Medical planning for extended remote expeditions.

Remote extended expeditions often support scientific research and commercial resource exploration or extraction in hostile environments. Medical support for these expeditions is inherently complex and requires in-depth planning. To be successful, this planning must include substantial input from clinicians with experience in remote, emergency, and prehospital medicine and from personnel familiar with the proposed working environment. Using the guidelines discussed in this paper will help ensure that planners consider all necessary, medically relevant elements before launching an extended remote expedition. The 10 key elements of a workable remote healthcare system are to: 1. Optimize workers’ fitness. 2. Anticipate treatable problems. 3. Stock appropriate medications. 4. Provide appropriate equipment. 5. Provide adequate logistical support. 6. Provide adequate medical communications. 7. Know the environmental limitations on patient access and evacuation. 8. Use qualified providers. 9. Arrange for knowledgeable and timely consultations. 10. Establish and distribute rational administrative rules. Planners using these guidelines may better be able to generate a strategy that optimizes the participants' health benefits, the expedition's productivity, and the expedition sponsor's cost savings. Wilderness Medical Society.