BASICS Scotland Podcast BASICS Scotland

Johnny chats us through the urgent care section of the ambulance service 
 
Top 3 tips 
With Urgent Care Patients, take your time. Ask yourself "What does my patient need, where best can that be achieved, and in what timescale is it required".  
Follow the BRAN principles: consider and discuss with the patient the 'Benefits', 'Risks', 'Alternatives' and what likely happens if we do 'Nothing'. 
Phone a friend: Professional to Professional conversations enable better decision making, greater access to records, pathways and services and ultimately get patients to the Right Care.
Biography 
 Jonathon Will started his paramedic journey with London Ambulance Service before becoming the Lead Emergency Care Paramedic for Croydon University Hospital. After the loss of his wife aged just 39 (attributed to poor care in an overrun maternity unit and a strong driver for his passion to make NHS systems better), Jonathon returned home to Scotland and worked first as a Paramedic, then Specialist Paramedic, and Trainee Advanced Paramedic, before moving into the Clinical Directorate. Moving on, Jonathon is about to become an NHS National Improvement Adviser for the Scottish Government as part of the Redesign of Urgent Care program. He is also Tayside Mountain Rescue medical Officer, works with several events and expedition companies and is involved with teaching and assessing for SMR, WEMSI, MRT,  UE, Wild Fitness and more. Jonathon is Co-Founder of the 'Healthiest Town' project and is also a Kick Boxing instructor and a single dad - as he puts it... a busy little human! 
 

Bernd and Hermann talk us through their research into performing CPR with restricted patient access. 
 
Three top tips
 
1 - In an asphyxiated patient start ventilation as soon as possible     
2 - In a situation of restricted patient access, don't think about standard CPR, start ventilation asap, even if in a really awkward or alternative position.
3 - Even minimal training makes a difference so regular training and practice of CPR is crucial and should be included in other training, such as avalanche training courses.
 
Biographies:
 
Hermann Brugger MD, born in Bruneck / Bolzano / Italy, December 30th, 1951; married to the painter Elfriede Gangl, 1978; children: Franz, Johanna. MD at the University Vienna, Austria, 1978; Medical assistant at the Hospital Sisters of Charity, Linz, Austria, 1979-1983. General Practitioner at the National Health Service, Bruneck, Italy, from 1983 to 2017.
Emergency physician for the Emergency Medical System and mountain rescue physician of the Mountain Rescue Organization of South Tyrol from 1983 to 2017. Eduard Wallnöfer Prize Tyrolean Industry, 1992; Georg Grabner Prize University Vienna, 1995; Research Award of the Wilderness Medical Society USA, 2012; Paul Auerbach Award Wilderness Medical Society USA, 2016. Member of the Board of the Italian Society of Mountain Medicine, 1999-2005; Member of the Board of the Medical Commission of the Union Internationale des Associations d’Alpinisme UIAA MEDCOM, 2001-2009; President of the International Commission for Mountain Emergency Medicine ICAR MEDCOM, 2001-2009; Member of the Board of the International Society of Mountain Medicine ISMM, from 1999; President of the International Society of Mountain Medicine ISMM, from 2016; Member of the International Commission for Mountain Emergency Medicine ICAR MEDCOM, from 1991; Associate Editor of High Altitude Medicine and Biology, from 2001; Guest lecturer University Padova, from 1999; Associate Professor and lecturer at the Innsbruck Medical University, from 2006; Founder and head of the EURAC Institute of Mountain Emergency Medicine at the European Academy Bolzano, Italy, from 2009. President of the International Society of Mountain Medicine ISMM, from 2016.
 
Around 60 book chapters, 280 publications (current cumulative IF [2020-10-27]: 869) in emergency medicine. 
 

Responders of all types are focused on saving life but what happens if the scene becomes a crime scene?  What is a crime scene and how do we manage this?  Peter takes us through the roles, responsibilities of the police and responders at the scene and what might happen post the event.
 
Key points from this podcast:
Understand that the Police aim is to save life
Carry ID when possible
Don’t touch anything you don’t need to – if you do, admit to it!
About Peter
After working in the leisure industry for 12 years in a variety of locations including London, the West coast of Scotland and Saudi Arabia I joined Northumbria Police in 1997 starting in Newcastle upon Tyne then moving to the Scottish Borders.  In 2008, fed up with spending so much time driving to the highlands to spend time in the mountains, I moved house to Perthshire joining Tayside Police, which has since morphed into Police Scotland.
As well as being a Sergeant , I am also involved in training officers in multi-agency response to Chemical, Biological, Radiological and Nuclear (CBRN) incidents.  I have also been involved in planning the policing of a number of large events including T in the Park and the Ryder Cup.
I am currently working as Police Scotland Search and Rescue Coordinator, the strategic link between the mountain rescue teams in Scotland and Police Scotland, the coordinating authority for all land based search and rescue in the country.  I am also a member of the Police Scotland (Tayside) Mountain Rescue Team, deploying to incidents involving lost, missing or injured members of the public in the hills and other difficult to access areas.
When not a work I can often be found walking my two collie dogs in the hills or paddling on one of Scotland’s many lochs and rivers in an open canoe.
 

