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An injury, a death, and the limits of travel medical insurance

Mike McDonald was vacationing in the Dominican Republic last month, and it was going to be a trip to remember: He had planned to propose to his girlfriend on the tropical island and then return…

Mike McDonald was vacationing in the Dominican Republic last month, and it was going to be a trip to remember: He had planned to propose to his girlfriend on the tropical island and then return to Canada to get married.

Instead, it was a tragedy the families will never forget. According to an article in The Canadian Press, McDonald suffered a traumatic head injury after slipping on the granite by a hotel pool, and was stabilized in a local Dominican hospital while his hotel and insurance company argued over who would pay his medical bills. He was refused a medical evacuation, and consequently died in the Caribbean nation.

In cases like these, insurance companies make decisions on whether to transport a policy-holder based on financial considerations. Global Rescue works very differently.  As a Global Rescue member, if you require hospitalization while more than 160 miles from home, we will transport you to the hospital of your choice and often will deploy our medical staff to your bedside to coordinate your treatment.   

Global Rescue makes medical decisions based on the member’s best interest. That distinction cannot be overstated, and often it is the difference between life and death. 

Left to take care of the young man on their own, McDonald’s family members had to turn to Facebook to raise the $10,000 needed to pay his hospital bill, and were financially constrained to ask Air Canada for a free ticket to send his mother to his bedside. In the end, the 33-year-old died in the Caribbean hospital after the insurance company refused to pay for a medical evacuation: 

The family is now saying no one else should have to go through what they went through.

“Whether it was the hospital or the hotel or the insurance company, it shouldn’t have happened this way,” said Mitch McDonald, Mike’s uncle. “It shouldn’t have to be the family that deals with this. When you buy insurance you think you would be insured.”

He was hospitalized at the best hospital in the country, Mike Starko, executive director with Travel Underwriters, said. But neither the hotel nor the insurance company agreed to pay for his hospital expenses and flight home.

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Global Rescue evacuates reporters from Cap Haitien violence

Global Rescue security teams have evacuated two journalists from the violence in Cap Haitien, Haiti, after rioting in the area.

Global Rescue security teams have evacuated two journalists from the violence in Cap Haitien, Haiti, after rioting in the area, stemming from a cholera epidemic, left two people dead, more than a dozen injured and the airport closed to commercial traffic.

The freelance writers, who had also been volunteering with Haitian children in the area, said they could hear gunfire in the distance from their position and noted that the roads leading in and out of downtown from their host family’s home had been barricaded.

 Their employer alerted Global Rescue about the situation, and the company’s security teams were put on stand-by. When the employer received reports that the United Nations could be preparing a statement saying it was responsible for the cholera outbreak, and further violence was anticipated, Global Rescue teams received the green light to evacuate.

The most successful security evacuations are those that are smooth and executed without dramatic maneuvers or complications. These can only be carried out after detailed planning. As soon as Global Rescue crisis response teams received the initial call, they constructed contingency plans involving air, ground and maritime assets in coordination with local contacts. Options included a ground convoy under the cover of darkness, and a power boat rescue from a landing near Cap Haitien.

In the end, the security specialists were able to carry out the quickest solution: an airlift from the closed airport after they secured an extraordinary permit. The clients were escorted to the tarmac, met by a Global Rescue team led by a former Navy SEAL, and flown to Santo Domingo where they boarded a flight to the United States.

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The Limits of Government-Provided Security: Another Lesson from Haiti

Civil unrest is again on the rise in Haiti, this time in Cap Haitien, where violence and threats to foreigners has prompted one of our media clients to request assistance for two reporters stuck in…

Civil unrest is again on the rise in Haiti, this time in Cap Haitien, where violence and threats to foreigners has prompted one of our media clients to request assistance for two reporters stuck in the midst of the rioting. Sixteen people have been reported wounded, two dead, and the local airport was closed to commercial traffic. Meanwhile, the death toll from the cholera outbreak in the region has topped the 1,000 mark.

Again, it will be the private sector that helps to provide a solution to this recurring problem. In a country where public safety infrastructure is now practically nonexistent, U.S. Embassy resources are stretched too thin to handle the volume of security emergencies facing Americans.

Coincidentally, I was at a conference this week at the U.S. State Department, where the Regional Security Officer for Haiti, Steve Lesniak, outlined the challenges he faced after the earthquake in Port-au-Prince in January. A chaotic crowd of Haitians arrived at the embassy in search of help of every description: urgent medical aid, food and water, shelter from machete-wielding mobs. The compound was so overrun at one point that even the Ambassador could not get inside.  Arriving medevac flights, Lesniak recalled, were waved off at the Embassy’s adjoining helicopter pad because the field was packed with livestock and refugees.

American citizens were turned away at the gates.

In her opening remarks at this conference, the 25th annual briefing of the Overseas Security Advisory Council, Secretary of State Hillary Clinton put the crisis in a global perspective:  There are so many tourists and businessmen engaged in activities in the furthest reaches of the planet that the U.S. Government will need to turn to the private sector to fill in the widening gap between the needs of American citizens abroad and the limited resources of diplomatic missions.

