Event Role Selection Handbook (2024/2026) PDF

HANDBOOK Event Role Selection UK & INTERNATIONAL 2024 / 2026 Table of contents Introduction 4 Event Categories 5 Risk Categories 6 Scoring System 8 Scoring Requirements...

HANDBOOK Event Role Selection UK & INTERNATIONAL 2024 / 2026 Table of contents Introduction 4 Event Categories 5 Risk Categories 6 Scoring System 8 Scoring Requirements 12 TrailMed Values 13 TrailMed Behaviours 15 Employee Handbook Table of contents TrailMed Dress Code 16 Event & Expedition Clothing 17 Employee Handbook Event Role Selection Criteria Introduction TrailMed strives to provide comprehensive clinical care that is appropriate to the patients and the varying environments in which it is delivered. Part of ensuring industry leading clinical care and best practice is ensuring that staff are selected who have the range of clinical skills, knowledge and experience needed for any particular event and its medical demands. Given that the range of formal medical training, including specialist training, clinical fellowships and pre-hospital courses plus experience necessarily varies from individual to individual we have chosen to use a matrix of desirable characteristics and to supplement this with written submissions, observation working under supervision/interview and assessment by the TrailMed Clinical Managers. Events are assessed in terms remoteness, altitude, access to local health services and the nature of the activities. 4 Event Categories A. UK Events Supervised B. UK Events Unsupervised (Solo working) C. International Events Supervised D. International Events Unsupervised (Solo working) E. CMO UK Events F. CMO International Multi-disciplinary Teams Medical Training Categories 1. Formal Medical Qualification 2. Medical Specialist Training relevant to Event Medicine 3. Prehospital/ Wilderness medical training Event Experience Categories a. UK Events Supervised < 5 b. UK Events Supervised > 5 c. UK Events Unsupervised < 5 d. UK Events Unsupervised >5 / CMO UK Events < 5 e. International Events Supervised f. International Events Unsupervised (Solo working) g. CMO UK Events > 5 h. CMO International Events (multi-disciplinary teams) 5 Event Related Risk Categories i. Altitude ii. Cycling iii. Technical Mountaineering iv. Jungle v. Water sports All Event Medical Staff must be formally registered with TrailMed, have supplied their staff information, two relevant references and up to date mandatory training appropriate to grade. Every member of staff will have their professional registration checked annually, be in possession of a recent DBS and appropriate level of resuscitation training. 6 Staff are selected using the Clinical Managers’ assessment of the above training and experience categories, together with the risk assessment for the event. Specific skills are required for each risk category. Risk Factor Required Experience Operation above 2500m personal or Altitude professional over 48hrs continuous Personal cycling experience/ medical Cycling work on cycling events Experience on ground of a same or Technical higher grade / appropriate technical mountaineering climbing qualification Jungle operations or personal Jungle experience / wilderness or jungle medicine qualification/course Competent swimmer / lifesaving Water sports qualification / medical work on water sports events 7 Scoring Systems These are used as a guide to appropriate training and experience but do not replace assessment by the Medical Director and an International Medical Lead. Primary Qualification (Basic Medical Knowledge) Category Note Score Doctor 7 Paramedic / F2 6 Nurse 5 EMT / FREC5 / F1 4 ECA / FREC4 3 First Responder / FREC 3 2 First Aider 1 8 Specialist Training Including multiple systems, specific medical knowledge e.g. Acute medicine/internal medicine, A&E, Anaesthesia, GP Training Category Note Score Consultant 9 ST7 / Associate Specialist 7 / Fellow/ GP> 3 years ST3-6 / GP < 3 years 5 ST1-2 3 F4-7 2 F3 1 9 Pre-hospital / Wilderness Medical Training This list is regularly reviewed to ensure it is up to date with industry standards. Please contact the Medical Director or an International Lead for more information. Category Note Score Diploma Mountain 5 Medicine WEM Masters / RCPSG International Postgraduate Diploma in 4 Expedition and Wilderness Medicine WEMSI or Equivalent / 3 Paramedic PHTLS / EMT / FREC5 2 Expedition Care Course / 1 ECA / FREC 4 10 Event Experience Choose only a single category, ensuring it is the highest scoring. E.g. If you have worked supervised International events and have also been CMO on seven UK events you would score nine not six. Category Note Score CMO International Events 10 (multi-disciplinary teams) CMO UK Events > 5 9 International Events 8 Unsupervised (solo working) International Events 6 Supervised UK Events Unsupervised >5 5 / CMO UK Events < 5 UK Events Unsupervised < 5 3 UK Events Supervised > 5 2 UK Events Supervised < 5 1 Total Score: (from three tables) 11 Required Scores for Event Categories This is intended as a guide and must be used as such by the Clinical Management Team and International Medical Leads who will make the overall assessment and deployment decision after taking into consideration all the non-technical skills that are an essential ingredient for the event medical staff working with participants in remote or austere environments. Event Category Minimum Score Required COM International (multi- 20 disciplinary teams) CMO UK Events 14 International Events 14 Unsupervised (solo working) International Events Supervised 10 UK Events Unsupervised (solo 8 working) UK Events Supervised 2 TrailMed is committed to supporting the development of its people and this guide has been shared to support individuals to plan their own personal and professional development. 