Remote locations present multiple challenges to the health of people who work, lives or temporally resides in them. Great differences in evacuation time and climate, limited access to basic necessities, limited supplies and communication are just some of the challenges that has to be solved. This comes in addition to the diverse medical challenges posed by the nature of the location and the remote activity in itself. Planning and prevention are therefore essential to ensure that the appropriate health support is available where and when it is needed, and that risks are as low as reasonably practicable. At Remote Health International they both form an incorporated and basic part of our complete RE-MED Healthcare System™.
Our Health Risk Assessment process aims to identify health hazards present at the remote location, evaluate their risk to health and determine appropriate control and recovery measures. Each location is unique and the appropriate controls will therefore vary accordingly.
Factors that could affect the likelihood and severity of an injury/illness include:
The nature of work activities performed at the site
Number of people on site
Transportation options and availability
Characteristics of the working population (e.g. age profile, gender mix, migrant status, etc)
Remote locations present challenges in terms of medical emergency response because of distance and travel time to secondary or tertiary medical care. In addition, the likelihood of poor weather may delay any attempts for a medical evacuation.
In order for us to effectively manage medical emergencies in remote locations, we recommend developing a solid site-specific Medical Emergency Response Plan (MERP). The MERP takes into account the potential for individual and multiple casualties describing the response to various medical emergency scenarios based on the Health Risk Assessment. It also takes in consideration all the specific needs of the work activities, the general situation of the country in which these activities are carried out, as well as any collaboration with local authorities. A well developed, robust and dynamic MERP is essential in our work to save lives, reduce the risk of complications and increase the likelihood of an early recovery.
In order to effectively implement our MERP the following resources are normally required:
A competent Medical Emergency Response Team consisting of Designated First Aiders and Remote Healthcare Practitioners supported by Emergency Physicians and Medical Specialists through our Telemedical Support Team.
Effective means of communications
Adequate means of transportation (ground, water, air)
Local health facilities with adequate medical structures (primary, secondary and tertiary health-care units), equipment and supplies
Persons with a high risk for developing acute illnesses or deterioration of chronic illnesses poses a great challenge to work in remote locations. If not properly addressed, an acute event can put both the workers health and his co-workers health at risk as well as causing undesired interruption of the remote activity.
In order to ensure that an individual can indeed complete his assigned tasks safely and without unacceptable risk to themselves and others we design the Fitness to Work assessment in such a way that it takes into account the remote location itself.
This includes a consideration on:
How the remote site impacts the worker’s health
How health complications impact the individual
The site’s safety and business continuity
The prevailing site-specific risks (e.g. temperature extremes)
Evacuation delays and available on-site health support.
We go to far lengths to assure that our customers workforce is healthy and that compensatory mechanisms are put in place in case we need to compromise.
We offer customized solutions for your remote operation to secure food and drinking water safety at any location.
We base our drinking water solutions on WHO’s Water safety plan (Modified HACCP system) and the possibilities and limitations present at the remote site. The purity of our water and the quality of our water systems forms a fundamental part of the comfort and safety of our clients and co-workers.
We find the optimal solution and customize it for your remote operation adopting the food industry’s Hazard Analysis Critical Control Point (HACCP) approach.
Our food safety services includes:
Identification of critical control points
Identification of critical limits for each critical control point
Identification of critical control point monitoring requirements
Verification to ensure the HACCP system is working.
Providing health in a remote location is very different from that of an urban medical facility. In order to improve remote health and minimize the negative health consequences of the remoteness, everybody involved and in particular the remote healthcare practitioner needs to adopt a certain mindset. We see it as our responsibility to implement that type of mindset in our own work, in the people who we are protecting and at the locations where they live and work. It is therefore thoroughly integrated in all areas of RE-MEDHealthcare system™.
In order to develop the psychological resilience needed to manage the stress and challenges of both life and work, people have to be part of an environment that promotes just that. We strongly believe in the power of a good dynamic team, healthy interpersonal relationships, a positiv problem solving approach to challenges and creating an empowering environment that helps people achieve their goals. People need a lot more than just water, food and sleep to thrive in life and work. To the benefit of everybody involved, we include this aspect from planning to execution of our services.
Health Promotion and Health Awareness
“A healthy mind in a healthy body”
The importance of having a good general level of Mental- and Physical health among people living and working in remote areas can not be overstressed. It has proven fundamental in preventing illness and injuries as well as being beneficial when such do occur. Our RHCP’s are therefore trained in preventive medicine, occupational health and in promoting good mental-and physical health at their work sites. In addition, we seek to instal a general awareness in people concerning their own and others health at the remote location. We do this to enable early detection and rapid management of potentially threatening illnesses or injuries and thereby reducing the chances of unnecessary escalation.
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