New website, new services, new opportunities!

Over the past few months we have carefully considered our strategy and subsequently rebranded as the Event Safety Group.  This is in response to the nature of events we are now covering as well as the increase in services we are now able to offer.

We can offer much more than medical and rescue cover to your event.

The acquisition of another company means we are able to provide ‘bespoke safety solutions to outdoor sport events’…..a ‘one stop’ shop.

If you are an organiser of OCRs, trail races, mountain bike events, triathlons, ultra distance runs, adventure racing…..any outdoor sport then we’d love to hear from you to discuss your safety requirements.

The benefit of using one provider for all safety aspects of your event has many advantages including a single point of contact, one invoice, education in operation costs and much more.

Take a look at the services pages on our brand spanking new website.

Like what you see?  Then get in touch as we are already taking bookings for events throughout the UK in 2017!

 

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New website, new services, new opportunities!

My First Aid Kit – What am I taking whilst bikepacking in New Zealand?

firstaidkit

I’m off bikepacking for a couple of months across New Zealand starting in January and I’ve been thinking about what I would want to carry with me regarding a first aid kit. Of course you can buy them straight off the shelf and head out onto the hills but I often find them lacking. Or sometimes completely useless. So what would a Paramedic take with her? And why is she referring to herself in the third person?

You need to take into account where you are going and access to healthcare. If you are planning a remote trip along the Amazon you’ll need different kit than if you were to spend a few weeks touring vineyards in the south of France (for which you’ll probably need a lot more Paracetamol for your hangovers!)

With bikepacking – the lightest option is usually the best option. This is never so apparent than when climbing up a mountain pass with an over-laden bike wishing you’d pack a few less socks or the jeans you’ll never wear.

But when packing you also want to be as prepared as you can be without going over board. I’m not planning on suturing my leg back together on a mountainside with nothing but a stick to bite down on. I’m not Rambo. Realistically I’d do a running repair and try to get myself off to a hospital to get the wound cleaned properly and closed. Although I am trained in wound management and closure, if I can’t get it clean- I’m not closing it.

You also need to think about what sort of injuries or illnesses are likely to occur. Feasibly, I’m going to fall off my bike a bit. So gravel rash and bruising are quite likely. Hopefully nothing much worse but FOSH (Fall onto Out Stretched Hand) injuries are common with biking, which results in wrist, elbow and shoulder and possibly clavicle injuries. Bites, stings and other illnesses are also real possibilities. Before I put myself off going completely here’s my list.

My First Aid Kit contains*:

  • Saline pods and sterile gauze for washing eyes and for wound cleaning/debridement (rather than hydrogen peroxide/alcohol which slows wound healing by damaging tissue)
  • Tweezers and tick remover
  • Steri-strips
  • Roll zinc oxide and Transpore tape
  • Conforming bandage
  • Cohesive bandage
  • Ambulance dressings
  • Sterile low adhesive dressings
  • Selection of Plasters
  • Triangular bandage
  • Ibuprofen/Paracetamol/Cetirizine Hydrochloride or Chlorphenamine Maleate (for pain relief, fevers and minor allergic reactions)
  • Immodium
  • Electrolyte replacement sachets (although if you’re cycling you might be using these in your water bottle anyway)
  • Epi-pen (not everyone will need to carry one but if you have experienced an anaphylactic or severe allergic reaction to anything then this might be a good idea)
  • Couple of pairs of gloves
  • Duct tape
  • Sun block
  • Hand sanitiser
  • Foil Blanket
  • Scissors

If you are travelling to the distant corners of the world with limited access to healthcare facilities you may want to supplement the above with:

  • Suture kit (if you are trained and comfortable using it)
  • Water filter
  • Irrigation syringe
  • Povidone-lodine USP 10.0% (normally saline will do the job for wound cleaning but for a wound with lots of contamination this may be useful)
  • Stronger pain relief (Codeine etc)

If you fancy a bit of remote first aid training before you embark on your trip head on over to our website to find out all the training courses that we run. Nearly all of our courses have a remote/outdoor element to them and we go up into the local hills to give you real life scenarios to practice on.

