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International repatriation following overseas disasters
N J Jefferies1, C Ramage, A Bristow
1Department of Anaesthetics, St Bartholomew's Hospital, West Smithfield, London.
Archives of Emergency Medicine
|June 1, 1991
Summary
The 1990 Joigny coach accident repatriation of 33 patients highlighted the need for a dedicated UK organization with National Health Service (NHS) ties to manage overseas medical emergencies and ensure seamless patient transport.
Area of Science:
- Medical repatriation
- Disaster medicine
- Emergency medical services
Background:
- The Joigny coach accident in 1990 resulted in 33 hospitalised British citizens requiring repatriation.
- Existing procedures for overseas medical repatriation faced significant challenges during this event.
Purpose of the Study:
- To describe the repatriation process following the Joigny coach accident.
- To identify challenges encountered during the repatriation.
- To recommend improvements for future overseas disaster response involving British citizens.
Main Methods:
- Repatriation of 33 patients utilising a chartered McDonnell Douglas 83 aircraft.
- Involved medical staff from St Bartholomew's Hospital Careflight project and EuropAssistance.
- Post-repatriation analysis of the process and encountered difficulties.
Main Results:
- All 33 patients were successfully repatriated to the United Kingdom without mishap.
- Several logistical and organizational difficulties were identified during the operation.
- The need for pre-established agreements and protocols for overseas disaster management was evident.
Conclusions:
- A dedicated organization with repatriation expertise and NHS links is crucial for managing overseas disasters involving UK citizens.
- Development and adherence to a specific protocol, including a UK control centre and on-site team deployment, are essential.
- Effective liaison with airlines and ambulance services is vital for successful medical repatriation operations.