The Rollcage Medic podcast

Covid-19 has been a devastating disease. Not often has one illness stopped the world and forced a global response. Slowly the world is trying to re-emerge, though not equally and not everywhere. Sport is preparing to get active and motorsport is looking for ways to be part of this. So we decided to explore what has been happening and how motorsport in the era of Covid-19 might look like, at least initially. Go to rollcagemedic.com to have your say or find us on Twitter, Instagram and Facebook at @rollcagemedic. https://rollcagemedic.com/podcasts/motorsport-and-covid-19-part-1

We carry on from Part 1 with rescue specialists Mark Brennan and Rickard Johansson and tackle developing a vehicle type extrication approach database, the wall of manufacturer secrecy, racewear safety PPE and contamination management. Go to rollcagemedic.com for the shownotes and to post your comments Follow us on Instagram, Twitter and Facebook by searching rollcagemedic

On this episode we invite some rescue colleagues on to the podcast to help us out with some tricky rescue topics. In Part 1 we cover a range of topics from clarifying some terminology and discussing an overall rescue approach strategy to balancing medical and scene safety needs and the role of rescue teams in the preservation of property.  

The Motorsport Medicine and Rescue Mastery Podcast This is part 2 of this two part episode. Gregg, Matthew, Tressa and Jamie cover: Effective scene communication Priority codes and the Critical Incident response Declaring death at a circuit (Should we?) Clearing a competitor at the scene We also debrief with Gregg on a recent motorsport incident he was at. Head over to the website to join the discussion at https://www.rollcagemedic.com

In this first of two parts podcast, we cover: Setting the tempo. Determining the priorities - Clinical, rescue and logsitic. The Triangle of Understanding and the importance of inter-agency trust. Training for success. Watch out for Part 2 soon and remember to head to the podcast webpage on Rollcage Medic (https://www.rollcagemedic.com/) to join in the discussion

Three motorsport doctors run through the hazards faced when rolling up to a crash scene on a hot race track at a motorsport event and the options for minimising the potential for harm. From risk identification to establishing a safe working space, we'll guide you through keeping you and your crew safe.

Three motorsport doctors discuss issues around entering a motorsport track safely when called to respond to a racing incident. Key lessons Don't assume the track is safe just because Race Control says "Scramble" Keep a 360 degree lookout for hazards The safety of your crew is everyone's responsibility

What is a first intervention vehicle? What is its role at a motorsport event? What skills groups should it contain and what equipment should it carry?

Following the closing event of the WRC at Rally Australia I had the chance to chat with Hyundai Motorsport driver Hayden Paddon about some of the parrallells between the high stakes environments of acute care medicine and professional motor sport championships.

I talk with Prof David Hughes, from the Australian Institute of Sport, and co-author of the recent "Update to the AIS-AMA Position Statement on Concussion in Sport" about concussion and the tricky elements of its assessment. The intro sound clip is the opening bars from Soundgarden's track "Head injury" from their 2017 re-issued album "Ultramega OK"

I talk with Prof David Hughes, from the Australian Institute of Sport, and co-author of the recent "Update to the AIS-AMA Position Statement on Concussion in Sport" about concussion and the tricky elements of its assessment. The intro sound clip is the opening bars from Soundgarden's track "Head injury" from their 2017 re-issued album "Ultramega OK"

Using the concepts of crisis resource management, cognitive processes, situational awareness and human factors management to achieve the best outcomes at a race track incident.

A summary of the afternoon sessions from Day 1 of the ICMS Annual Congress held in Indianapolis at the start of December. Race resource management, simulation training and human factors awareness - Fabian Berger Research in driver physiology - Ed Potkanowicz Controversies in motorsport medical education - Rob Seal Safety updates in powerboat racing - Bob Wartinger Situational awareness and crisis management - David Hakim

A summary of Day 2 of the recent ICMS Annual Congress held in Indianapolis at the start of December. Lessons from a Formula 4 incident - Paul Trafford Race True - Anti doping case studies - Sandra Camargo The Dan Q Marisi Lecture - Mike Yates OVRT testing and research for concussion - Naomi Deakin, Jim Buskirk and Terry Trammell The physical response to driving a race car - David Ferguson Concussion and return to competition - Julia Daly

A summary of the morning sessions of Day 1 of the ICMS Annual Congress in early December 2017. Topics include: Frontal cockpit protection for the IndyCar series Circuit and catch fence design Development of a nationally accredited training course for motorsport medics - The MERC Course

I go through Deakin et al's recent paper, titled "Concussion in motor sport - A medical literature review and engineering perspective" which was published in October this year.

Fire is bad; particularly when you are driving very fast. David Dalrymple is an experienced North American fire officer and educator who knows both the civilian and motorsport worlds. We discuss all things flamey and smokey for motorsports.

Fire is bad; particularly when you are driving very fast. David Dalrymple is an experienced North American fire officer and educator who knows both the civilian and motorsport worlds. We discuss all things flamey and smokey for motorsports.

What's it like to crash at high speed? What if the car bursts into flames? And what's it like to be pulled out of your broken car by the medical response team? V8 Supercar driver Karl Reindler knows and he was good enough to have a candid discussion with me about a topic that superstition would make most professional race car drivers shy away.

