Update 2016 Dr Graham Furnace 25th May 2016
Update 2016 1 Examining Doctor Facts and Figures 2 Helicopters 3 Smoking/e-cigarettes
Oil Price: 2011-2016
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Update 2016 1 Examining Doctor Facts and Figures 2 Helicopters 3 Smoking/e-cigarettes
Examining Doctor Facts and Figures 2010 2015 2016 Countries 37 55 60 Doctors 796 1047 1014 % in UK 54 48.8 44
Doctors UK (448) England 269 Scotland 162 Wales 12 Northern Ireland 4 Channel Isles 1 10
Doctors Rest of World (556) USA 69 Australia 67 Germany 30 India, T&T, Philippines, Singapore, Denmark Malaysia, Azerbaijan, Ireland, Canada, France, Thailand, UAE, S. Africa, Ghana, Indonesia, Angola, Nigeria 10-28 New Zealand, Spain, Egypt, Netherlands, Romania, Brazil, Georgia, Croatia, Italy, Khazakhstan, Malta, Poland, Saudi Arabia, Chad, Mozambique, Tanzania, Austria, Brunei, China, Iraq, Pakistan, Portugal, Russia, Sweden, Timor Leste, Ukraine 2-8 Ivory Coast, Namibia, Sierra Leone, Bahrain, Belgium, Falkland Isles, Faroe Isles, Latvia, Lithuania, Mexico, Myanmar 1 11
Medicals 2008-2015 (Total) 140000 120000 100000 80000 60000 40000 20000 0 2008 2011 2012 2013 2014 2015 12
Medicals 2008-2015 (Fail) 1400 1200 1000 800 600 400 200 0 2008 2011 2012 2013 2014 2015 13
Medicals 2008-2015 Year Returns Total Fail (%) 2008 367 39780 503 (1.2) 2011 580 59900 665 (1.0) 2012 707 93219 1284 (1.4) 2013 809 113006 1333 (1.2) 2014 931 118597 1285 (1.1) 2015 900 111651 1125 (1.0) 14
Examining doctor courses 2011 to date
Examining Doctor Courses Year Courses No. Trained 2011 8 119 2012 8 118 2013 9 161 2014 9 158 2015 11 183 2016 2 (5) 13 Total 47 (50) 752 16
Examining Doctor Courses Doctors on List Doctors attended course 1014 520 Doctors Trained since 2011 752 Joined 2015 Left 2015 154 89 17
Doctor Training Course a question The HUET experience keep or remove? 18
Update 2016 1 Examining Doctor Facts and Figures 2 Helicopters 3 Smoking/e-cigarettes
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G-WNSB 23 August 2013, 17:17, 1.7nm W of Sumburgh En-route Borgsten Dolphin to Sumburgh (partial) autopilot approach, in cloud instruments only Failure to maintain required 80kt airspeed 35kt Failure to maintain required vertical flightpath descent below 300ft minimum descent altitude Descent below 300ft in critically low-energy state ; inadequate time to recover Impact sea (1800fpm), filled with water, rolled inverted to left, remained afloat 23
Casualties - fatal 16 passengers, 2 crew 4 fatalities all passengers 2 did not get out; 1 lifeless on sea surface, 1 died in liferaft AAIB Report 15 March 2016 - Section 1.13 Medical and Pathological Information 24
H : recovered lifeless from sea. Minor head and other injuries, not incapacitating. Drowned I : escaped successfully assisted by others onto inverted fuselage and then into liferaft. Then signs of chest pain and stopped breathing: unsuccessful CPR. PM showed significant pre-existing heart disease K : still secured in seat. Left-sided head injury, cause unknown. Drowned, likely due to incapacitation from head injury 25
E : recovered from water after fuselage broken up by wave action and rocks (i.e. not restrained in seat). EBS mouthpiece deployed and valve operated. Minor injuries, not incapacitating. Drowned. Failed to escape. 27
Survivability Aspects Visibility variable some good, others feel only 4 windows removed underwater more than one attempt required only a few Px had time to take a breath. Some reached trapped air pockets No comment whatsoever about ease or otherwise of body passage through exits 29
CAA Response Interim bulletins 18 Oct 2013 (Sumburgh fast rescue craft) and 23 Jan 2014 (EBS pre-flight briefings) CAP 1145 20 Feb 2014: With effect from 01 April 2015, helicopter operators are to ensure that only passengers with a body size (including all required safety and survival equipment) commensurate with push-out window exit size are carried on offshore helicopter flights. With effect from 01 April 2016, helicopter operators are to ensure that for all offshore helicopter operations all occupants (passengers and crew) wear EBS that meets the CAP 1034 Category A performance specification. 30
Progress to date A. Shoulder measurement process B. CAT A compressed air EBS in service C. Training.. 31
Training Issues Is it Diving? Risk barotrauma Medical Screening Required 32
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Under (ongoing) Discussion HSE: exemption from diving at work regs, but requirement for dive medical (lung function tests for all, exercise test for asthmatics) How great is the risk? Canadian Experience 35
Doctor Training Course a question The HUET experience keep or remove? 36
Update 2016 1 Examining Doctor Facts and Figures 2 Helicopters 3 Smoking/e-cigarettes
Smoking statistics 230 of 942 (24%) male offshore workers = smokers 209 of 942 (22%) ex-smokers 38
Three Generations of e-cigarette 39
Oil&Gas UK Advisory Note February 2015 Tobacco nicotine aim for consistency with onshore public health measures Nicotine vapourisers (e-cigarettes) not permitted unless and until given a medical product licence (like NRT) 40
Recent Developments Royal College of Physicians Report 28 April 2016 Nicotine without smoke: Tobacco harm reduction EU Tobacco Products Directive 18 May 2016 E-cigarette with a medical product licence 41
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Voke 44
e-voke 45
What next? For discussion at next Health & Safety Forum What do you think? 46