“It’s been 25 years since an innovative Secretary of State and a handful of innovative leaders from the private sector first met,” Clinton said. “Secretary George Shultz wanted to chart a new partnership on security for Americans overseas. Twenty-five years ago, even Secretary Shultz, who is such a visionary, might not have foreseen everything we deal with today. It’s a much more difficult security environment. The threat matrix is much more complex. The world has changed at a dizzying pace. American companies are everywhere. American students and tourists are everywhere. So we are living, working, learning in new ways like never before…

“So to stay active and engaged,” she told the crowd of a few hundred security professionals, “we need to work with you… This is a model public-private partnership which I’m very committed to doing more of. And in fact, any other ideas any of you have about how we can expand on our partnership models, I hope you will let us know.”

It was unclear just what shape new public-private partnerships would take in the future, but what was vividly clear was that the State Department recognizes that it can’t be counted on for the safety of every American abroad when the next earthquake, tsunami, ethnic riot or terrorist attack unfolds.

I remember answering questions for a CNN International interview after the earthquake in Haiti, when the query from anchorwoman Becky Anderson summed up the situation better than any answer.

“I would imagine, given what we’re hearing and seeing in a lot of cases,” she said “ a group of people or an organization that needs to move people around or get people out, they can’t just go to the police or the military here. I would imagine private security in many cases is really the only option.”

There is no police, military or embassy solution to the problems our clients are facing right now in Cap Haitien. If there was, they likely would not have turned to their employer to plead for assistance. And if their employers were confident that traveling representatives of the company would be kept out of harm’s way by the local embassy or police, they would not have become Global Rescue clients.

Over the weekend, one of our security teams, led by a former Navy SEAL, extracted the reporters from the violence. The team met the evacuees at a predetermined location and escorted them to Santo Domingo aboard a private flight, keeping their employer informed of their whereabouts and condition at every stage. They were then transported to the airport of their choice – in this case, in Virgina

In this time of holiday travel, Homeland Security has taken extraordinary measures to protect Americans against another attack on our soil. It is encouraging to know that the State Department is making progress in closing the security gap facing Americans abroad. I look forward to working with its staff to propose solutions that only the private sector can provide.

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Lion attack leads to medical evacuation from the field in Zimbabwe

While walking through the veld of Zimbabwe, a Global Rescue member was ambushed by a waiting lioness.

While walking through the veld of Zimbabwe, a Global Rescue member was ambushed by a waiting lioness, which knocked him to the ground and bit into both of his hands and his right wrist. As the young man fought to keep the animal from sinking its teeth into his jugular, his partner successfully subdued the lioness, and then called for help.

Global Rescue provided a field rescue from the remote location to a qualified hospital in the region. There, surgeons cleaned his lacerations, and acting upon recommendations from Global Rescue and Johns Hopkins, did not immediately close the wounds as there was a significant risk that they would become infected. (Infections from bacteria in a lion’s mouth lead to dangerous complications in cases like these, and are the cause of a significant percentage of resulting fatalities.)

When the doctors were confident that his wounds were ready to be closed, the man’s hands were sutured, and he elected to continue the rest of his vacation in Africa.

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Ski Racing magazine profiles Global Rescue’s Rusty Heise

Ski Racing magazine's Bryce Hubner recently interviewed Rusty Heise, a former ski racer who now manages Global Rescue's partnership with the U.S. Ski Team and represents the company within the skiing community at large. Here's what…

Ski Racing magazine’s Bryce Hubner recently interviewed Rusty Heise, a former ski racer who now manages Global Rescue’s partnership with the U.S. Ski Team and represents the company within the skiing community at large. Here’s what Bryce had to say:

Guns are trained on you at every corner in a far-off nation, where you were working to ameliorate poverty and hunger before a military coup overthrew the democratic government. The border’s closed and there’s no escaping the country — at least, not without help.

Or maybe you’re in the Andes on an expedition to summit a 20,000-foot peak. Unexpected snow hammers your team and four of you — tethered to the same rope — tumble hundreds of feet from the ridge you were traversing. You’re badly injured and need to be evacuated.

The world can be a crazy, inhospitable place, and if you find yourself in  a crisis far from home, it’s nice to have Rusty Heise and Global Rescue working on your behalf.

Heise was an alpine standout on the NCAA circuit before graduating from Dartmouth College in 2009. He’s now among the youngest business administrators at Boston-based Global Rescue LLC, a company that provides medical security evacuation and crisis response services for those in need — they might pluck you from that dicey, third-world country after a government coup, or rescue you from that Andean summit gone awry…

In addition to handling the U.S. Ski Team, Heise works in sales and member services with ski academies and clubs across the country. To some degree, he says, it’s an easy sell because there are so many tangible examples that show the value of Global Rescue’s services…

 

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Sporting Classics looks at Global Rescue member’s leopard attack

An article in this month's Sporting Classics magazine features Global Rescue's work, and in particular its medical evacuation of a South African man attacked by a leopard. John Ross writes in his "Travel" column:

An article in this month’s Sporting Classics magazine features Global Rescue’s work, and in particular its medical evacuation of a South African man attacked by a leopard. John Ross writes in his “Travel” column:

What does it cost to save your buns when the going gets dangerously bad?

