Thats been a standard sim upgrade loft scenario in EK for years. You pretty much knew what was coming when you saw the high MSA routing and the MEL.
Its not a rapid loss of cabin pressure when you lose the opposite engine so if you do the memory items then nip down to say, 20,000' while starting the APU you can even avoid the CABIN ALT EICAS.
There is a section in the checklist preamble and probably your FOM with gives you the flexibility to be creative when checklists do not cover a particular situation.
It should be briefed for prior to departure though.
Just noticed your location - not EK are you?
Last edited by NO LAND 3; 1st November 2009 at 12:30.