Scenario discussion

1
Scenario discussion

• MESA
• 5th December 2001

2
Description of Scenario (1)

• End of November 1999 at 6pm, Norwegian coast
• Strong winds, cold water, visibility good
• Catamaran 160 passengers, speed 50 knots hits a
  rock and is stuck on dry land
• The crews understanding is that the need is to
  have a boat there to take the persons to land (5
  minutes ride)
• Only minor injuries, taken care of by the 2 first
  aiders among staff
• Resources mobilised (Rescue boat)

3
Could be-scenario

• 15 severely injured passengers, still 2 first
  aiders

4
Communication needs from boat

• Speaking to health personnel for advise and
  treatment
• Mobile terminals
• Transmission of information, e.g. Pictures to
  health personnel
• Helmet video/ Sequential still photos
• Each patient under monitoring would be
  transmitting data
• Probably only 1 passenger on a ship like this

5
Non-health related need from boat

• Broadcasting function (ch16 VHF) was used, and
  turned out very useful in mobilising other boats
  (See later)

6
Communication needs to boat

• Instructions in voice and data
• Access to databases of procedures (?)

7
10 minutes later

• The boat slided off the rock and into the deep
  and cold water
• No life boats were launched
• Crew had survival suits, passengers life jackets
• Everybody ended in the water
• Due to the heavy wind, the personnel is spread
  over a wide area

8
Communication needs

• The persons in the sea are busy trying to
  survive, and would not be able to do anything on
  communication
• Locating devices in life jackets would have made
  the rescue work easier, but probably not a lot
  initially.

9
1 hour later

• A large number of boats in the area, picking up
  casualties
• Rescue helicopter on scene, picking up some.
• Due to weather conditions, the casualties are
  brought ashore in different places, not where the
  triage point was established

10
Communication needs volunteer boats

• Voice
• Information from boat on personnel picked up and
  where they were brought to
• Information to boat on advise, instructions on
  CPR etc.
• In future many of these boats will have
  computers, but it may not at this point in time
  (2001) be realistic to include them in a MESA
  network.

11
Communication needs rescue helicopter (with
medical doctor)

• Communicating information on patients to hospital
• Voice
• Data
• Multiple applications

12
Communication needs Coast Guard vessel (first
aiders)

• From boat
• Voice
• Data
• Pictures
• Monitoring devices
• Helmet cameras
• To boat
• Pretty much the same as on the primary site.

13
Second hour

• Casualties brought ashore at different locations
• Local ambulances mobilised and taking over
• Local GPs looking after the patients
• The patients transported to hospitals, not
  primarily the hospital originally put on the alert

14
Communication needs triage centres landing
sites (1)

• Mobilisation of centres
• Mobilising staff and resources Pre-set group
  mobilisation and confirmation
• Setting up centre
• Land-line connection to be set up (Wire is
  safe!!)
• Radio-coms to be set up to other actors

15
Communication needs triage centres landing
sites (2)

• Centre functioning
• With front line resources
• Voice
• Data
• Helmet cameras
• Pictures
• EPR(F)

16
Communication needs triage centres landing
sites (3)

• To hospital
• Voice
• Data
• EPR(F)
• Pictures
• Helmet camera
• Monitoring data

17
Ambulance

• When on site
• Voice
• Data
• EPR(F)
• When on its way to hospital
• Voice
• Data
• EPR(F)
• Monitoing data
• Pictures

18
Other actors not included here!

• Voluntary organisations
• Civil defence
• Others