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NATIONAL AEROMEDICAL EVACUATION WORKSHOP NOVEMBER

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					NATIONAL AEROMEDICAL EVACUATION WORKSHOP
             13 – 15 NOVEMBER 2006

            NATIONAL WINE CENTRE

           ADELAIDE SOUTH AUSTRALIA




  ABRIDGED WORKSHOP REPORT
CONTENTS                            PAGE NUMBER

EXECUTIVE SUMMARY                            1

PRIORITISED OUTCOMES                         2

COORDINATION MODEL RECOMMENDATION            4

APPENDIX ONE                                 6
     ABBREVIATIONS

APPENDIX TWO                                 8
     PARTICIPANT LIST

APPENDIX THREE                              10
     AME WORKSHOP EVALUATION
Executive Summary
Background

Following the Bali bombings and other mass casualty disasters, the Australian Government is
working to maximise and better coordinate this country’s national mass casualty Aeromedical
Evacuation capability.

Method

In conjunction with Emergency Management Australia and the Department of Defence, the
Centre for Military and Veterans Health University of Adelaide node presented the 2006
National Aeromedical Evacuation (AME) Workshop in Adelaide from 13-15 November
2006.

This workshop provided the opportunity for the different groups to form a network, compare
their experiences, processes and equipment, explore case studies, identify key issues and
develop recommendations to work toward an Australian national approach to AME for
significant disasters.

To achieve this, 75 representatives were brought together for the first time
from:

       the Australian Government,
       State and Territory Governments,
       the Australian Defence Force,
       domestic and international civilian aero-medical evacuation providers and
       International Defence Forces

The current global instability suggests that the need for preparedness has never been more
vital. This report provides a summary of proceedings that culminated in a list of prioritised
recommendations by which an Australian national approach to mass casualty AME can be
enhanced.

Participants reached an agreed set of outcomes and recommendations from the conference and
associated workshops. These outcomes and recommendation are listed at the beginning of this
report, followed by summaries of presentations from keynote speakers over the three days.

Social Events

A gala dinner at ‘Regattas’ at the Adelaide Convention Centre and a tour of the National
Wine Centre were organised for the participants. Both events were well attended and proved
to be excellent opportunities for participants to engage in informal discussion and build their
networks.




                                               1
Prioritised Outcomes
At the end of the presentation phase, the delegates were split into six syndicate groups where
they were asked to workshop three scenarios - explored later in this report.

The syndicate groups were then asked to group together their top six outcomes in priority
order taking into account the information provided in the presentations, panel discussions and
the scenario workshop activities. Following is the listing of their top desired outcomes for the
aero-medical industry in priority order.

1.     Co-ordination –a national and day to day coordination system

2.     Communication systems that are interoperable and reliable

3.     Clarity of roles (a recognised chain of command)

        Liaison Officers – where they are situated and how do they liaise with
         all appropriate parties

        Training and credentialing – standards agreed to for the whole country

        Exercising – scenario based and regular

4.     Information Officers – people to disseminate information to appropriate parties so that
       the right responses can be made in regard to:

        Augmentation of air assets – use expansion of standard capacity

        Funding – initial and recurrent

5.     National caches – stores: where held and who is responsible for maintenance to
       overcome sustainability problems:

               o how long can we sustain operations

               o capacity (material logistics)

6.     DMAT teams – locations and make-up (should be the same in all jurisdictions)

7.     Call centre capacity need to be addressed

8.     Interoperability of all facets of response

9.     Risk assessment and risk management needs to be carried out

10.    One plan regarding integration of resources from jurisdictions

11.    Regulation – central standards and procedures

12.    Recommend clinical co-ordination centres and designated position for every state

13.    Comprehensive private database for overseas providers

                                                 2
14.    Ongoing multidisciplinary think tanks

15.    Regular Civilian/military/private interface – AMSA role

16.    Web based information source to assist transfer of casualty specific information

        Patient tracking system

17.    Standard response arrangements – to “kick-off” response


The first two items were seen by all of the syndicates as the most critical priorities that should
be addressed as soon as possible. It was thought that by having robust coordination and
communication systems it would likely alleviate a number of the other required outcomes on
the list.

