Submariners escape from Distressed
Submarine

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Lt Gaetano De Bilio Doctor, Italian Navy
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| On the 28 May 2002 the medical exercise “TRIAGEEX” was a rescue simulation of
submariner escapees from a distressed submarine.
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| The
Rigid Inflatable Boat recovered the escapees as soon as they arrived to the surface
and promptly transported them to the rescue Ship (simulated at the Naval
Base in Frederikshavn).
On arrival to the 'Triage' area the doctor quickly assesses and
diagnoses the patient and sends them to relevant area.
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Rigid Inflatable Boat recovers escapees
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Area One

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| Area
one is for casualties who require immediate life saving medical and/or surgical treatment,
when there is high probability of survival.
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Local girl volunteers to simulate an escapee
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Examples
of medical conditions include, haemorrhagic shock, tension pneumothorax
and other respiratory emergencies, and the finding of an acute surgical
abdomen. |
Area two

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| Area
two is for casualties who require time-consuming major medical and/or
surgical treatment. Injuries include moderate hypothermia and
varying degrees of skin burns.
Examples of medical conditions include, < 20% second degree burns,
open fractures, inhalations pulmonary injuries, major lacerations and
moderate hypothermia.
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Area two
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Triage doctor assesses patient for injuries
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Area
three is for casualties with relatively minor injuries that may be managed by FIRST AID trained personnel.
Examples of medical conditions include, closed bone fractures without
vascular compromise, minor lacerations, first degree burns, and mild
hypothermia.
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Area three
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Area Four

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| Area
four is for patients who have injuries so sever that even if they were treated under the best possible conditions, their probability of survival would be extremely low.
This area is based both upon injury severity and availability of
medical and recompression resources.
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Hyperbaric Chamber
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In
areas one, two and three a patient could be suffering from symptoms of
decompression illness. In this case they would be admitted to the
decompression chamber.
Patients with serious life threatening injuries may be admitted to the
hyperbaric chamber immediately from the 'Triage' area. Delay in
the patients treatment would entail a significantly increased risk to
their survival or subsequent permanent injury.
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| Sorbet Royal 2002 provides essential training for doctors
and medical personnel which enables them to give medical assistance in
every eventuality. There is also an opportunity to meet the people who
would work together in a real situation.
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