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Medevac On High Seas

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This document describes a medical evacuation that occurred at sea. It provides details of a patient, a 34-year-old Indian seaman, who developed Fournier's gangrene/necrotizing fasciitis. Due to the imminent fatality risk and the distance to the scheduled port being 4 days away, a decision was made to request emergency evacuation. Two rescue helicopters were dispatched and medical workers were lowered by winch to retrieve the patient. The patient was then transported to Santa Barbara for further treatment.

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MEDEVAC ON HIGH SEAS ( INCIDENT REPORT ) Dr. A. C. KULKARNI 3 A SIDDHI VINAYAK CHAMBERS BANDRA EAST, MUMBAI 400051
MEDICAL ADVISE INFORMATION TO BE TRANSMITTED BY MAIL OR IN CASE OF EMERGENCY BY TELEPHONE
MEDICAL ADVISE INFORMATION TO BE TRANSMITTED BY MAIL OR IN CASE OF EMERGENCY BY TELEPHONE INJURY: PART OF THE BODY OPEN WOUND / CLOSED BLEEDING CONTROL
MEDICAL ADVISE INFORMATION TO BE TRANSMITTED BY MAIL OR IN CASE OF EMERGENCY BY TELEPHONE INJURY: PART OF THE BODY OPEN WOUND / CLOSED BLEEDING CONTROL LEVEL OF CONSCIOUSNESS
MEDICAL ADVISE INFORMATION TO BE TRANSMITTED BY MAIL OR IN CASE OF EMERGENCY BY TELEPHONE INJURY: PART OF THE BODY OPEN WOUND / CLOSED BLEEDING CONTROL LEVEL OF CONSCIOUSNESS PAIN
ETA LONG BEACH,CA. 4 DEC
PATIENT, 34 YRS, INDIAN SEAMAN. NO PAST H/O DIABETES, HYPERTENSION. HIV AND Hep B NEGATIVE.
SYMPTOMS ON 17 NOV COMPLAINED OF PAIN AND BURNING AROUND ANAL AREA AFTER PASSING MOTION. NO BLEEDING NO CONSTIPATION TREATED SYMPTOMATICALLY
PROGRESSION OF CASE PATIENT DEVELOPED MULTIPLE EXTERNAL PILES. FEVERISH FEELING WITH EXHAUTION UNABLE TO WORK COMPLAINED OF PAIN IN RIGHT GLUTEAL REGION PRESCRIBED ANTIBIOTICS IN CASE
Medevac On High Seas
Medevac On High Seas
DIAGNOSIS FOURNIERS GANGRENE NECTROTISING FASCITIS
DECISION MAKING IMMINENT FATALITY
DECISION MAKING IMMINENT FATALITY DISTANCE / TIME TO SCHEDULED PORT 4 DAYS.
DECISION MAKING IMMINENT FATALITY DISTANCE / TIME TO SCHEDULED PORT 4 DAYS. NO PORT OF REFUGE.
DECISION MAKING IMMINENT FATALITY DISTANCE / TIME TO SCHEDULED PORT 4 DAYS. NO PORT OF REFUGE. SOURCE OF EXTERNAL ASSISTANCE
DISCUSSION WITH RCC ALAMEDA
RICE R- REST I IMMOBILISATION C- COLD COMPRESS E- ELEVATION DISTANCE TO SANTA BARBARA 478 NM
SEQUENCE OF EVENTS 1228 AIRCRAFT RESCUE 07 CALLED VESSEL ON VHF CH 16 FOR SAFETY BRIEFING. 1230 COMMENCED SAFETY BRIEFING ON VHF CH 16 1242 COMPLETED SAFETY BRIEFING 1250 HELICOPTER LANDING CHECKLIST COMPLETED. 1255 AIRCRAFT RESCUE 07 INFORMED APPROACHING TOWARDS VESSEL AND MAKING ROUND ABOVE THE VESSEL.
1300 AIRCRAFT RESCUE 07 ADVISED TO ALTER COURSE 270 AND 10 SPEED KNOTS, AS TWO HELICOPTERS RESCUE 09 & RESCUE 02 COMING SHORTLY TO EVACUATE THE PATIENT. 1315 BOTH HELICOPTER STARTED MAKING ROUND AROUND THE VESSEL. 1318 HELO RESCUE 09 CAME OVER LANDING AREA AND TWO PARAMEDICS WINCHED DOWN. 1320 RESCUE 02 WINCHED DOWN TWO
1320 RESCUE 02 WINCHED DOWN TWO PARAMEDICS ALONG WITH STRETCHER. 1345 PATIENT ON DECK IN STRETCHER 1356 PATIENT PICKED UP BY HELO RESCUE 02 BY WINCHING ALONG WITH TWO PARAMEDICS. 1400 HELO RESCUE 09 PICKED UP TWO PARAMEDICS BY WINCHING 1730 HELO 02 LANDED AT SANTA BARBARA AND PATIENT TRANSFERRED
BLACK HAWK HELICOPTER
Medevac On High Seas
Medevac On High Seas
Medevac On High Seas
Medevac On High Seas
Medevac On High Seas
Medevac On High Seas
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Medevac On High Seas

