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MRMS Guide to the Mountain Course

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MRMS Guide to the Mountain Course A Guide for Doctors and ParamedicsParamedics Working on the TT Mountain Course Produced by Manx Roadracing Medical Services LLC Registered in the Isle of Man Company No. 985L Supported by The Rob Vine Fund for MRMS 2 A Guide for Doctors and Paramedics Working on the Isle of Man TT Mountain Course CONTENTS SECTION 1. An Introduction to the Mountain Course - Page 3 2. The events, how they are organised and run - Page 3-4 3. The Medical Services on the Mountain Course during events - Page 4 4. Requirements for medics working on the Course - Page 5-6 5. Insurance - Page 6 6. Registering with Manx Roadracing Medical Services LLC - Page 6-7 7. Travelling to the Isle of Man - Page 7-8 8. Accommodation - Page 8 9. Signing on for the event - Page 9 10. Road Closures - Page 9-11 11. Marshalling on the Mountain Course during events - Page 11 12. Safety on the Course – Flags - Page 12-13 13. Communications during the event - Page 13-14 14. Medical equipment on the Course - Page 14-15 15. Before you set off to your location - Page 16 16. Getting to your location - Page 16-18 17. When you arrive at your location - Page 18-19 18. Managing a racing incident - Page 19-20 19. Helicopter procedures - Page 20-21 20. What to do after an incident - Page 21 21. Record keeping - Page 22 22. Professions Allied to Medicine – Physiotherapy & Psychology - Page 22 23. The Emergency Services - Page 22-23 24. Nobles Hospital - Page 23 25. Educational activities - Page 23 26. Social activities - Page 24 27. Payments to medics - Page 24 APPENDICES 1. Radio points around the course - Page 25-26 2. Course locations - Page 27-28 3. Trackside Medics SOP - Page 29 4. TT Course Incidents – Historical Data - Page 31 This guide and its appendices is intended for people directly involved in the operational delivery of the medical services for events run on the TT Mountain Course, and should not be passed to third parties or placed in the public domain. – Manx Roadracing Medical Services LLC – November 2017 MRMS 3 1. An Introduction to the Mountain Course The Isle of Man TT was first run in 1907. In 1911 it moved from the St John’s course to the Mountain Course where it remains to this day. The Manx Grand Prix started life in 1923 as the Manx Amateur Road Races. In 1930, it was renamed the Manx Grand Prix. The Mountain Course starts at the TT Grandstand in Douglas, and covers 37 ¾ miles, with over 200 corners. From Douglas it runs out to Crosby, past the Crosby Hotel, and on to Ballacraine. A sharp right hander there takes the course through Laurel Bank, past the Glen Helen Hotel and on to Kirkmichael. It passes through the village of Kirkmichael, through Sulby and on to Ramsey. At Ramsey, the riders enter the famous mountain section of the course. Going up the mountain they reach Bungalow Station, just below the summit of Snaefell, and on to the highest point of the course at Brandywell. From there it is downhill past Windy Corner, The Creg-ny Baa pub and back into Douglas. 2. The events, how they are organised and run The TT is a 2 week event that takes place at the end of May and the beginning of June each year. It is promoted by the Isle of Man Government (Department of Economic Development) and is organised and run by ACU Events Ltd, which is the commercial arm of the ACU ( www.acu.org.uk ). It is licensed by the ACU and runs under their regulations. The Manx Grand Prix, together with The Classic TT forms the Festival of Motorcycling. This is also a 2 week event, usually spanning the end of August and the beginning of September. The Manx Motor Cycle Club promote the Manx Grand Prix and the Isle of Man Government promote The Classic TT. Both events are organised and run by the Manx Motorcycle Club. Like the TT, the event is licensed by the ACU and runs under their regulations. When practicing or racing is taking place, the whole of the Mountain Course is closed to public traffic. This means that there are large parts of the course that are not accessible once the roads close. In both events, the first week is Practice week, when there are 6 practice sessions, one run each evening for 6 days. Races are scheduled to be run on the Saturday, Monday, Wednesday and Friday of Race Week. In the event that racing is postponed due to adverse weather (or for any other reason), they can also be run on the Sunday (TT only), Tuesday, Thursday and the final Saturday of Race Week. MRMS 4 Once the roads have been closed, the responsibility for them passes to Race Control which is situated at the top of the tower located at the Grandstand in Glencrutchery Road. Within Race Control there is a