12 Values 1 Patient Care & Safety TrailMed prioritises the health and well-being of its patients, ensuring comprehensive and appropriate medical care in remote and challenging environments. We strive to provide high-quality medical services, adapting our expertise to the specific needs of each expedition or adventure. 2 Expertise and Innovation TrailMed and its staff possess specialised knowledge and skills in remote, wilderness, and emergency medicine. We continuously seek opportunities to expand our knowledge and expertise, staying abreast of advancements in medical practices knowledge, skills and technologies relevant to expedition medicine. 3 Teamwork and Collaboration TrailMed operates effectively within a collaborative and supportive environment. We work closely with expedition partners, leaders, participants, and other support personnel to ensure seamless and coordinated medical care. 13 Values 4 Flexibility and Adaptability TrailMed's medical team must be adaptable and flexible to handle medical presentations and emergencies in remote environments. We are prepared to improvise, prioritise tasks, and make quick decisions under pressure, ensuring the safety and well-being of all participants. 5 Respect for Cultural Sensitivity TrailMed operates with a deep understanding of cultural sensitivity and respect for local customs. We try to ensure that our medical practices align with the cultural norms and values of the areas they serve. 6 Environmental Stewardship TrailMed prioritises environmental sustainability and minimises its impact on the natural environment. We strive to use resources responsibly, dispose of waste properly, and adhere to local environmental regulations. 14 Behaviours TrailMed acknowledges that differing operating environments require our people to demonstrate the behaviours that underpin our values differently. Documenting all these behaviours would be expansive and unhelpful. Instead, TrailMed encourages all staff to adopt two critical behaviours (see below) to help contribute towards a culture that will reflect our values. “If you require help then ask, if someone asks for help then offer it or signpost them to someone who can.” Patrick Musto Medical Director 15 Dress Code TrailMed expects all its staff to adopt a professional outdoor appearance adhering to the points listed below. TrailMed logo apparel: TrailMed requires that all staff ensure that their top layer is a supplied branded layer such as a polo-shirt, t-shirt or high-viz jacket that should be worn for professional uniformity. Safety gear: Helmets, harnesses, appropriate footwear, and other safety equipment that may be mandatory depending on the expedition's risks. Medical attire: Scrubs or other medical clothing that may be issued for specific medical tasks or maintaining a professional image. Other Layers: TrailMed requests that you wear dark trousers or shorts appropriate for the environment that you are operating in but still maintain a professional image. For example, in hot weather, shorts may be more appropriate, but low-cut tight cycling shorts would not be as they do not reflect the professional image of TrailMed. 16  Event & Expedition Clothing As long as you abide by the TrailMed dress code when employed by TrailMed then ultimately, your personal comfort and preferences play a significant role in choosing your expedition/event medic clothing. To support you in selecting appropriate clothing consider factors like: Base layers: Moisture-wicking shirts and pants made from synthetic or merino wool fabrics are ideal for regulating temperature and staying dry. Mid layers: Fleece or insulated jackets provide warmth and can be layered depending on the climate. Outer layer: A waterproof and breathable shell jacket and pants are crucial for protection against rain, wind, and snow. Footwear: Sturdy hiking boots or trail shoes with good ankle support are essential for uneven terrain. Consider waterproof options and additional footwear for water crossings. Headwear: A wide-brimmed hat protects you from the sun and rain, while a warm beanie is essential for colder climates. Accessories: Sunglasses, gloves, a bandana, and a headlamp are practical additions for various situations. Remember, it's always better to be overprepared than underprepared. Pack extra layers, essential medical supplies, and personal hygiene items for unexpected situations. By considering the factors mentioned above and choosing appropriate clothing, you can ensure a safe, comfortable, and effective experience when operating as part of the TrailMed Medical Team. 17