Event Coverage is dictated by the advice given in the Green Guide which is
the guidance issued as a result of the Hillsborough Inquiry lead by Lord
Justice Taylor.  Motor Racing is specifically mentioned on page 11 in the
list of "definitely applies to" events along with football etc.

Essentially the organisers must provide adequate medical cover for the
event, firstly for the spectators and secondly for the competitors.  This
cover can come from any source including the Voluntary Aid Societies (VAS),
the Statutory Ambulance Service, and any other Medical Group who makes
themselves available.  The only statutory role for the Local Ambulance
Services is normally to provide cover at a prescribed level dependant on
crowd numbers, (above 5,000) to manage a Major Incident should it occur.
Although we get our hands dirty occasionally primacy for treatment of
patients at an event rests with the group(s) employed by the event
organiser.

The problem often arises that these various groups don't always get together
and clearly identify their respective roles subsequently when the brown
stuff hits the whirly thing incident management gets a tad confused.  The
role of MIO as suggested by Jeremy should go automatically to the designated
crowd doctor, who in conjunction with the Local Ambulance Officer, the VAS
Officer in charge, the Police Commander and a member of the events team
usually the Safety Officer will form the nucleus of the "Silver" Command and
Control Team.

Pre-meeting and Planning are essential for all these events and the
respective organisations have a duty to put in place a robust plan to deal
with any eventuality.  The lack of a plan or failure to abide by the Green
Guide could cause a major headache if anything happens and a public enquiry
ensues.

I don't want to be the prophet of doom and gloom but as they say failing to
plan is planning to fail............

Regards.

Steve
----- Original Message -----
From: Mark Nettleton <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, June 26, 2000 10:02 AM
Subject: Re: Major Incident - Event coverage


> Jockey club horse racing events are indeed covered by doctors trained in
> line with BASICs  princials. I have been pleased to see in my last 4 years
> of inolvement with horseracing events, the efforts made to ensureby the
> Jockey club  that these events are covered by doctors with adequate
training
> -----Original Message-----
> From: Jeremy Mayhew <[log in to unmask]>
> To: [log in to unmask] <[log in to unmask]>
> Date: 25 June 2000 19:31
> Subject: Major Incident - Event coverage
>
>
> >
> >> Hello all, as a recent subscriber to this list I have been reading this
> >> thread with interest. It was bought home particularly today, by the
> >> tragic accident at the Goodwood Festival of Speed. A driver lost his
> >> life and two marshals were seriously injured. The event was covered
> >> medically by the BARC, who were there for the participants, Sussex
> >> Ambulance who had paramedics mainly for the crowd, but also to
transport
> >> any seriously injured to the local hospital and the St Johns who were
> >> also there for the crowd.
> >
> >Hi Mark,
> >
> >Nothing like starting with a bit of controversy! I thought that BARC docs
> >were trained along similar lines to BASICS, and I think there is some
sort
> >of affiliation, ditto horse events (?). Doubt whether all the docs there
> >were trained to that standard though. Did the paramedics even get near
the
> >patient? I suspect cover at these events comes down to who you know.
> >
> >I have always been a bit bemused by event coverage. Was Matt
BradstockSmith
> >there? Ignoring the incident you talked about due to sensitivities, I
> wonder
> >if there is any sense in ambulance services requiring at least deployment
> of
> >an MIO to the scene for cover of large events. The potential for a major
> >incident at this, plus airshows etc are high. Knowing the BASICS cover
for
> >that area, I'm 25-30 minutes away, Matt 10-15, Priscilla 15-20mins.
> >
> >As local scheme members, we are all fully used to working with you guys
as
> a
> >team week in week out, which is what you need when the 5H1T hits the fan.
> We
> >are also used to clambering about inside vehicles to attend victims- with
> >all necessary protective clothing, and fully equipped for pre-hospital
> >emergencies with kit bags full of stuff we use every week.
> >
> >We have a local airshow too, and if there was a major incident back up
from
> >my BASICS colleagues is some 30 minutes away (except Iain McNeil, who
tanks
> >along at 120!). I'm away attempting the Diploma for this September's. It
> >seems that for a high risk activity, the local community is missing out
on
> >all local MIO's and other BASICS docs, all trained and practised for
these
> >events.
> >
> >Anyone any thoughts? Iain?
> >
> >Cheers
> >Jeremy (GP/BASICS/MIO/MIMMS Instructor)
> >
>



%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%