Not a lot, really, even if you’re hunting in sub-Saharan Africa, the mountains of the Middle East or the jungle along Colombia’s border with Venezuela. A payment of less than $200, or $300 if you’re headed into a zone with possible civil unrest, terrorism or open warfare, will cover a two-week trip. Think how much you just shelled out for dinner for four at that good restaurant you and your wife love to frequent.

While you and your three friends were enjoying that chef’s new inspiration, a leopard in South Africa thought it would dine on John Abraham. It sank its teeth into his knee, and bit his wrist before it expired.

A local doctor cleaned and dressed the wound and Abraham returned to camp. Almost immediately infection set in. The pain was intense as was the swelling. More than 1,000 miles separated him from top-quality medical facilities in Johannesburg. His safari company is a member of Global Rescue, which specializes in medical and security evacuations. His wife placed the call, and Abraham is now recovering very well…

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Ski Racing Magazine – At Global Rescue, former ski racer Rusty Heise is now in…

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Sporting Classics – What does it cost to save your buns when the going gets…

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Global Rescue evacuates man bitten by African cobra

Global Rescue transported a member from Namibia to the United States after he was bitten by an African cobra that delivered a potentially fatal dose of venom.

Global Rescue transported a member from Namibia to the United States after he was bitten by an African cobra that delivered a potentially fatal dose of venom.

The Global Rescue member was getting into bed for the evening when the snake struck and bit into his foot. After killing the reptile, the member’s guide rushed the man to a local hospital where he was administered antivenin. 

The Angolan cobra, or Naja annulifera anchietae, kills hundreds of people every year. Worldwide, cobras are among the most deadly animals on the planet, accounting for about 50,000 deaths annually in Asia alone.Few other animals cause as many human fatalities – the most notable being the mosquito, which kills millions per year by spreading malaria.

The African cobra’s venom is neurotoxic and causes severe local swelling and pain — in this case the Global Rescue member suffered from necrotic skin on his foot, meaning the tissue of his foot began to die.  

To save his lower leg, physicians performed emergency surgery that completely removed the skin from the top of the man’s foot.  This was necessary in order to prevent severe, life-threatening blood infections. At the conclusion of the surgery, an attempt was made to graft replacement tissue to the wound.

After a thorough review of the medical records and images performed in conjunction with local physicians, it was determined the efforts to regraft the skin had been unsuccessful. Global Rescue’s medical team and Johns Hopkins specialists agreed that his foot should be operated on in the United States. He was immediately flown to Washington D.C., via Amsterdam.  Following transport, he was admitted to a top-tier hospital in Virginia, where surgeons removed additional tissue from the foot and a plastic surgeon repaired the top of his foot with a layer of synthetic skin.

After the ordeal, the member expressed his gratitude to the Global Rescue paramedic who had assisted him throughout the ordeal, and noted, “Anyone who doesn’t get Global Rescue is crazy.”

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The Christian Science Monitor – Europe Travel Alert: Eight steps Americans can take

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Global Rescue featured in the Christian Science Monitor

From an article by Ron Scherer in today's Christian Science Monitor:

From an article by Ron Scherer in today’s Christian Science Monitor:

You have booked tickets for the Paris International Photo Fair or perhaps your son is already in Berlin studying German. Now that the US State Department has issued a “travel advisory” for Europe, what should you do? Cancel the trip? Bring junior home? Professional travel advisers say it is too soon to hit the panic button. Here are eight things you can consider doing…

If you are very concerned about safety, you might want to contract with an outside group, such as International SOS or Global Rescue – for-profit companies that specialize in international medical emergencies and security issues.

“In the event of a Mumbai-type of incident they are able to get into places and extract people,” says Sano, who contracts with Global Rescue. “They are for the traveler who wants a more robust safety net,” he says.

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Red Bull Human Express crosses the Rockies

Extreme runner Karl Meltzer, a.k.a. Red Bull’s “Human Express,” worked his way into Wyoming over the weekend, crossing over the Continental Divide, and will close in on the 1,000-mile mark of his trip on Wednesday.

Extreme runner Karl Meltzer, a.k.a. Red Bull’s “Human Express,” worked his way into Wyoming over the weekend, crossing over the Continental Divide, and will close in on the 1,000-mile mark of his trip on Wednesday.

“Running yesterday out of Cottonwood [Utah],” he updated his fans on his Twitter account over the weekend. “Dare I say I FELT AMAZING. Cannot believe it, I am on week 3”

The 42-year-old athlete is slated to run 2,300 miles of largely unpaved trail along the old Pony Express route from Sacramento, CA to Kansas City, MO.

According to Red Bull, Meltzer burns only about 2,800 calories per 50-mile day. His average heart rate is pegged at about 100 beats per minute.

Global Rescue is providing medical evacuation coverage for Meltzer, with aircraft and ground transport on standby throughout the route in the event of a medical emergency.