  • 1. MEDEVAC ON HIGH SEAS ( INCIDENT REPORT ) Dr. A. C. KULKARNI 3 A SIDDHI VINAYAK CHAMBERS BANDRA EAST, MUMBAI 400051
  • 2. MEDICAL ADVISE INFORMATION TO BE TRANSMITTED BY MAIL OR IN CASE OF EMERGENCY BY TELEPHONE
  • 3. MEDICAL ADVISE INFORMATION TO BE TRANSMITTED BY MAIL OR IN CASE OF EMERGENCY BY TELEPHONE INJURY: PART OF THE BODY OPEN WOUND / CLOSED BLEEDING CONTROL
  • 4. MEDICAL ADVISE INFORMATION TO BE TRANSMITTED BY MAIL OR IN CASE OF EMERGENCY BY TELEPHONE INJURY: PART OF THE BODY OPEN WOUND / CLOSED BLEEDING CONTROL LEVEL OF CONSCIOUSNESS
  • 5. MEDICAL ADVISE INFORMATION TO BE TRANSMITTED BY MAIL OR IN CASE OF EMERGENCY BY TELEPHONE INJURY: PART OF THE BODY OPEN WOUND / CLOSED BLEEDING CONTROL LEVEL OF CONSCIOUSNESS PAIN
  • 7. PATIENT, 34 YRS, INDIAN SEAMAN. NO PAST H/O DIABETES, HYPERTENSION. HIV AND Hep B NEGATIVE.
  • 8. SYMPTOMS ON 17 NOV COMPLAINED OF PAIN AND BURNING AROUND ANAL AREA AFTER PASSING MOTION. NO BLEEDING NO CONSTIPATION TREATED SYMPTOMATICALLY
  • 9. PROGRESSION OF CASE PATIENT DEVELOPED MULTIPLE EXTERNAL PILES. FEVERISH FEELING WITH EXHAUTION UNABLE TO WORK COMPLAINED OF PAIN IN RIGHT GLUTEAL REGION PRESCRIBED ANTIBIOTICS IN CASE
  • 14. DECISION MAKING IMMINENT FATALITY DISTANCE / TIME TO SCHEDULED PORT 4 DAYS.
  • 15. DECISION MAKING IMMINENT FATALITY DISTANCE / TIME TO SCHEDULED PORT 4 DAYS. NO PORT OF REFUGE.
  • 16. DECISION MAKING IMMINENT FATALITY DISTANCE / TIME TO SCHEDULED PORT 4 DAYS. NO PORT OF REFUGE. SOURCE OF EXTERNAL ASSISTANCE
  • 18. RICE R- REST I IMMOBILISATION C- COLD COMPRESS E- ELEVATION DISTANCE TO SANTA BARBARA 478 NM
  • 19. SEQUENCE OF EVENTS 1228 AIRCRAFT RESCUE 07 CALLED VESSEL ON VHF CH 16 FOR SAFETY BRIEFING. 1230 COMMENCED SAFETY BRIEFING ON VHF CH 16 1242 COMPLETED SAFETY BRIEFING 1250 HELICOPTER LANDING CHECKLIST COMPLETED. 1255 AIRCRAFT RESCUE 07 INFORMED APPROACHING TOWARDS VESSEL AND MAKING ROUND ABOVE THE VESSEL.
  • 20. 1300 AIRCRAFT RESCUE 07 ADVISED TO ALTER COURSE 270 AND 10 SPEED KNOTS, AS TWO HELICOPTERS RESCUE 09 & RESCUE 02 COMING SHORTLY TO EVACUATE THE PATIENT. 1315 BOTH HELICOPTER STARTED MAKING ROUND AROUND THE VESSEL. 1318 HELO RESCUE 09 CAME OVER LANDING AREA AND TWO PARAMEDICS WINCHED DOWN. 1320 RESCUE 02 WINCHED DOWN TWO
  • 21. 1320 RESCUE 02 WINCHED DOWN TWO PARAMEDICS ALONG WITH STRETCHER. 1345 PATIENT ON DECK IN STRETCHER 1356 PATIENT PICKED UP BY HELO RESCUE 02 BY WINCHING ALONG WITH TWO PARAMEDICS. 1400 HELO RESCUE 09 PICKED UP TWO PARAMEDICS BY WINCHING 1730 HELO 02 LANDED AT SANTA BARBARA AND PATIENT TRANSFERRED