Pam and Duncan talk us through the roles, responsibilities and capabilities of the SORTs  across Scotland.  They detail what and when the SORT team can be of help and what their  roles are in the scape of multiagency responses. 
 
Top tips: 
1) Gather information and details from the scene, the more information is passed back the  more help can be targeted to the situation. 
2) Work with other agencies and use their skills and resources 
3) Don’t be afraid to ask for advice and help. 
 
Resources: 
JESIP Principles 
https://www.jesip.org.uk/five-principles 

John chats us through the skills, roles and responsibilities of the Scottish Fire and Rescue Service, what can they do on scene, how they can help with the patients, and how this all fits into the multi-agency working to bring the best care to the patient. 
Top tips 
1) Visit your local Scottish fire and rescue station and get to know and train with the crews 
2) Remember the hierarchy of safety, your safety is paramount.  Wear correct PPE and follow any briefs given/discussed 
3) Don’t be afraid to ask for help at a job, the crews are trained and willing to help where they can. 
 
Bio:
I have two children, Lewis and Eilidh, and am married to a very understanding wife Alison. I joined Grampian Fire Brigade (later to become Grampian Fire and Rescue Service and eventually Scottish Fire and Rescue service) in January 2003 and was posted to Altens Fire Station. Over the years I have also served at Central Fire Station and North Anderson Drive, all in Aberdeen city. For the past 10 years I have been an Instructor for the service and now run a small team looking after Aberdeen city stations training.
My whole-time job is extremely varied involving many disciplines including Breathing apparatus, Fire Behaviour, road traffic collision, recruitment selection and training for new recruits, Incident command, trauma care, Urban search and rescue, safe working at heights and their assessment, as well as the training and accreditation of new Instructors.  
I moved to the village of Gourdon on the north east coast in 2008 and joined the nearest retained duty Fire Station of Inverbervie. I now run this station as Watch Commander and I'm on call to respond to a variety of incidents whenever I'm not performing my whole-time role.  
For the past 11 years I have been a member of the United Kingdom International Search and Rescue team, on call 6 months of the year for international disasters deployed by the Foreign Commonwealth Development Office and accredited by the International Search and Rescue Advisory Group which is part of the United Nations. The team specialises in heavy to light urban search and rescue and has been deployed many times all over the world. I was deployed to Nepal after the 2015 earthquake. 
I have been involved in the humanitarian aid charity Operation Florian since 2007, delivering Search and Rescue training in Macedonia and Nepal, raising money for projects, and collecting unused fire service kit and sending it to countries that do not have access to fire and rescue equipment.
I have keen interest in trauma care and its advancements, I love learning new techniques and working closely with paramedics, nurses, and doctors to improve my own knowledge on the subject and allow me to pass this on to my colleagues in SFRS and my work overseas. 

Damon, Chair of Scottish Mountain Rescue, chats us through the roles, responsibilities and skillsets of the volunteer rescue teams that the organisation represents.  As part of our multi-agency series, which gives us some insight into the organisations that we may meet as responders in the field.
 
Top 3 Points from this podcast:

Notify the teams early, don’t delay in asking for the response the teams would much rather be tasked early and stood down when not needed than have a late response.
The teams will bring you the ability to access the most difficult terrain and environments or extract the patient to you from these places. They also bring the manpower and equipment required to move and handle patients in these environments.
As BASICS responders the team members will support your medical requirements in the management of the patient, the teams are focused on the event being patient-centric and will support you wherever possible.

Resources related to this podcast:
Scottish Mountain Rescue
About Damon
Damon grew up to the north of Manchester and, having trained as a mathematician, eventually managed to avoid the repeated Friday night drives up the M6 by moving to Scotland permanently. Since moving to Scotland Damon and his wife have been running a holiday cottage business and an energy conservation consultancy. Damon has been involved in Mountain Rescue in Scotland since he moved here and was Team leader in Oban for 12 years before becoming chair of SMR 4 years ago.