Below is a suggested coordination model provided by one of the Command, Control,
Coordination and Communication syndicates. This model was generally well received and
was offered as an option to be considered in future development of the coordination and
communication systems.

Conclusion

Overall, the AME Workshop was a success. The feedback from the experts in the field will
be used to assist governments in developing a strategy to enhance the national capability for
mass casualty evacuation. The networks formed will improve the inter-jurisdictional
communications and each area will have a clearer understanding of their neighbours
capabilities.




                                                3
Coordination Model Recommendation

The following recommendation for a possible National Co-ordination Model was popular
with all syndicate groups:




              POSSIBLE NATION AL CO-ORD INATION MOD EL

 Need s Senio r                        EMA
 Retriev al                          Co ntro l
 Do ctor                                                                               Do D
                                   Co -o rd ination                                    LO



             ADF                                                Affected
                                                                State
                                                                Co -o rd ination
                                                                Centre

               ADF
               As sets

                           Private           Other          Affected
                           As sets           State          State
                                             As sets        As sets



co-ordinatio n
control
 liaison




                                         4
                                  APPENDIX ONE
                                 ABBREVIATIONS
ACAUST     AIR COMMANDER AUSTRALIA
ACEM       AUSTRALIAN COLLEGE OF EMERGENCY MEDICINE
AIRCDRE    AIR COMMODORE
ADF        AUSTRALIAN DEFENCE FORCE
AEOO       AEROMEDICAL EVACUATION OPERATIONS OFFICER
AFP        AUSTRALIAN FEDERAL POLICE
AHPC       AUSTRALIAN HEALTH PROTECTION COMMITTEE
ALG        AIR LIFT GROUP
AMBUS      ADF AMBULANCE BUS
AME        AEROMEDICAL EVACUATION
AMECG      AME COORDINATION GROUP
AMSA       AUSTRALIAN MARITIME SEARCH AND RESCUE
ANZCA      AUSTRALIAN/NZ COLLEGE OF ANAESTHETISTS
ARA        AUSTRALIAN REGULAR ARMY
ASH        ALICE SPRINGS HOSPITAL
ATLS       ADVANCED TRAUMA LIFE SUPPORT
AVM        AIR VICE MARSHAL

CAA        COUNCIL OF AMBULANCE AUTHORITIES
CBR        CHEMICAL, BIOLOGICAL, RADIOLOGICAL
CCAT       CRITICAL CARE AIR TRANSPORT
COL        COLONEL
CONOPS     CONCEPT OF OPERATIONS
CMDR       COMMANDER
CDRE       COMMODORE
CMVH       CENTRE FOR MILITARY AND VETERANS HEALTH
CMVH-ADL   CMVH – ADELAIDE NODE
C130       HERCULES AIRCRAFT
C17        HEAVY LIFT CARGO AIRCRAFT

DARTS      DEPLOYABLE AEROMEDICAL RETRIEVAL and
           TRANSPORT SYSTEM
DFAT       DEPARTMENT OF FOREIGN AFFAIRS AND TRADE
DG         DIRECTOR GENERAL
DoD        DEPARTMENT OF DEFENCE
DoHA       DEPARTMENT OF HEALTH AND AGING

EHF        EXPEDITIONARY HEALTH FACILITY
EMA        EMERGENCY MANAGEMENT AUSTRALIA
EMST       EMERGENCY MANAGEMENT SEVERE TRAUMA
ETT        ENDOTRACHEAL TUBE

FAST       FLY AWAY SURGICAL TEAM
FEMA       FEDERAL EMERGENCY MANAGEMENT AGENCY (US)
FMC        FLINDERS MEDICAL HOSPITAL

GPCAPT     GROUP CAPTAIN



                      5
                                 ABBREVIATIONS
                                        (cont’d)
HDHSD      HEAD DEFENCE HEALTH SERVICES DIVISION
HSW        HEALTH SERVICES WING
HQ         HEAD QUARTERS

HQJOC      HEAD QUARTERS JOINT OPERATIONS COMMAND

ICU        INTENSIVE CARE UNIT
ISAS       INTERNATIONAL SOCIETY OF AEROMEDICAL
           SERVICES
ISOS        INTERNATIONAL SOS

