Update on Medical Facilities, Services & Mass Casualty Evacuation Options for the Browse Basin

Presenter: Bruce Anderson Date: September 6, 2012

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Background
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 could require the same level of external intervention INPEX, TOTAL, Shell and Vermillion (working group) representatives met to discuss a 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 to further discuss our broad requirements and those of the NCCTRC INPEX developed a scope of work titled Remote WA Medical Facilities Ichthys Project Readiness Assessment and shared this amongst the working group INPEX engaged Dr Norton as a consulting expert to provide advice and options for company Medivac options during development drilling and to also review options for Mass Casualty Evacuation on behalf of the working group

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)

Lombadina Clean Room adjacent to fixed wing apron

Derby RFDS Base 4

Review of Trip - Phase 1

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

BIA Heli-base Control room for Mass Casualty Evacuation?

BIA Clean Room adjacent to Large Aircraft Parking apron

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

Review of trip Phase 2

24th July National Critical Care Trauma Response Centre (NCCTRC) Facilities and Cache
Part of the Cache First responder packs and specialised equipment ready to deploy

Review of trip Phase 2

24th July Royal Darwin Hospital Helipad Darwin Private Hospital Royal Darwin Hospital Emergency Department

Review of trip Phase 2

25th July Careflight

One of two self Contained advanced life support skids mounted in Lear Jet

Both skids shown fitted in Lear jet.

Lear 35 in its Darwin hanger

Air Ambulances Super King Air 8

What we found or had reaffirmed

The Browse Basin is remote and isolated at least 6+ hours from any tertiary care facility. WA Health Department has purchased 6 beds from the NT Department of health this decision was made to reduce the travel time for ill or injured persons between the Kimberley and Perth vs. the Kimberley and Darwin sectors We have good medical facilities and really good medical and allied medical personnel working in the Kimberley. We can always rely on them to help, but their specialist services are limited and cannot always be relied on to be there or to be available when we need them The RFDS triage process dictates that they will continually assess and always attend to those most in need. Decision required as to whether we are prepared to wait and or be bumped if there is a greater need than our own

What Next for Ichthys Development Drilling Campaign?

Decision for Drilling on where we go with a Priority 1 or 2 Medivac (with one or more patients) Broome, Ichthys, Truscott, Darwin = 360 minutes (EC225 & Lear 35 Jet)? Broome, Ichthys, Broome, Perth = 510 minutes (EC225 &Lear 35 Jet)? Decision for Drilling on how we care for one or two Priority 1 or 2 patients in a Medivac Plan to have an intensive care specialist paramedic offshore for campaign duration Plan to have all medical equipment required for two simultaneous intensive care medevac's offshore and that will seamlessly interface between rotary wing and fixed wing air ambulance Plan to have call off and contingency air ambulance available for transport to Darwin Further discussion required with other operators to find synergies of resources and develop a mutual aid agreement or options to co fund a permanent fixed wing air ambulance resource

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What Next for Mass Casualty Evacuation & NCCTRC

INPEX are awaiting a discussion paper and funding proposal from Dr Norton. This will be shared amongst interested parties. This will propose: A pre-positioned cache of Mass casualty equipment in Darwin, Broome and Truscott. 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 emergency responders NCCTRC will manage all stock and consumable rotations to keep costs down and prevent wastage (swap new for old, and use prior to expiry) NCCTRC will conduct training for Industry Health staff, including disaster exercises using the 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 response equipment). 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 industry provided 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 less stretcher 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 a Kimberley 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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NCCTRC designed Mass casualty system for use in aircraft or buses (frame system)

Pallet type stretcher mounts (cargo option)

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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 Doctor Norton Determine broader approach to the working mechanics and funding within the wider industry through APPEA?

QUESTIONS?

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