressure 100/80 mm Hg, pulse 120 beats / minute, and breathing 25

times / min.
15:10 pm
Ambulance Medical ambulance report positions already in the Stone
Bridge area Mahasur of Kualakurun
15:12 pm
Ambulance arrived at the Emergency Room of General Hospital Kuala
Kurun, Gunung Mas regency and the victim examined by the medical
team of the Hospital.
15:20 pm
Victims began to be handled by hospital emergency room doctors
Kuala Kurun, then further treatment, namely the installation of oxygen
hospitals, wound care, drug delivery and anti-venom.
15:35 pm
Medivac declared finished.

ANALYSIS AND REVIEW

In this Medevac, there are some things below as the summary of
medevac drill with positive and negative thing to be concerned:
1. The positive things;
a. Communication which established during the evacuation quite well
with radio operators and personnel who are in the Line
b. Medical field is near the crew at work, this is expected to be
adopted by the another medical field, in case of an emergency, the
medical field can well handle quickly.

c. Medical field has a well action spryly in handling with an

emergency situation.
2. Things that need to be considered or repaired;
a. All of channel radio user is expected to do not use the radio when the
incident occurred so that the evacuation process was not disturbed
by the radio call on the channel.
b. Still found there are blank spots radio communications.
c. The accident location is a place that is difficult to reach because the
road condition, bushes from the location towards the position of
ambulance / vehicle nearby.
d. Ambulance trip from the point of incident to Hospital Kuala Kurun
take as long as 1 hour and 43 minutes.
3. Suggestions and repair;
a. Medical improvements such as medical links between the doctor and
the Medical field and it shall be done immediately a refresh First Aid
training to the entire medical field.
b. Increasing the radio coverage so that can facilitate communication
properly in the field when there is an emergency.

PHOTO MEDEVAC DRILL A5.17