JOC        JOINT OPERATIONS COMMAND

LSTAT      LIFE SUPPORT FOR TRAUMA AND TRANSPORT
LTCOL      LIEUTENANT COLONEL
LCDR       LIEUTENANT COMMANDER

MAJ        MAJOR
MCAT       MILITARY CRITICAL CARE AEROMEDICAL TEAM
MO         MEDICAL OFFICER

NATO       NORTH AMERICAN TREATY ORGANISATION
NHS        NATIONAL HEALTH SERVICE (UK)
NGO        NON GOVERNMENT ORGANISATION

OC         OFFICER COMMANDING
OHS &TF    OPERATIONAL HEALTH SUPPORT & TRAINING
           FLIGHT
OIC        OFFICER-IN-CHARGE

POTUS      PRESIDENT OF THE UNITED STATES
POWH       PRINCE OF WALES HOSPITAL
PTSD       POST TRAUMATIC STRESS DISORDER

RAAF       ROYAL AUSTRALIAN AIR FORCE
RAF        ROYAL AIR FORCE
RAH        ROYAL ADELAIDE HOSPITAL
RAN        ROYAL AUSTRALIAN NAVY
RDAF       ROYAL DENMARK AIR FORCE
RDH        ROYAL DARWIN HOSPITAL
RFDS       ROYAL FLYING DOCTORS SERVICE
RNZAF      ROYAL NEW ZEALAND AIR FORCE

SAS AMAT   SAS ADVANCED MEDICAL AIR TRANSPORT SYSTEM
SCAT       SPECIAL CASUALTY ASSESSMENT TEAM
SPHCP      SCHOOL OF POPULATION HEALTH AND CLINICAL
           PRACTICE
SR         SPECIALIST RESERVE


                      6
                                  ABBREVIATIONS
                                         (cont’d)
SQNLDR   SQUADRON LEADER

TH       TOWNSVILLE HOSPITAL


UA       UNIVERSITY OF ADELAIDE

UK       UNITED KINGDOM
USAF     UNITED STATES AIR FORCE

VAERCS   VICTORIAN ADULT EMERGENCY RETRIEVAL
         COORDINATION SERVICE

WGCDR    WING COMMANDER




                    7
                                               APPENDIX TWO

                            AME WORKSHOP 2006
                                           PARTICIPANT LIST
Dr Ken Abraham                Prince of Wales Hospital NSW
Professor Paul Arbon          St John Ambulance
AVM Tony Austin               Head Defence Health Services Division
Mr Trevor Barnes              Queensland Department of Health
Mr Rob Cameron                Department of Health and Ageing
GPCAPT Roger Capps            Royal Adelaide Hospital, RAAF SR
Mrs Tracy Carthew             Centre for Military and Veterans Health
Mr Mike Castle                Emergency Management Australia
Mr Peter Channells            Emergency Management Australia
SQNLDR Jess Chessington       New Zealand Air Force
Ms Veena Cochrane             Ausaid
Mr Andrew Coghlan             Red Cross
Dr David Cooper               New South Wales Department of Health
Mr John Cornish               J. Cornish and Associates
LCDR Bob Curtis               Centre for Military and Veterans Health
Mr Claude Daniel              Nova Defence
Mr Martin Dennett             International SOS
SQNLDR Adrian De Savi         Royal Australian Air Force
SQNLDR Michel Devine          CMVH, RAAF
GPCAPT Amanda Dines           Royal Australian Air Force
Mr David Dutton               ACT Ambulance
Professor Niki Ellis          Centre for Military and Veterans Health
A/Professor Joe Epstein       Victorian Adult Emergency Retrieval
LTCOL Evan Everest            Flinders Medical Centre, Army Reserve
Mr Colin Fiford               Emergency Management Australia
Dr Dale Fryar                 Alice Springs Hospital
Dr Alan Garner                Careflight New South Wales
SQNLDR Walter Goedde          Royal Australian Air Force
GPCAPT Bill Griggs            Mediflight, RAAF SR
Mr Klaus Hakanson             SAS Advanced Medical Air Transport
Dr Ken Harrison               Careflight New South Wales
Mr Paul Holman                Convention of Australian Ambulance
                              Association
Ms Michelle Loveday           Emergency Management Australia
Mrs Anne Lucas                Centre for Military and Veterans Health
Ms Liz Lucas                  Centre for Military and Veterans Health
Mr Steffen Lyduch             Aerodoctors
Dr Allan MacKillop            Careflight Queensland
Dr Afsal Mahmood              University of Adelaide
Dr Ron Manning                New South Wales Department of Health
Dr Stefan Mazur               Royal Adelaide Hospital
Professor Sandy McFarlane     Centre for Military and Veterans Health
GPCAPT Neil McGuire           Royal Air Force
GPCAPT George Merridew        Launceston Hospital, RAAF SR


