Medical Emergency Resource Classification Instrument (MERCI) in the Oil Industry, Brazil
- 164 Downloads
Abstract
The area of medical urgency and emergency is an important component of health care. Oil and Gas companies exist in a variety of locations in Brazil. The quality of medical infrastructure and specialties differs, and it is important to ensure optimal workers medical care. This paper describes the development of an objective tool for classifying levels of medical emergency response services in the oil industry, Bahia, Brazil, based on the steps that make up a complete cycle of medical emergency care: emergency detection, specifically requested resources, first aid on site, specialized care, and assisted removal to definitive treatment unit. A committee of 12 recognized occupational health and medical emergency experts with at least five years’ experience participated in content validation through the Delphi Technique. The indicator was subdivided into 4 indices based on the risk profiles observed from the internal risk analysis documents. Medical Emergency Resource Classification Instrument (MERCI) aimed to reduce the subjectivities of the assessment and allocation of resources in medical emergencies, considering the characteristics of oil and gas companies regarding the assessment of risk scenarios, location and exposed population. The proposed methodology can lead top management to routinely adopt MERCI, ensuring the maintenance of medical emergency response resources, with a level of service appropriate to the needs of industry and workers.
Keywords
Occupational medical urgency Oil industry Tool validationNotes
Acknowledgements
This research was funded by FCT—Fundação para a Ciência e a Tecnologia, I.P. through project UID/MULTI/4546/2019.
References
- 1.Brasil: Ministério da Saúde. Secretaria de Atenção à Saúde. Protocolos de Intervenção para o SAMU 192 - Serviço de Atendimento Móvel de Urgência [Intervention Protocols for SAMU 192 - Mobile Emergency Care Service] [Internet], 482 p. Ministério da Saúde; Brasília (2016). Available from file:///C:/Users/Diogo/Desktop/protocolo_suporte_basico_vida.pdfGoogle Scholar
- 2.Brasil: Ministério da Saúde. Portaria 2.048 de 05 de novembro de 2002. Estabelece o Regulamento Técnico dos Sistemas Estaduais de Urgência e Emergência [Ordinance 2,048 of November 5, 2002. Establishes the Technical Regulation of State Emergency And Emergency Systems] [Internet]. Diário Oficial da União (2002). Available from http://bvsms.saude.gov.br/bvs/saudelegis/gm/2002/prt2048_05_11_2002.html
- 3.Ministério do Trabalho. Norma Regulamentadora 7 -Programa de Controle Médico e de Saúde Ocupacional [Regulatory Standard 7 -Occupational Health Medical and Medical Control Program], pp. 1–16. Diário Oficial da República Federativa do Brasil Brasil; 2013Google Scholar
- 4.de Melo MCB, da Silva NLC (2011) Urgência e Emergência na Atenção Primária à Saúde [Urgency and emergency in primary health care] [Internet], 132 p. Belo Horizon: Nescon UFMG (2011). Available from https://www.nescon.medicina.ufmg.br/biblioteca/imagem/3046.pdf
- 5.IPIECA—International Petroleum Industry Environmental Conservation Association (2017) Medical facilities assessment. Checklist for medical professionals in the oil and gas industry [Internet], 20 p. IPIECA, London. Available from http://www.ipieca.org/resources/checklist/medical-facilities-assessment-checklist-for-medical-professionals-in-the-oil-and-gas-industry/
- 6.IRHC—Institute of Remote Healthcare (2013) Remote healthcare guidance document for energy and associated maritime activities [Internet]. IRHC, London. Available from https://www.irhc.org.uk/page/irhcguidancedoc/Remote-Healthcare-GuidanceDocument-for-Energy-and-Associated-Maritime.htm
- 7.Okoli C, Pawlowski SD (2004) The Delphi method as a research tool: an example, design considerations and applications. Inf Manag [Internet] 42(1), 15–29. Available from http://www.sciencedirect.com/science/article/pii/S0378720603001794CrossRefGoogle Scholar