Hey all, sorry so long to respond.
Medical control wouldn't be a realistic option in this environment. I do have medical control that I can call but they're either in Singapore or Sydney. They don't have much idea what goes on in environments that we work, they are primarily for medical advice, maint of company policy compliance, and helping to arrange medivacs. They would have been happy to speak to him, but the likely outcome would have been that he'd've refused to follow their instructions also, and they may have demanded that I take him against his will, something that I would have refused to do, the refusal of which would have possibly been terminal to my continued employment with this company. So I didn't see any up side to involving them.
I did consider talking to his employer, but he's also, like me, employed by a company that's outside of the country and subcontracted to a trucking company in country. They might have helped, if getting past the language barrier was likely, which it wasn't, but more than likely once notified they forgot about him and were on the phone demanding to know when replacement truck driver would arrive.
I didn't follow up with him, but my guess is that they amputated the leg and he went on his vacation as planned. He would have needed to be medivac'd to Brisbane or Cains for any chance for reattachment efforts, and he would almost certainly not have made it to either place for 24-48hrs.
Again, like I said, I believe the guy knew what the local hospital was going to do to him, he's seen it before or knows friends who have lost legs or arms. He saw no reason to make the inevitable come any faster.
And for everyone on here who tried to overlay their medical control onto Dwaynes situation, this location to my thoughts is completely different than anything that we are used to.
Dwayne, good job in a difficult situation.