                               8
                                          PARTICIPANT LIST
                                                           (continued)

CMDR Carmel Moore             Royal Australian Navy
Dr Colin Myers                Royal Darwin Hospital
Mr Mike Norris                Department of Defence
Mr Hakan Osterhed             SAS Advanced Medical Air Transport
Mr Ross Pagram                Department of Premier and Cabinet SA
WGCDR Andrew Pearce           Mediflight SA, RAAF SR
Mr Tony Pearce                Director General Emergency Management
                              Australia
Ms Lyn Pearson                Council of Ambulance Authorities
A/Professor Dino Pisaniello   University of Adelaide
LTCOL Cameron Powrie          Australian Regular Army
MAJ Doug Randell              Australian Regular Army
LTCOL Marc Robins             United States Air Force
Mr Howard Roby                Customer Care
Mr Simon Ronalds              Victorian Air Ambulance
SQNLDR Andrew Rosengarten     Victorian Adult Emergency Retrieval
Dr John Setchell              Royal Flying Doctors Service
Dr Peter Sharley              Mediflight SA
GPCAPT Tracy Smart            OC Health Services Wing, RAAF
COL Jim Stewart               United States Air Force
Mr Mark Sullivan              Emergency Management Australia
WGCDR Don Sutherland          HQ Air Lift Group, RAAF
Mr John Tatuvanu              Virginblue
Ms Elizabeth Teeland          International Society of Aeromedical
                              Services
SQNLDR Jude Telford           New Zealand Air Force
Dr Denise Thomas              University of Adelaide
Ms Angela Tierney             Department of Foreign Affairs and Trade
Ms Polly Wallace              Department of Health and Ageing




                               9
                                                                   APPENDIX THREE
AME WORKSHOP EVALUATION

Numbers        25 responses from possible 65 (not including AME working group)

Venue and accommodation
Quality of venue                                15 excellent, 4 very good, 3 good, 3 fair

Quality of catering                             15 excellent, 5 very good, 5 good

Quality of Accommodation                        9 excellent, 4 v good, 8 good, 1 fair, 3 NA
(Hotels - Majestic, Pacific, Royal Coach, Sebel Playford, Riveria, Rydges, Mercure, Hotel
208, Adelaide Club)


Social Events
Regattas Bistro                                 20 excellent, 3 very good, 2 NA

Wine Tour                                       8 excellent, 5 very good, 12 NA

Workshop
Quality of speakers                             16 excellent, 7 very good, 2 good

Relevance of topics                             19 excellent, 6 very good

Relevance of Scenarios                          15 excellent, 8 very good, 2 good

Facilitation                                    22 excellent, 3 very good

Comments
             ‘Great networking opportunity’ (x7commented),
             ‘Exciting advance in AME capability’
             Excellent facilitator (x 6 commented),
             ‘Thoroughly enjoyed it’ (x7commented),
             ‘Loved the gift’
             AV difficulties (x4 commented),
Suggestions
             Repeat in 12-24 months (x 10 commented),
             Ensure feedback to participants (x7 commented)
             EMA develop a register of civilian assets,
             Invite AMSAR (x2 commented),
             Open with description of disaster management system,
             Outcomes must be implemented (x7 commented),
             Develop plan by Jan 07- exercise plan Nov 07-reconvene group Jan 08



                                                 10

				
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