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首页> 外文会议>Society of Petroleum Engineers Middle East Health,Safety,Security and Environment Conference and Exhibition >The Medical Evacuation of Patients with Infectious Diseases from Developing Countries: Duty of Care
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The Medical Evacuation of Patients with Infectious Diseases from Developing Countries: Duty of Care

机译：来自发展中国家传染病患者的医学疏散：护理责任

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As commerce, particularly in the petroleum industry, increases in the developing countries of the African continent, so too does the risk of exposure to highly infectious endemic diseases. Such diseases include avian/swine flu, the viral hemorrhagic fevers (VHF), and multiple drug resistant tuberculosis (MDRTB) to name but a few. Although many countries, through their own Departments of Health, have adopted protocols to report and manage such illnesses, there are limited, if any, guidelines/procedures/vehicles to transport infected patients to centers of medical excellence (COME). Consequently, as these conditions are time-sensitive and many patients never receive adequate medical care, the absence of protocol may violate our duty of care. From our own experience we have learned that medical transport of contagious/infected cases requires complete cooperation and authorization by all government officials responsible for Public Health in the countries concerned as well as in the countries where aircraft would refuel or fly over to reach their final destination. During the severe acute respiratory syndrome (SARS) epidemic, we developed innovative safety measures to protect our medical teams/flight crews from contamination during medical evacuation/transport. Those measures included the design, in accordance with International Health Authority Guidelines (WHO, CDC), and implementation, of a compact, portable isolation unit (PIU), ideal for regional ground/air travel. More recently, we have incorporated a disposable biological containment unit (BCU) into our comprehensive protocols which is designed for a Gulfstream III, ideal for trans-ocean/continental travel. Both the PIU and BCU enhance our ability to medically transport patients. We have demonstrated that: (1) efficient movement of the sick/infected patients has a positive impact on their outcome and (2) the creation and credentialing of a global network of preferred providers willing and able to accept such patients facilitates the transfer to the nearest COME rather than repatriations which may not always be practical or realistic.
机译：作为商业，特别是在石油工业中，非洲大陆发展中国家的增加，也是暴露于高度传染病的风险的风险。这些疾病包括禽类/猪流感，病毒出血性FEVERS（VHF）和多种毒性抗性结核（MDRTB），但少数人。虽然许多国家通过自己的卫生部门通过了报告和管理此类疾病的议定书，但如果有的话，如果有的话，如果有的话，如果有的话，准则/程序/车辆将被感染的患者提供给医疗卓越的中心（来）。因此，由于这些条件是时间敏感的，并且许多患者从未获得足够的医疗保健，则没有议定书可能违反我们的护理责任。从我们自己的经验，我们了解到，传染病/受感染案件的医疗运输需要所有负责有关国家公共卫生的政府官员的完全合作和授权，以及飞机会加油或飞越最终目的地的国家。在严重的急性呼吸综合征（SARS）流行期间，我们开发了创新的安全措施，以保护我们的医疗团队/飞行机组人员免受医疗疏散/运输期间的污染。这些措施包括设计，按照国际卫生管理局（世卫组织，CDC）和实施，致密，便携式隔离单元（PIU），是区域地面/航空旅行的理想选择。最近，我们已将一次性生物遏制单元（BCU）纳入我们的综合协议，该协议是为古尔流III设计的，非常适合跨海/大陆旅行。 PIU和BCU都增强了我们对医学运输患者的能力。我们已经证明：（1）病人/感染患者的有效运动对其结果产生了积极影响和（2）创建和全球网络网络的创建和资本，愿意接受此类患者的全球网络促进转移最接近的而不是遣返，这可能并不总是实际或现实的。

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