*This kit is based on my own personal research and what I feel comfortable carrying on a fairly remote trip with access to healthcare facilities within a reasonable distance.

My First Aid Kit – What am I taking whilst bikepacking in New Zealand?

Essentials of Advanced Airway Management

Airtraq

I changed roles for the day recently and instead of blogger and all round office admin extraordinaire, I became a student on one of our courses.

MTRS have started running an Essentials of Advanced Airway Management course and this November I put myself forward as a student. It is something that I think we, as Paramedics, do not get the opportunity to practice on a regular basis. How many tubes do you actually get to pass a year? It’s definitely an area of my practice that I want more experience in. If we are not being exposed to situations that require intubation skills how do we keep well rehearsed and up to date?

A coroner’s report from 2013 which investigated the death of a 27 y/o female in the East Midlands found that her death was contributed to by an unrecognised oesphageal intubation. No end tidal monitoring device was used in this instance. East Midlands Ambulance Service had not released a mandate to make the use of such devices compulsory. The incorrect placement would have been recognised much sooner if end tidal monitoring were used. The paramedic that had conducted the intubation had not received any further training or assessments in advanced airway management since he had been signed off as competent four years before the incident. (https://www.judiciary.gov.uk/wp-content/uploads/2014/07/Perrons-2014-0158.pdf)

2015-11-04 16.36.50

On the course we learnt about all the bits of kit there is out there to assist you with those difficult intubations like video laryngoscopy and the Airtraq, how to perform a surgical airway, how to intubate underneath a vehicle or in a cupboard. Ok, that sounds ridiculous but the reality is, we may come across those situations and we need to be confident in our abilities when we need them.

2015-11-04 16.46.56This was all conducted under the very experienced, watchful gaze of Dr Will Jones. A Consultant Anaesthetist from Leeds Teaching Hospital Trust, who had some great tips and advice and we all left feeling much more confident.

The course is fully accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS) and internationally recognised. More details about the course can be found on the airway site.

For more information on this course or any of the course we run, please head to the website or contact us directly.

Essentials of Advanced Airway Management

Trick or Trauma?

symposium2-1

Happy Holloween to our fans…..

The title is a very weak link, but recently we were asked by Openhouse medical products to answer some questions about trauma training and the courses we run.  Here are our answers.  We’d appreciate to hear your thoughts and answers to questions 1, 4, 6, 8 and 9. Please contribute in the comments below.

1. Why is it important is it for paramedics in the UK to be trained in trauma management?

It was estimated in 2010 that there are around 20,000 cases of major trauma each year in England, many resulting from road traffic accidents. Due to the promotion and continual improvement of health and safety, major trauma is less common than it was 10 years ago for example. Trauma calls make up a very small proportion of the workload dealt with by the modern ambulance service. The fact that clinicians are exposed to fewer trauma incidents and that transport times are now potentially longer as crews bypass local hospitals in order to deliver the patient to a major trauma centre, training in dealing with a trauma patient is more important than it ever has been.

2. Who do you teach trauma training to? How is the course taught?

We deliver the Pre-hospital Trauma Life Support (PHTLS), which is accredited by the Royal College of Surgeons (England) and the NAEMT. We also deliver in-house workshops to deal with major bleeding, splinting and airway management. We teach these course to a range of pre-hospital clinicians including paramedics, technicians, doctors, nurses, offshore medics, mountain rescue teams and the fire and rescue service. The PHTLS is delivered over two days and teaches the principles of managing the poly-trauma patient, hopefully boosting the confidence of the responder in such situations.

3. What methods and training devices do you use to help train medical professionals?

Delivery of these trauma courses is normally done so through expert teacher-led sessions, group discussions, problem-based learning, simulations and moulages. Students are also expected to pass a range of assessments on the PHTLS course. We also offer an optional third day where we put students through their paces with numerous non-assessed scenarios, utilising a professional casualty simulation team.

