Faculty of Prehospital Care, Royal College of Surgeons Edinburgh guidance for medical provision for wilderness medicine

Extreme Physiology & Medicine

Harvey Pynn^1,13  Joe Rowles⁵  Thomas Harcourt Williams⁵  Nigel Hinson⁵  David Lee⁵  Burjor Langdana^1,12  Matthew Wilkes²  Eva Howard⁴  David Hillebrandt⁸  Pete Davis⁷  Sarah Hollis¹  Sundeep Dhillon^1,10  John Hall^1,11  Raj Joshi⁹  Naomi Dodds³  Adrian Mellor⁶ 

[1] Ultimate Travel Company, London, UK;Royal Infirmary of Edinburgh, Edinburgh, UK;Academic Critical Care Foundation Doctor, Aberdeen Royal Infirmary, Aberdeen, UK;Queen Elizabeth Hospital, Birmingham, UK;Gloucestershire, UK;Carnegie Institute for Sport and Human Performance, Leeds Beckett University, Leeds, UK;Department of Emergency Medicine, Queen Elizabeth University Hospital and Emergency Medical Retrieval Service, Glasgow, UK;British Mountaineering Council, Manchester, UK;Summerfield Urgent Care Centre, Birmingham, UK;The Centre for Altitude Space and Extreme Environment Medicine (CASE Medicine), Institute for Sport, Exercise and Health (ISEH), London, UK;Faculty of Pre Hospital Care, Royal College of Surgeons of Edinburgh, Edinburgh, UK;Expedition and Wilderness Medicine, Devon, UK;Wilderness Medical Training, Kendal, UK

关键词: Austere environment;    Wilderness medicine;    Medical planning;    Risk assessment;    Expedition;   

Others  :  1235194
DOI  :  10.1186/s13728-015-0041-x

 received in 2015-10-03, accepted in 2015-11-04,  发布年份 2015

【 摘 要 】

To support leaders and those involved in providing medical care on expeditions in wilderness environments, the Faculty of Pre-Hospital Care (FPHC) of The Royal College of Surgeons of Edinburgh convened an expert panel of leading healthcare professionals and expedition providers. The aims of this panel were to: (1) provide guidance to ensure the best possible medical care for patients within the geographical, logistical and human factor constraints of an expedition environment. (2) Give aspiring and established expedition medics a ‘benchmark’ of skills they should meet. (3) Facilitate expedition organisers in selecting the most appropriate medical cover and provider for their planned activity. A system of medical planning is suggested to enable expedition leaders to identify the potential medical risks and their mitigation. It was recognised that the scope ofpractice for wilderness medicine covers elements of primary healthcare, pre-hospital emergency medicine and preventative medicine. Some unique competencies were also identified. Further to this, the panel recommends the use of a matrix and advisory expedition medic competencies relating to the remoteness and medical threat of the expedition. This advice is aimed at all levels of expedition medic, leader and organiser who may be responsible for delivering or managing the delivery of remote medical care for participants. The expedition medic should be someone equipped with the appropriate medical competencies, scope of practice and capabilities in the expedition environment and need not necessarily be a qualified doctor. In addition to providing guidance regarding the clinical competencies required ofthe expedition medic, the document provides generic guidance and signposting to the more pertinent aspects of the role of expedition medic.

【 授权许可】

   
2015 Mellor et al.

【 图 表 】

Fig.1.

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