Rollcage Medic Podcast

Feast your ears and eyes on podcast and vodcast goodness, as I pick the brains of the leading lights of the motor sport medicine and rescue community.

Some will be well known, others working in the background, but all are experts in their field with acres of experience that they are willing to share.

So tune in, turn on and absorb the goodness.

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Podcast 7 - Irish road racing and Australian circuits with John Hinds and Brent May

March 26, 2014
I spent last week in the Gold Coast at possibly the best critical care conference in the world ... smaccGOLD (You can find out the details in my blog post smaccGOLD ... All the hype and more). Amongst the greats like Scott Weingart, Cliff Reid, Victoria Brazil, Karim Brohi, Simon Carly, John Myburgh and Rich Levitan and the rising stars such as Louise Cullen, Grace Leo, Liz Crowe and Lauren Westafer, there was an Irish anesthetist and pre-hospital physician from Belfast who spends his weekends either racing motorbikes or, more commonly, providing medical cover as part of a motorsport rescue team at circuit and road events.

His name is John Hinds (@DocJohnHinds) and, while my view is admittedly biased on several levels, I thougth his presentation on "The motorcyclist in extremis: Cases from the races" was one of the most engaging and entertaining of the conference. There were some great learning points to take away from it and his talk will be available as a podcast for free in the coming months on the Intensive Care Network; so keep an eye out for that.

John also gave a great con side debate decrying the use of cricoid pressure during RSI management by trying to sell us a clearly deficient (and utterly fictitious) medication called "Cricolol". The person he was debating against was Brent May (@DocBrent), who works with Team Medical Australia and is the chief medical officer for the Australian MotoGP and the Australian Karting Association.

So, I grabbed a hold of John and Brent and we sat in an almost quiet side room for a chat about John's presentation and some of the lessons learned from it, the differences between motorbike road racing (on closed public roads) and circuit racing and some gratifying similarities between Australian and Northern European motorsport medical practices, along with a couple of off-topic items as well.

Here's the podcast

And here's a few resources from John's talk to go with the podcast

Motorbike crash mechanisms

1) High side -> rider flipped into air when rear wheel losees traction
2) Low side -> front wheel loses traction and rider slides off bike
3) Bike head-on collision with another object -> Wide range of possible injuries

Four indicator injury mechanisms suggesting more severe injury pattern than initially apparent

1) Broken feet and decreased LOC -> Pelvic, vertebral and base of skull injury
2) Apparently isolated femur fracture -> Suspect pelvic fracture
3) Boot is missing -> foot / ankle / tib fib has been rotated at high speed -> comminuted fracture-disloaction
4) "Just hit the kerb"-> Bike will either stop suddenly and vault rider or else keb will act as launching ramp -> suspect significant injury

Beware of fires

1) Immediate - explosion, tank rupture, fuel line rupture
2) Delayed - fuel leaks on to hot engine and ignites, hot bike part in contact with tinder; e.g.dry grass

Note: The issue of auditing collated incident data and its uses in modifying medical and rescue practice at motorsport events gets a solid mention.

Watch out for John's presentation on Cases from the Races on the SMACC Podcast set, following the recent smaccGOLD Conference on the Gold Coast. It will be hosted on the Intensive Care Network site and I'll let you know when it's out.

You can also listen to Doug Lynch's (@TheTopEnd) JellyBean interview with John here:
John Hinds: Madness And Mayhem On The Roads Of Ireland at SMACC gold

Podcast 6 - The roles of the event Chief Medical Officer with Dr Rik Hagen - Part II

March 11, 2014
In Part II of this podcast interview, Rik and I talk about the responsibilities and tasks that occupy a motorsport chief medical officer's time during and after an event.

We also take a look at some tips, advice and sources of information for budding CMOs and how the role is being developed in the context of a wider evolution of the provision of rescue and medical service provision at motorsports events.

Resources & links

DRIVE.DR - A checklist of items that need to be put in place for a motors...
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Podcast 5 - The roles of the event Chief Medical Officer with Dr Rik Hagen

February 18, 2014
So Christmas is a distant memory by now, and the motorsport season has already started, with the WRC several events in, the Melbourne F1 GP opener around the corner and the V8 Supercars having held their season opening test day at the Sydney Motor Sport Park last Saturday.

To kick of the Rollcage Medic podcasting season I thought we'd take a look at the role of the Chief Medical Officer at motorsport events. There's a full chapter devoted to outlining the CMO responsibilities in the first edi...
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Podcast 4 - Interview with Dr Terry Trammell - Part II

January 16, 2014
Posted by Matthew Mac Partlin on Saturday, October 5, 2013

Yes, I know, it's been a while. I've been off chasing rally cars in Coff's Coast at the WRC Rally Australia and been part of the Bedside Critical Care Conference so time seems to have slid past. However, it's time to get part two of the Terry Trammell interview up, so here it is.

In this half, Terry and I talk about the position of the driver's body in an open-wheel, open-cockpit race car and how it predisposes to vertebral injury. We ...
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Podcast 3 - Interview with Dr Terry Trammell - Part I

January 16, 2014
Posted by Matthew Mac Partlin on Tuesday, August 27, 2013

I feel like I've scored big this time. I'm on the podcasting steam train and this one's a gem. The audio quality could be better, but it was recorded over a mobile phone line on speaker phone.

I emailed Dr Terry Trammell after reading an article that he co-authored with Kathy Flint and asked if he would be prepared to sit down to record a podcast interview. And being a gentleman, he agreed. I can't share a link to the article with you, a...
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The logistics behind providing medical and rescue cover for motorsports events with Tony Harris

January 16, 2014
Posted by Matthew Mac Partlin on Wednesday, July 17, 2013

I've just spent the weekend working with the Motorsport Safety and Rescue (MSR) team providing medical cover for the FIA International Rally of Queensland. During the weekend I had the opportunity to sit down with Tony Harris, an intensive care paramedic with wilderness rescue training from Tasmania who has taken on the role of Motorsport Co-ordinator for MSR.

I've been used to simply turning up, doing the job and going home at the end ...
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Exercise associated hyponatraemia with Luke Bennett

January 16, 2014
Posted by Matthew Mac Partlin on Tuesday, June 18, 2013

So I've decided to have a go at this podcasting business. Everyone is doing it and I've learned a bit about it from work that I've done with the Intensive Care Network and from friends who run sites like Life In The Fast Lane, EM Crit, the P.H.A.R.M., BroomeDocs and the Ultrasound Podcast. How hard can it be?

Well, as you might be about to see, it's actually kind of tricky; especially the first time around.

I got talking to Luke Bennett re...
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