The repatriation of 33 hospitalized patients to the United Kingdom following the Joigny coach accident in 1990 is described. The repatriation was undertaken by medical staff from St Bartholomew's Hospital Careflight project and EuropAssistance using a chartered McDonnell Douglas 83 aircraft. All patients were repatriated without mishap, but a number of difficulties were encountered. It is recommended that agreement is reached in advance as to the organization that should handle overseas disasters involving British citizens. The organization should have expertise in repatriation as well as close ties with the NHS. A protocol should be designed and adhered to. The initial response should involve despatching a team to the disaster country and provision of a control centre in the U.K. Special arrangements need to be made for staff and equipment. Liason with the airlines and ambulance services is essential.
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机译：描述了1990年Joigny教练车祸后将33名住院患者遣返英国的情况。遣返工作是由圣巴塞洛缪医院的Careflight项目和EuropAssistance的医务人员使用包机的McDonnell Douglas 83飞机进行的。所有患者均被遣送回国，但没有遇到不幸，但遇到了许多困难。建议事先就应该处理涉及英国公民的海外灾难的组织达成协议。该组织应在遣返方面具有专业知识，并应与NHS保持密切联系。应该设计并遵守协议。最初的应对措施应包括派遣一支队伍前往灾区，并在英国提供一个控制中心。需要对人员和设备进行特殊安排。与航空公司的联络和救护车服务至关重要。
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