open access

Vol 71, No 2 (2020)
Original article
Submitted: 2020-03-08
Accepted: 2020-03-27
Published online: 2020-06-27
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Medical evacuations among offshore oil and gas industries in the Gulf of Thailand

Thanawat Sae-Jia12, Pornchai Sithisarankul1
·
Pubmed: 32604455
·
IMH 2020;71(2):114-122.
Affiliations
  1. Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Road, Pathum Wan, 10330 Bangkok, Thailand
  2. Maritime Medicine Residency Training Institute, Naval Medical Department, Royal Thai Navy, 504 Somdet Phra Chao Tak Sin Rd, Bukkhalo, Thon Buri, 10600 Bangkok, Thailand

open access

Vol 71, No 2 (2020)
MARITIME/OCCUPATIONAL MEDICINE Original article
Submitted: 2020-03-08
Accepted: 2020-03-27
Published online: 2020-06-27

Abstract

Background: Medical evacuation in the offshore oil and gas industry is costly and risky. Previous studies have found that the main cause of medical evacuation due to illness is increasing. In Thailand, there have been no studies on the causes and costs of medical evacuation in the offshore oil and gas industry. This study aims to study on the causes and costs of medical evacuation among offshore oil and gas industry in the Gulf of Thailand.

Materials and methods: A retrospective review of data of medical evacuation among the offshore oil and gas industry in the Gulf of Thailand from 2016 to 2019 for a period of 36 months.

Results: During the research period, a total of 416 cases were evacuated. The majority of the causes of Medevac (84.13%) were illness. We found that 60.1% of all Medevacs were unpreventable or difficult to prevent, and only 39.9% were preventable. The cost of Medevac ranged from 10,000 to 880,000 THB per case. The cost of Medevac occurring from preventable causes was 17,160,000 THB for this period of 36 months.

Conclusions: Reducing the cost of Medevac can be done by: 1) vaccination to prevent vaccine-preventable diseases, 2) screening to prevent people at risk of getting complications from pre-existing diseases to work offshore, and 3) increasing treatment capability of offshore facilities. Offshore oil and gas industry may consider cost-benefit of these approaches compared to status quo.

Abstract

Background: Medical evacuation in the offshore oil and gas industry is costly and risky. Previous studies have found that the main cause of medical evacuation due to illness is increasing. In Thailand, there have been no studies on the causes and costs of medical evacuation in the offshore oil and gas industry. This study aims to study on the causes and costs of medical evacuation among offshore oil and gas industry in the Gulf of Thailand.

Materials and methods: A retrospective review of data of medical evacuation among the offshore oil and gas industry in the Gulf of Thailand from 2016 to 2019 for a period of 36 months.

Results: During the research period, a total of 416 cases were evacuated. The majority of the causes of Medevac (84.13%) were illness. We found that 60.1% of all Medevacs were unpreventable or difficult to prevent, and only 39.9% were preventable. The cost of Medevac ranged from 10,000 to 880,000 THB per case. The cost of Medevac occurring from preventable causes was 17,160,000 THB for this period of 36 months.

Conclusions: Reducing the cost of Medevac can be done by: 1) vaccination to prevent vaccine-preventable diseases, 2) screening to prevent people at risk of getting complications from pre-existing diseases to work offshore, and 3) increasing treatment capability of offshore facilities. Offshore oil and gas industry may consider cost-benefit of these approaches compared to status quo.

Get Citation

Keywords

medical evacuation, Medevacs, oil and gas industry, offshore

About this article
Title

Medical evacuations among offshore oil and gas industries in the Gulf of Thailand

Journal

International Maritime Health

Issue

Vol 71, No 2 (2020)

Article type

Original article

Pages

114-122

Published online

2020-06-27

Page views

1416

Article views/downloads

1375

DOI

10.5603/IMH.2020.0021

Pubmed

32604455

Bibliographic record

IMH 2020;71(2):114-122.

Keywords

medical evacuation
Medevacs
oil and gas industry
offshore

Authors

Thanawat Sae-Jia
Pornchai Sithisarankul

References (11)
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  8. Toner S, Andrée Wiltens DH, Berg J, et al. Medical evacuations in the oil and gas industry: a retrospective review with implications for future evacuation and preventative strategies. J Travel Med. 2017; 24(3).
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  10. Greuters S, Christiaans HMT, Veenings B, et al. Evaluation of repatriation parameters: does medical history matter? J Travel Med. 2009; 16(1): 1–6.
  11. Health & Safety Executive. Offshore injury, ill health and incident statistics 2011/2012 2012. http://www.hse.gov.uk/offshore/statistics/hsr1112.pdf (cited 2018 Nov 5).

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