1. 21 st May 2015 2pm WHO conference room Medical Evacuations

2. Before TC PamImmediately after (first 72hrs) Emergency phase (72hrs to 6 weeks) Referral system in place Available choices: fixed wings, boats or helicopters Amended referral system to reflect the increased demand (e.g. focal point identified, etc.) Added resources (from FMTs) to meet the increased demand Coordination in place to meet with the increased demand Added resources to manage the increased demand Timely and proper transition to “normal” MedEvac system over time

3. Before TC PamImmediately after (first 72hrs) Emergency phase (72hrs to 6 weeks) System in place did not consider a large scale disaster Lack of MedEvac criteria during a large scale disaster Lack of coordination with the NDMO (logistically) to cope with increased demand Communication break down Unexpected operational expenses Communication break down Unexpected operational expenses Lack of knowledge on the referral criteria/system in place and thus, leading to unnecessary MedEvacs MedEvacs based on stories, due to lack of communication, and not on actual medical condition/s

4. Before TC PamImmediately after (first 72hrs) Emergency phase (72hrs to 6 weeks) Policy development on MedEvacs, including referral criteria and contingency fund, during a large scale disaster Ensure functionality of HF radios Proper coordination with other relevant agencies Other actors/stakeholders to be aware of the referral criteria Coordination in place to meet with the increased demand Added resources to manage the increased demand Timely and proper transition to “normal” MedEvac system over time