The special procedures for in-flight contingencies in oceanic airspace that are published in the atlantic orientation charts and also published in the latest FAA class II NOTAMS booklet deal with contingencies for handling aircraft performance, pressurization and meteorological conditions that require a rapid descent and/or turn-back or diversion. These procedures are the same for the atlantic and the pacific areas and basically tell you to turn left or right 90 degrees and establish in either direction a 15nm offset to your current route or track you are flying. My question is whether this offset set is always required for the above contingencies or is it only required when your current route/track is on, over or in close proximity to a NAT/PACOTS track or charted ATS airway? In other words, if I am on a random route not near another ATS airway or NAT/PACOTS track why should I establish a 15nm offset??? Appreciate any guidance.