AUTHOR=Lentz Thierry , Genty Sabine , Gergereau Alain , Descatha Alexis 

TITLE=Health Support for a Remote Industrial Site

JOURNAL=Frontiers in Public Health

VOLUME=Volume 7 - 2019

YEAR=2019

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2019.00180

DOI=10.3389/fpubh.2019.00180

ISSN=2296-2565

ABSTRACT=This publication is a narrative review that summarizes the main steps for designing the Health Support of a remote industrial site.
In Part I “Evaluation” are displayed the fundamentals for designing a Project Health Plan, such as a realistic and operative definition of “patient stabilization” and the principles of tactical reasoning for Medevacs, specifying how pathophysiology and logistic constraints should be correlated. A core element of the conceptual work consists in partnering these two domains, which usually each go their own way. Both should be considered in terms of delays: in life threatening situations, pathophysiology allows for a (maximum) delay before effective stabilization, while logistics dictates a (minimum) delay for reaching a stabilization facility. Ensuring that these two delays match is the desired result.
Next is detailed the audit / study preparation, i.e. the data gathering needed to get a clear picture of the Project conditions and concerns, workforce headcount and pattern, evacuation vectors and delays, and reference documents. 
Finally, risk assessment and a review of health facilities - in the vicinity and further away - complete the evaluation work.