4. How can you teach medical professionals to be emotionally strong in cases of serious trauma emergencies? 

We cannot teach medical professionals to be emotionally strong but I believe emotions can be somewhat controlled by having the confidence to deal with trauma emergencies. Having the skills and knowledge to deal with what is facing us keeps our mind focused and reduces the feeling of being overwhelmed or out of our comfort zone. We teach students to be systematic and to adhere to a set of principles. How they achieve the principle may vary and the ability to improvise is an important skill.

5. Will trauma training provide you with a certificate of some sort?

All of our courses are certified. The PHTLS course certification lasts for 4 years.

6. How long will it take someone to be fully prepared for trauma situations? Will a young training paramedic come face to face with such incidents during their training period or only once they are fully qualified?

This is a hard question to answer. Yes, student paramedics will probably be exposed to some trauma incidents in their placements, and leave university with the hard-skill set to deal with such incidents. Due to the low occurrence and subsequent exposure to trauma, skills and confidence does tend to fade. It’s important to remain current, competent and confident and this is often achieved through some form of training.

Can we ever be fully prepared? I have good friends and experienced colleagues that have suffered serious emotional turmoil later in life having dealt with a traumatic incident or a collection of incidents that didn’t seem to affect them at the time. Clinicians should always be aware of the early signs of Post Traumatic Stress Disorder and know how to seek further help. We also need to look out for one another!

7. Do you use hyper-realistic medical training devices such as Simulaids?

We use a range of simulation equipment including Simulaids advanced life support training manikins, surgical airways and bone injection devices.

8. Is there a certain personality type, which you believe, makes a good trauma doctor, nurse or paramedic?

Certainly those with a level head and that can make decisions under pressure can be better suited to the role, however there isn’t just one certain type of personality as we all bring different things to the role. Some may excel at multitasking and dealing with the logistics, others will excel clinically while others will bring compassion and empathy. Being able to stay focused on the task in hand but also being situationally aware is a benefit.

9. If you could give one piece of advice for someone dealing with a serious medical emergency what would it be?

Don’t be distracted by the obvious injury and miss something life-threatening. This is achieved by being systematic and following the CABCD approach. This should be constantly reviewed throughout your time with the patient.

Don’t be distracted by the obvious injury and miss something life-threatening. This is achieved by being systematic and following the CABCD approach. This should be constantly reviewed throughout your time with the patient.

Trick or Trauma?

2015 Resuscitation Guideline Updates – Summary of Adult BLS Changes

Last week the European Resuscitation Council and the Resuscitation Council UK released their 5 yearly Basic Life Support (BLS) Guidelines.  These guidelines are produced through a systematic review process which is accredited by the National Institute of Health and Care Excellence (NICE).

This short screencast summarises the changes made to adult BLS and current Resuscitation Council UK recommendations.  Finally the screencast demonstrates how to download the latest guidelines from the Resuscitation Council website.

If you require any point clarifying or would like to talk to us about Basic Life Support courses please email info@mountaintrauma.co.uk or phone 0800 612 5123.

 

2015 Resuscitation Guideline Updates – Summary of Adult BLS Changes

Fancy some free First Aid training?

MEDICREAR

We are going to be running a free first aid training/refresher session on the 2nd September here at MTRS HQ between 0900 and 1230 hours.

It’s an ideal chance to refresh the skills that you picked on your First Aid course. We’ll be looking at the latest updates and new equipment, running through some first aid scenarios and of course you’ll get a chance to practise CPR.

All of these sessions will be delivered by Paramedics and those working in the remote rescue area.

If you are interested in coming along please email info@mountaintrauma.co.uk. It is free to attend but places are limited to please pre-book via email.

For more info about us and where we are located head on over to our website.

Fancy some free First Aid training?

Competition Time!

Why don’t you head on over to our website where we have recently added a new section for competitions and discounts.

Right now we have a competition running in which you could get a 50% discount on the ECRE course that we run at our HQ in Ambleside.

If you are an event organiser and would like win £250 worth of medical provision at one of your events, we have just the competition for you….

Closing date is the 1st of August so get entering and good luck!

Winners will be contacted shortly after the competitions close.

Enter here.

Competition Time!