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Update on Medical Facilities, Services & MassCasualty Evacuation Options for the Browse

Basin

Presenter: Bruce Anderson

Date: September 6, 2012

Document No:Revision No:

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Background

Document No:

Revision No:

Dr Ian Norton provided an overview of the SIEV36 incident at Drillsafe It occurred to a number of operators that we worked in proximity to the same issues

and that the same could happen to us, and or a major incident offshore that couldrequire the same level of external intervention

INPEX, TOTAL, Shell and Vermillion (working group) representatives met to discussa way forward post Drillsafe

Agreement amongst all that we should collectively explore further options In parallel to this, INPEX were preparing detail and plans for Drilling and Construction

phases of the Ichthys Project commencing in 2013 / 2014

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Way Forward

INPEX (on behalf of the working group) went to Darwin to meet with Dr Ian Norton tofurther discuss our broad requirements and those of the NCCTRC

INPEX developed a scope of work titled Remote WA Medical Facilities Ichthys ProjectReadiness Assessment and shared this amongst the working group

INPEX engaged Dr Norton as a consulting expert to provide advice and options forcompany Medivac options during development drilling and to also review options forMass Casualty Evacuation on behalf of the working group

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Review of Trip Phase 1

16th July Visited Broome Hospital, St John Ambulance 17th July Chartered a plane and flew to Lombadina, Truscott, and Derby

Lombadina (Clean Room) Truscott (Facilities for rotary to fixed wing transfer) and for staging mass casualty

evacuation Derby (visited the RFDS and Derby Hospital)

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Lombadina Clean Room adjacent to fixed wing apron Derby RFDS Base

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Review of Trip - Phase 1

18th July Visited BIA Heliport, Airport clean room and Broome Supply Base

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Parking apron for Large Aircraft adjacent to clean room staging area for Mass Casualty Evacuation?

BIA Clean Room adjacent to Large Aircraft Parking apronBIA Heli-base Control room for Mass Casualty Evacuation?

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Review of trip Phase 2

24 th July National Critical Care Trauma Response Centre (NCCTRC) Facilities andCache

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Part of the Cache First responderpacks andspecialisedequipment readyto deploy

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Review of trip Phase 2

25 th July Careflight

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One of two self Contained advanced lifesupport skids mounted in Lear Jet

Lear 35 in its Darwin hanger Air Ambulances Super King Air

Both skids shown fitted inLear jet.

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What Next for Mass Casualty Evacuation & NCCTRC

INPEX are awaiting a discussion paper and funding proposal from Dr Norton. This willbe shared amongst interested parties. This will propose:

A pre-positioned cache of Mass casualty equipment in Darwin, Broome andTruscott. Option for a similar cache on the North West Shelf if requested

Contribution for cache, equipment and storage facility (air-conditioned container)would come from industry partners

SOPs for use of cache (and replacement of consumables) by local emergencyresponders

NCCTRC will manage all stock and consumable rotations to keep costs down andprevent wastage (swap new for old, and use prior to expiry)

NCCTRC will conduct training for Industry Health staff, including disaster exercises usingthe cache and working alongside NCCTRC staff.

Contribution to both rotation of stock and training from industry partners. Standard training for mutual aid disaster scenarios amongst industry health staff and

local medical staff (aid local resilience)

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Mass Casualty Treatment Options

Initial stabilization of Mass Casualties at Truscott or other remote land site, carried out

by NCCTRC response team (carrying NCCTRC and some industry funded responseequipment). Ability to manage large numbers of patients for 36+ hours in the field.

Trigger of NCCTRC where 4 or more stretcher cases Ability to use existing infrastructure or provide a rapidly deployable field hospital

Packaging and the ability to accompany injured personnel back to tertiary facility(Darwin, or Perth if outside the Kimberley) by the NCCTRC onboard an industryprovided aircraft?

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Mass Casualty Transport

Patient transport capability in Kimberley severely limited. All existing air-ambulances close to capacity flying hours

Major Incident likely to adversely impact health care in the Kimberley for days(delayed urgent transfers down-stream)

Maximum capacity of the existing health system considered to be 4 or lessstretcher cases without severe impact on those facilities

Industry encouragement to contracted transport providers (e.g. Air North, Qantas,Cobham, Pearl, Skytrans etc.) to work with the NCCTRC on a multi-purpose air-craft

and mass casualty evacuation system. Multi Purpose air craft would work on the NCCTRC frame system which could be kept at

Darwin and Broome Seats are re-configured to allow stretcher loading in an RPT aircraft or helicopter NCCTRC and/or local medical responders trained in use and care of patients using

the system, which ever aircraft its fitted to

Negligible reliance on Australian Defence Force (18-24 hours to respond to aKimberley event) or over-stretched local resource

Possibility for the equipment to be used for community disaster/Mass casualties Industry to consider contracting a purpose designed asset, or multi-use aircraft for joint

use in Mass casualty evacuation?

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Pallet type stretchermounts (cargo option)

NCCTRC designed Mass

casualty system for use inaircraft or buses (frame system)

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Next Steps

Wait on report and proposal from Doctor Norton

Review with Industry Partners and discuss any additional detail or issues with DoctorNorton

Determine broader approach to the working mechanics and funding within the widerindustry through APPEA?

QUESTIONS?

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