Naomi Deakin is a trauma fellow pursuing a PhD in England. No strange thing amongst doctors who are trying to carve out a place and career for themselves. Except that few choose motorsport medicine as an area to chase down that higher qualification. And yet why not? It's a fertile area full of possible aspects to explore. Yet if you go looking for clinical advancement topics in motorsport your search will not take too long. There's just not that much too be found. This is odd for a profession who have clung to the tenets of evidence based medicine for their daily practice. So, is no one doing any research in motorsport medicine and if not why not? Or is it out there somewhere sobbing gently in a dark and dusty basement craving the sunlight of publication? Naomi and I discuss research in motorsport medicine (as opposed to motorsport in general) and try to unpick why there is such an apparent lack of it, the barriers to generating and disseminating it and spot some of the research hot spots coming in the near future.

Former navy doctor and current Neuro-otology surgeon with an interest in concussion, Michael Hoffer, discusses a new diagnostic modality for concussion; the IPAS Goggles.

Fabian Berger is a tornado pilot with the German air force and amateur race car driver who was inspired to take his aviation experience of simulator based training, crew resource management  and human factors education to race officials and motorsport medics. So that's what he did through the DMSB in Germany. We talk about his motivation, how he got it set up and where he wants to go next with it.

I chat to Dan Marin about the work of the International Council for Motorsport Science (ICMS) and the medical program at the forthcoming PRI2015 event.

At the recent WRC Rally Australia in Coff's harbour I took the opportunity to sit down over acup of tea and a choccy bickie with the very humble Don DiGiglio, who has been the voice of medical comms at the Australian F1GP pretty much from its inception. It can be a tricky job, balancing the communication demands of the medical and rescue teams as well as what is going on in race control. And there are additional aspects that Don brings up that many people may not be aware of. So sit back and enjoy Don's velvety tones.  

A discussion about the increasingly recognised (rediscovered) Impact Brain Apnoea Syndrome with Mark Wilson.

Profs Hugh Scully, Rob Seal and I talk about motorsport medicine as a pre-hospital specialty, the importance of data, audit and research and the roles that motorsport competitors have in their own rescue.

Professors Hugh Scully (so many motorsport titles I can't list them all here) and Rob Seal (Canadian Grand Prix medical director and CMO for a number of Canadian motorsport events) chat with me in Doha during the FIA Institute Medicine in Motorsport Summit last December. We discuss a bit of the history of medicine in motorsport, circuit craft and issues around recruitment and retention of medical crew members.

I chat to Ian about his first two years as the FIA Medical Rescue Coordinator for Formula 1 and lessons learned during his time in motorsport medicine. We discuss pre-event preparation, teamwork, checklists and communication. We also walk through the phases of a medical response to a racing incident.

Mike Lauria is a military pararescueman and civilian paramedic who recently gave a great talk that pulls together all of the current main areas of high stakes decision-making psychology. I got a chance to pick apart items of his talk with him and we recorded this podcast. I can guarantee that there will be stuff in here that you can use on your next job, whether at work or at a motorsport event.

John Hinds is an Irish anaesthetist and pre-hospitalist who races motorbikes and works as a motorsport doctor at circuit and road racing events in Ireland. Brent May is an Australian anaesthetist and pre-hospitalist who works with the motorsport rescue agency Team Medical Australia. In this podcast we talk about aspects of motorbike racing and some of the medical and rescue elements.

Continuing on from Part I, Rik and I discuss the issues that a motorsport CMO deals with during and after an event and a little bit about the future development of the position.

Rik Hagen (ED and RFDS physician, CMO for WRC Rally Australia, the Australasian Safari Rally and former Deputy CMO for the Australian Formaul 1 GP) and I chat about how to become a CMO and how to prepare for a motorsport event.

Part two of my interview with Dr Terry Trammell. We discuss the implications of driver seating position on vertebral injury, co-operation between motorsport rescuers, engineers and regulators and we talk through an opening lap racing incident from the perspective of the chase medical car.

Dr. Terry Trammell (ICMS, FIA Institute) and I introduce a paper he wrote last year with Kathy Flint on spinal injury mechaninsms and design interventions on open-wheel, open cockpit race cars. We also discuss the value of real-time data gathering and motorsport injury registries.

At the recent International Rally of Queensland on the Sunshine Coast, Motorsport Safety and Rescue Co-ordinator Tony Harris and I discussed the logistics that go into providing a medical and rescue team at a motorsport event.

Luke Bennett is a Western Australia RFDS doctor with a Queensland critical care background, who has done a ton of work in motor sports. He's just finished a series of review papers for his Masters in Motorsports Medicine, the first of which explored the intricacies of exercise associated hyponatraemia. I asked him if he'd be happy to talk about it and record it as a podcast and, lucky me, he was. So here it is ...

This is a presentation that I gave at the FIA Annual General Assembly Medicine in Motor Sport Summit in Istanbul in December 2012. It explores some of the controversies with the trackside assessment of concussion and the decisions that influence return to competition; particularly as they apply to motor sports.