Provision of Topside support services following a multi-casualty accident in Algeria


Our company provided topside support services, including medevac support, following a road traffic accident with multiple casualties which happened in Illizi area, Algeria. We were initially contracted to provide remote site medical support services for a Seismic Exploration Campaign in Illizi.

Resources allocated to the project were an onsite clinic, staffed by a doctor and ALS nurse, ground ambulance, together with a medevac service based out of Hassi Messaoud.


Following a road traffic accident, with multiple casualties, we supported the client as follows:

  • Medilink Topside Support service provided an over the phone triage service to assist the onsite team in prioritising the cases. There were six casualties with no deceased. These were categorised as two minor cases, two cases requiring Immediate care and two cases falling into the Delayed category;
  • An Air ambulance complete with two medical teams, two stretchers and two sets of ICU equipment was immediately dispatched from Hassi Messaoud;
  • In the meantime, the two minor cases were transported by routine site transport to the local hospital. Our Topside Support supported the site medical team remotely to stabilise the two immediate care cases. The two delayed cases were transported using the ground ambulance to the local hospital. Meanwhile the Medilink Alarm Centre made arrangements for admission of patients to the Military Hospital in Algiers;
  • On arrival on site, the Air Ambulance crew took over the two cases requiring Immediate care and transferred to Algiers. The site medical team them proceeded to the local hospital to follow up on the four admitted cases;
  • Following the first successful transfer, a second air ambulance transfer was organised to transfer the two delayed cases to Algiers.

Provision of Remote Site Medical Services


We were contracted to provide medical services on a pipeline project in East Africa. We were responsible for all aspects of the remote site medical service, including:

  • Provision of all medical equipment, drugs and consumables
  • Provision of medical team
  • Provision of ground ambulances
  • Provision of medical management and 24/7 Topside Support services
  • Referral service to providers
  • Medical Evacuation and Medical Assistance Services


  • We were given a very short timeline to set up the project;
  • The project consisted of multiple teams working concurrently. This required 5 ground ambulances, 7 sets of ALS medical equipment, drugs and consumables, and 7 medical teams working concurrently;
  • 5 of the units were mobile, moving location every 3 days;
  • The project worked across a border with very stringent cross border controls;
  • The project was in an area of very high security risk (Al Shabab active territory) and health risk (in addition to Malaria risk, and snake bite risk, there was an outbreak of cholera).


  • Operational hubs were set up on both sides of the border. This was done so as to overcome the cross-border issues. Resources (ambulances, medical equipment etc) were mobilised from the relevant hubs according to where the work would be carried out on the day;
  • The high mobility of the project necessitated a very high level of organisation in
    terms of procedures and checklists in order to ensure no loss of equipment or other supplies;
  • Arrangements were made for a standby air ambulance service in order to ensure a quick response time to medevac.

Medilink took responsibility of the health risk management process and set up training programmes both for the workers on the project as well as CPD for all medical staff on the project on the management of the specific health issues related to the project.

Provision of Global Medical Assistance Services to a Key Producer in the Energy industry in Libya


The client is a key producer in the Energy industry in Libya, currently operating under a joint venture. They requested our services to compensate for the deteriorating quality of medical care in the country resulting from civil war conflicts. The company contracted Medilink International to provide global medical assistance services to 36,000 employees and family dependents.


  • High demand: The group members had a significant number of co-morbidities. Therefore, the demand for medical services was much higher than what is normally expected in the workforce.
  • Medical Care diversity: The members encompassed a very broad demographic group. Therefore, the medical services required were very diverse and included neonatal services as well as geriatric services.
  • Cultural diversity: There were important cultural differences between the members and the countries that they travelled to in order to seek medical attention. Additionally, many members only spoke Arabic.


We reviewed the contract providers of the client and, when necessary, contracted new providers to handle the diverse demographic and co-morbidities.

We selected and set up main hubs that the patients were later referred to, on the basis of linguistic and cultural proximity to Libya. These included Tunisia, Turkey, Jordan and Dubai. In each of these hubs, we hired Arabic speaking representatives for the purpose of providing assistance to members.

We also established an Arabic speaking team within their Alarm Centre to cater to these new members.

Medilink Project Managers also maintained very close contact with the HR team at the client to ensure that any issues were handled as early as possible.


We have provided both high quality and inclusive global medical assistance services to the client. Over the two years of service, we performed 24,268 referrals, 8 evacuations and 2 repatriations of mortal remains for this client.