team of people who’s responsibility it is to run the Practice or Race session comprising The Clerk of the Course, Deputy Clerk of the Course, 3 controllers in contact with all of the Chief Sector Marshals and Deputy Sector Marshals around the course, a controller in contact with all of the course cars as well as the Travelling Marshals and the Elite Dispatcher who monitors all of the radio communications for Emergency Calls. There is a further group of people in Race Control responsible for managing any responses by the Emergency Services (Police, Ambulance and Fire) as well as the Control for the Medical Team out on the Course. Finally, because we use 2 race helicopters and a civilian helicopter, there is an Aviation Co-ordinator in Race Control 3. The Medical Services on the Mountain Course during events There are a number of challenges in delivering medical care to injured riders during the races. These include the fact that the road is closed to traffic, and in most circumstances, the racing or practicing will continue whilst the medical and marshalling teams deal with any incident, and also the fact that incidents can occur quite a number of miles away from the Island’s main hospital, Nobles. The terrain can be quite rough, and sometime communications (although improving) can be difficult The medical service comprises: • Members of the medical team on the Course providing an immediate response (anything from 20-40 and a mix of Doctors, Paramedics and Advanced First Aiders) • 2 helicopters crewed by a Doctor and a Paramedic experienced in delivering Pre-Hospital Care. (A 3rd helicopter covers the civilian population) • A Response Car crewed as the helicopters, and providing a response to those parts of the course where the helicopters cannot land. • 6 Land ambulances (supplied by Hogg Motorsport Association and St John Ambulance) and providing immediate response and transport to hospital in those parts of the course where the helicopter cannot land. • A 4 x 4 Ambulance (supplied by St John Ambulance) providing transport to the helicopter landing site at Sarah’s Cottage. • A First Aid Post (when roads are closed) in the Grandstand Complex • Paddock Based Physiotherapy service (providing free treatment for riders). • 2 members of the Medical Team in Race Control Medical Helicopters in use during TT and FoM Hogg Motorsport Association ambulances and crew MRMS 5 4. Requirements for medics working on the Course As a doctor, paramedic or nurse, your Duty of Care requires you to be competent at dealing with the type of casualties you might expect to encounter when volunteering to work on the TT course. That means that you need to have knowledge of basic first aid and resuscitation/life support as a minimum. Although not essential, there are other skills that would be very valuable, and we would always recommend that you try to attend an appropriate course such as ATLS (Advanced Trauma Life Support), PHEC (Pre-hospital Emergency Care) or PHTLS (pre-hospital Trauma Life Support). More information about these can be found on our Educational Resources page. Currently, it is not an absolute requirement that you have any of these qualifications, although it is your responsibility to make sure that you are working within your own level of competence. We would also recommend that you read the BMA guidance for Doctors providing medical care at sporting events. If you would like us to email you a copy of this document, please contact us. Having said all of that, it is important to remember that you will be supported by an experienced team of Marshals, as well as by the very experienced crews in the Air Ambulances and/or Medical cars in use around the TT Course, so you will not be on your own! If it is your first experience of road racing on the Isle of Man, we would also suggest that you try to attend one of the Incident Management Courses that are run by the TT Marshals Association (TTMA). Further details at http://www.iomttma.com Failing that, we require that you watch the TTMA video about incident management at https://www.youtube.com/watch?v=M8WwHjWYdRM Doctors: In order to work on the TT Course a doctor needs to hold FULL registration with the General Medical Council (GMC). This also applies to UK mainland motorsport events. In addition to full registration, a doctor needs to have a licence to practice issued by the GMC. In order to get and maintain a licence to practice, a doctor has to have a Designated Body and be subject to revalidation. Doctors that work outside the UK (and therefore do not hold full GMC registration) but within the EU, should contact the GMC as there are certain circumstances where they can be permitted to work for short times within the UK.
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