MoD Health & Safety Handbook JSP 375 Vol 2 SAFETY AND EVACUATION PLAN Incident1 Is the incident serious2 Yes Is immediate evacuation necessary? Yes Contact Relevant Authority with details to arrange evacuation Heli-evac, if available and appropriate3 Pass details up chain of command4 1. 2. 3. 4. No Is evacuation necessary? Yes No Contact Relevant Authority with details to arrange evacuation and pick-up point No Medic/first aider to administer appropriate treatment Assist casualty to pick-up point Monitor casualty's progress Expedition Leader, Instructor (s) and Medic assess the situation. After consultation severity to be assessed and course of action to be decided. Methods of contact dependant on location and expedition area. To include relevant embassy (ies) and all UK points of contact, HQ Land, LAIT, HQ TSC(L) and Div HQ etc. April 2001 Leaflet 11 Annex B Appendix 3 Page 1 MoD Health & Safety Handbook JSP 375 Vol 2 1. In the event of a casualty the expedition Leader should only consider continuing with the Ex if there is sufficient instructor/supervisor cover within the party to accompany and facilitate the safe evacuation of any injured personnel. It is essential that the required Instructor/Student ratios are maintained with the remainder of the group. 2. If mountaineering and dependant on the situation it may be possible to utilise an MLT qualified person, with a trained First Aider or Long Range Reconnaissance Patrol Medic, to assist a casualty back to a pick-up point. 3. Instructors/supervisors should always hold First Aid qualifications including Mountain First Aid when mountaineering. It is also advisable, whenever possible, to have a trained Medic in the party. 4. Most National Parks have their own field ambulance and/or paramedic. In most cases this also includes the communication facility to obtain the appropriate rescue facilities. This will invariably include Heli-evac facilities if required. 5. All expedition members must know where the nearest hospitals are (with the appropriate emergency facilities) and have or know the means of being able to contact them. All members of the party should also carry the contact list of emergency services and hospitals. 6. Evacuation by helicopter may be the only way of evacuating seriously injured personnel from remote areas. 7. In many countries on the more popular routes, “Mountain or Refugee Huts” often provide a telephone service and/or radio communication with the local authorities and/or emergency services. 8. Notwithstanding the above expeditions should not rely on the use of the communications provided by the various authorities. Where possible, expedition leaders should be in possession of or try to obtain a reliable method of communications. 9. Mobile telephones are available from most if not all regional Bde HQ and are an essential and vital communications safety link when there is a requirement to summon or contact the emergency services during expeditions. In normal conditions most issued mobile phones are effective and can be used in the majority of countries. Expedition leaders should be aware that the cost of calls, other than to summon the emergency services, will be charged to the individual who has signed for the mobile phone or to his unit UIN. 10. It should also be noted that the only guaranteed method of communication in any country and for use in most conditions is to use a Satellite telephone. Satellite phones are in short supply and are normally only available from the Army Expeditions Advisory Cell for High Risk and/or Remote expeditions. 11. Finally, it should be noted that the cost of rescue and evacuation, including any Heli-evacuation should be covered by a civilian insurance April 2001 policy. Leaflet 11 Annex B Appendix 3 Page 2 MoD Health & Safety Handbook JSP 375 Vol 2 FACTORS TO BE CONSIDERED IN THE EVENT OF A CASUALTY Number of casualties Severity of casualties Mobility of casualty Number of personnel in group Condition of other personnel Position/location on route Proximity (time/distance) of rescue services Prevailing weather and forecast COURSES OF ACTION TO BE TAKEN Maintain command of situation First Aid to casualty Protect casualty from environment Involve group members Confirm own location Establish comms with relevant Rescue/Park Authorities Continue to monitor casualty Keep group informed IN THE EVENT OF EVACUATION April 2001 Allocate personnel to accompany casualty Establish pick up point with Rescue/Park authorities Inform chain of command (UK) Maintain high group morale Assist casualty to pick up point Decide on subsequent plan Brief group on plan of action Rescue/Park Ensure chain of command is kept informed Leaflet 11 Annex B Appendix 3 Page 3