Using Technology to Aid Communications in the Medical Emergency Response of a Remote Industrial Site

To ensure effective and efficient communications in a mass casualty response scenario at a remote industrial site with limited clinical personnel. Changing site conditions including transitioning to a Major Hazard Facility with an increased risk profile, reduction in on-site clinical resources, and the introduction of new emergency processes prompted a rethink of Chevron Australia’s existing medical emergency communications and the development of an electronic tracker. Information in medical emergency situations had traditionally been communicated verbally via radio or phone. When SMART triage cards with eight-digit "unique identifiers" were introduced, communicating via this technology increased the potential margin of error. An electronic tracker allows every level of response to receive timely, reliable information they require for decision-making purposes during an emergency event. The tracker was developed with a separate page for each level of response; Field, Casualty Clearing Post, Evacuation/Logistics and Perth Emergency Management. The barcode "unique identifier" is electronically read at the Casualty Clearing Post and entered as initial patient data. Data only needs to be entered once and automatically pre-populates the additional pages, such that coordinators can carry out their response duties efficiently and effectively. The electronic tracker was developed and trialed during site emergency exercises, resulting in refinements to make it more user friendly and reduce errors. The final tracker is now utilized simultaneously at three levels of the organization, providing all levels of response with information necessary for their role. There have been amendments to the tracker following emergency exercise evaluation. However, from its inception, patient data errors have reduced significantly to the point that irregularities can be identified and rectified in the appropriate area. Chevron Australia’s Perth Emergency Management Team have access to accurate, timely information for their briefings. The tracker enables clinical and emergency coordination staff to have accurate, timely information of the patient journey and reduces their need to communicate and receive verbal messages. Demonstration of the electronic tracker will be provided.